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Pilot Study of a Patient-Centered Radiology Process Model.

J Shannon Swan1, Vanessa F Furtado2, Lisa A Keller3

  • 1Massachusetts General Hospital (MGH) Institute for Technology Assessment, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.

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|December 9, 2016
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Summary
This summary is machine-generated.

The Radiology Process Model (RPM) shows promising psychometric validity and reliability in a pilot study. This patient survey tool for interventional radiology experiences is undergoing refinement for broader application.

Keywords:
Patient experiencepatient-centered carepsychometricsquality of life

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Area of Science:

  • Radiology
  • Patient Experience Measurement
  • Psychometrics

Background:

  • The Radiology Process Model (RPM) conceptual framework and survey items were previously established.
  • This study details the initial field application and psychometric evaluation of the RPM.

Purpose of the Study:

  • To pilot the Radiology Process Model (RPM) survey in an outpatient interventional radiology setting.
  • To conduct an initial psychometric analysis of the RPM survey data.

Main Methods:

  • A pilot RPM survey with 24 items was administered to 100 patients undergoing interventional radiology procedures.
  • Psychometric analysis included assessment of missing data, item clarity, factor analysis, internal consistency (Cronbach's alpha), and construct validity via correlation with a visual analog scale (VAS).

Main Results:

  • The RPM summated scale strongly correlated with the VAS (r=0.7), indicating good construct validity.
  • Factor analysis identified four key patient experience domains: facility/staff interactions, time sensitivity, pain, and anxiety.
  • The RPM demonstrated high internal consistency (alpha=0.86 overall, 0.7-0.9 by factor).

Conclusions:

  • The pilot application provides initial evidence for the psychometric validity and internal consistency reliability of the RPM.
  • Minor revisions to the survey items are anticipated prior to wider implementation.