A Patient Reported Experience Measure (PREM) for use by older people in community services

Area of Science:

• Gerontology
• Health Services Research
• Patient Experience Measurement

Background:

• Intermediate care (IC) services are crucial for integrated care in older adults, bridging health and social care.
• Patient Reported Experience Measures (PREMs) provide objective data on user experience and person-centered care in IC settings.

Purpose of the Study:

• To develop PREMs tailored for intermediate care (IC) services.
• To assess the feasibility, acceptability, and scaling properties of these newly developed PREMs.

Main Methods:

• PREMs were developed via consensus for bed-based and home-based IC services in England.
• Data were collected from 1,832 bed-based and 4,627 home-based service users.
• Mokken analysis was used to examine the scaling properties and reliability of the PREMs.

Main Results:

• High response rates were achieved for bed-based (28%) and home-based (13%) services, with infrequent missing data.
• Mokken analysis confirmed that bed-based PREMs formed an 8-item scale (Loevinger H 0.44, ρ = 0.76).
• Home-based PREMs formed a 12-item scale (Loevinger H 0.41, ρ = 0.81), both demonstrating acceptable reliability.

Conclusions:

• Two validated PREMs are available for evaluating user experience in both bed- and home-based intermediate care (IC) services.
• Each PREM scale measures a single construct with moderate scaling properties.
• The scales allow for the summation of scores to provide an overall measure of user experience.