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Updated: Nov 20, 2025

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Published on: April 23, 2014
Validating Psychometric Properties of a Revised Patient Version of the Combined Assessment of Psychiatric
Todd Barnes1, Kathryn E Phillips2, Cynthia Bautista3
1Todd Barnes, MPH, BSN, RN, CPHQ, Yale New Haven Psychiatric Hospital, New Haven, CT, USA.
Background:
Measuring patient experience is an essential challenge in the inpatient behavioral health population.
Aim:
This initiative analyzed the psychometric properties of a revised version of the patient Combined Assessment of Psychiatric Environments (p-CAPE-R) survey.
Methods:
The p-CAPE was revised to encompass the interdisciplinary treatment team and implemented on five inpatient psychiatric units at an academic medical center. A psychometric analysis was performed on the p-CAPE-R.
Results:
Analysis of factor loadings with a large sample (n = 786) revealed a more coherent item structure under the "staff competency and engagement" and "treatment effectiveness" domains than presented in the original instrument development research.
Conclusions:
Although the p-CAPE-R reflects a more useful and psychometrically sound instrument than the original p-CAPE, further analysis and revision to reflect the entire interdisciplinary team is warranted.
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