Development and validation of a patient-reported experience scale for acute psychiatric inpatient units: The QEUH

IF 1.5 4区医学 Q2 PSYCHIATRY

European Journal of Psychiatry Pub Date : 2026-10-01 DOI:10.1016/j.ejpsy.2026.100380

Ariadna Galán, Aitana Magdalena, Anna Urbea, Lola Riesco, Judit M Fàbregas, Quintí Foguet, David Almenta, Emma Puigoriol, Meritxell Grau, Josep M. Haro, Juan C. Pascual, Iluminada Corripio

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引用次数: 0

Abstract

Background and objectives

Patient-reported experience measures (PREMs) have become increasingly important for evaluating the quality of psychiatric care and supporting person-centered services. However, few psychometrically validated instruments have been specifically developed to assess patient experience during acute psychiatric hospitalization. This study aimed to develop and validate the QEUH (“What Is Your Experience as a User of a Psychiatric Inpatient Unit?”), a PREM designed for acute psychiatric inpatient units.

Methods

QEUH was developed using a participatory mixed-methods approach combining qualitative data obtained from patients, relatives, and mental health professionals with quantitative psychometric analyses. The preliminary questionnaire was administered to 141 patients admitted to an acute psychiatric inpatient unit. Psychometric evaluation included exploratory and confirmatory factor analyses, internal consistency, test–retest reliability, convergent validity using the Rome Opinion Questionnaire for Psychiatric Services (RMD), and analyses of sociodemographic and clinical variables.

Results

Factor analyses supported a two-factor structure in the current sample reflecting “Experience of care received” and “Experience of participation during hospitalization”. The final 19-item self-reported questionnaire demonstrated high internal consistency (Cronbach's α = 0.89), excellent test–retest reliability (ICC = 0.96), and satisfactory convergent validity with the RMD (r = 0.72, p < .001). QEUH scores were not significantly associated with age, sex, psychiatric diagnosis, or involuntary admission.

Conclusions

QEUH is a brief, feasible, and psychometrically robust PREM for assessing patient experience in acute psychiatric inpatient units. Its participatory development and strong psychometric properties support its potential use for routine service evaluation and quality improvement within contemporary person-centered psychiatric care.

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急性精神科住院病房患者报告经验量表的开发和验证：英国精神卫生研究院

背景与目的患者报告经验测量（PREMs）在评估精神科护理质量和支持以人为本的服务方面变得越来越重要。然而，很少有经过心理测量学验证的工具专门用于评估急性精神病住院期间患者的体验。本研究旨在发展和验证QEUH（“你作为精神科住院病人的体验是什么？”）)，这是为急性精神病住院病房设计的PREM。方法sqeuh采用参与式混合方法，将从患者、亲属和精神卫生专业人员获得的定性数据与定量心理测量分析相结合。初步调查问卷对141名急性精神病住院病人进行了调查。心理测量学评估包括探索性和验证性因素分析、内部一致性、重测信度、使用罗马精神病学服务意见问卷（RMD）的收敛效度，以及社会人口学和临床变量分析。结果因子分析支持当前样本的双因子结构，反映“接受护理的经验”和“住院期间的参与经验”。最终的19项自述问卷具有较高的内部一致性（Cronbach’s α = 0.89），良好的重测信度（ICC = 0.96），与RMD的趋同效度令人满意（r = 0.72, p < .001）。QEUH评分与年龄、性别、精神诊断或非自愿入院无显著相关性。结论sqeuh是一种简短、可行、心理计量学稳健性强的评估急性精神科住院病人体验的PREM。它的参与性发展和强大的心理测量特性支持其在当代以人为中心的精神病学护理中用于常规服务评估和质量改进的潜在用途。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Psychiatry PSYCHIATRY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

43 days

期刊介绍： The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.