对接受家庭呼吸疗法的呼吸系统疾病患者的 "患者体验报告测量"(PREM)问卷 "HowRwe "进行心理计量验证

Q4 Medicine
David Rudilla , Tamara Alonso , Elena García , Patricia Pérez , Claudia Valenzuela , Rosa Girón , Enrique Zamora , Joan Soriano , Pedro Landete , Julio Ancochea
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引用次数: 0

摘要

导言:患者体验是指患者与医疗系统之间发生的所有互动。目前可用的 "患者报告结果测量法"(PROM)并未反映呼吸系统疾病患者在接受家庭呼吸治疗(HRT)时的体验。方法根据 ISPOR 指南(国际药物经济学与结果研究学会)翻译问卷后,对在拉普林塞萨大学医院接受治疗的成年呼吸道疾病患者进行了问卷调查。结果我们研究了 228 名呼吸系统患者,平均(标清)年龄为 64.1(13.2)岁,52.2% 为男性,68.0% 已婚或已婚,56.6% 退休。量表的信度系数适当,前测的信度系数α = .921,Ω = .929;后测的信度系数α = .940,Ω = .958。对干预前和干预后进行的确认性因素分析表明,总体拟合度非常好:χ2(2) = 49.380 (p < .001),CFI = .941 和 SRMR = .072;χ2(2) = 37.579 (p < .001),CFI = .982 和 SRMR = .046。除了 HowRwe 测试后与生活质量测试前之间的关系(r = .14 [.01,.26]; p = .035)外,年龄、依从性和生活质量之间均未发现有统计学意义的关联。在社会人口变量方面没有发现明显差异。在使用 HRT 的效果方面,测试前和测试后没有发现差异。85.6%的患者认为 "HowRwe "问卷的内容 "有用",回答问卷的首选渠道是纸质问卷、应用程序和电子邮件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Psychometric Validation of the Patient-Reported Experience Measure (PREM) Questionnaire “HowRwe” in Patients With Respiratory Disease Receiving Home Respiratory Therapies

Psychometric Validation of the Patient-Reported Experience Measure (PREM) Questionnaire “HowRwe” in Patients With Respiratory Disease Receiving Home Respiratory Therapies

Introduction

The patient experience is defined as all the interactions that occur between patients and the healthcare system. The experience of patients with respiratory disease with home respiratory treatments (HRT) is not captured in currently available Patient-Reported Outcome Measures (PROM). We present the psychometric validation of the Patient-Reported Experience Measure (PREM) ‘HowRwe’ in Spanish and for respiratory patients with HRT.

Methods

After translation following ISPOR guidelines (International Society for Pharmacoeconomics and Outcomes Research), the questionnaire was administered to adult respiratory patients who were receiving treatment at Hospital Universitario de La Princesa. The administration was done in two stages with 6 months of difference between the pre- and post-test.

Results

We studied 228 respiratory patients, with a mean (SD) age of 64.1 (13.2) years, 52.2% were men, 68.0% were married or coupled, and 56.6% were retired. Reliability coefficients of the scale were adequate, with α = .921 and Ω = .929 for pre-test, and α = .940 and Ω = .958 for post. The confirmatory factor analysis tested for pre- and post-intervention, showed an excellent overall fit: χ2(2) = 49.380 (p < .001), CFI = .941 and SRMR = .072; and χ2(2) = 37.579 (p < .001), CFI = .982 and SRMR = .046, respectively. No statistically significant associations were observed for neither age, adherence nor quality of life, except between HowRwe post-test and quality of life pre-test (r = .14 [.01,.26]; p = .035). No significant differences were found in sociodemographic variables. No differences in pre-test or post-test were found in effect of HRT. 85.6% of patients found the content of HowRwe “Useful”, and the preferred channel to respond it were paper, app and email.

Conclusions

The Spanish version of the ‘HowRwe’ questionnaire to measure the experience in respiratory patients with home respiratory treatments (HRT), has adequate psychometric properties and conceptual and semantic equivalence with the original English version.

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来源期刊
Open Respiratory Archives
Open Respiratory Archives Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.10
自引率
0.00%
发文量
58
审稿时长
51 days
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