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Validation of a Parent-Reported Hospital-to-Home Transition Experience Measure
Arti D Desai1,2, Chuan Zhou3,2, Tamara D Simon3,2
1Department of Pediatrics, University of Washington, Seattle, Washington; arti.desai@seattlechildrens.org.
Insights
The Pediatric Transition Experience Measure (P-TEM) shows good convergent validity, confirming its ability to assess the quality of hospital-to-home transitions for children. This validated tool aids in evaluating care transitions and patient outcomes.
Area of Science:
- Pediatric Healthcare
- Health Services Research
- Patient Outcomes
Background:
- Assessing the quality of hospital-to-home transitions for pediatric patients is crucial for ensuring positive health outcomes.
- Existing measures may not fully capture the parent's perspective on transition quality.
- The Pediatric Transition Experience Measure (P-TEM) was developed as a parent-reported tool for this purpose.
Purpose of the Study:
- To examine the convergent validity of the Pediatric Transition Experience Measure (P-TEM) with established process and outcome measures.
- To determine if P-TEM scores correlate with other validated assessments of pediatric care transitions.
Main Methods:
- A prospective cohort study involving parents of children discharged from a tertiary children's hospital.
- Parents completed the P-TEM along with other validated transition measures, including the Child Hospital Consumer Assessment of Healthcare Providers and Systems Discharge Composite and measures of health-related quality of life.
- Convergent validity was assessed by examining associations between P-TEM scores and these other measures.
Main Results:
- P-TEM total scores were significantly higher for participants with better Child Hospital Consumer Assessment of Healthcare Providers and Systems Discharge Composite scores.
- Higher P-TEM scores correlated with greater improvement in health-related quality of life post-discharge.
- P-TEM scores did not show a significant association with 7- or 30-day emergency department revisits or readmissions.
Conclusions:
- The Pediatric Transition Experience Measure (P-TEM) demonstrated convergent validity, supporting its use in assessing pediatric hospital-to-home transitions.
- The findings suggest P-TEM is a reliable tool for evaluating the quality of care transitions from the parent's perspective.
- Further research may explore the predictive validity of P-TEM for specific clinical outcomes.
Objectives:
The Pediatric Transition Experience Measure (P-TEM) is an 8-item, parent-reported measure that globally assesses hospital-to-home transition quality from discharge through follow-up. Our goal was to examine the convergent validity of the P-TEM with existing, validated process and outcome measures of pediatric hospital-to-home transitions.
Methods:
This was a prospective, cohort study of English-speaking parents and legal guardians who completed the P-TEM after their children's discharge from a tertiary children's hospital between January 2016 and October 2016. By using data from 3 surveys, we assessed convergent validity by examining associations between total and domain-specific P-TEM scores (0-100 scale) and 4 pediatric hospital-to-home transition validation measures: (1) Child Hospital Consumer Assessment of Healthcare Providers and Systems Discharge Composite, (2) Center of Excellence on Quality of Care Measures for Children With Complex Needs parent-reported transition measures, (3) change in health-related quality of life from admission to postdischarge, and (4) 30-day emergency department revisits or readmissions.
Results:
P-TEM total scores were 7.5 points (95% confidence interval: 4.6 to 10.4) higher for participants with top-box responses on the Child Hospital Consumer Assessment of Healthcare Providers and Systems Discharge Composite compared with those of participants with lower Discharge Composite scores. Participants with highet P-TEM scores (ie, top-box responses) had 6.3-points-greater improvement (95% confidence interval: 2.8 to 9.8) in health-related quality of life compared with participants who reported lower P-TEM scores. P-TEM scores were not significantly associated with 7- or 30-day reuse.
Conclusions:
The P-TEM demonstrated convergent validity with existing hospital-to-home process and outcome validation measures in a population of hospitalized children.
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