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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.
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.
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.
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