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Translating and validating the Child Hospital Consumer Assessment of Healthcare Providers and Systems Survey in Japan
Yu Inata1,2, Etsuko Nakagami-Yamaguchi2
1Department of Intensive Care Medicine, Osaka Women's and Children's Hospital, Osaka, Japan.
Insights
The Japanese Child HCAHPS survey shows good reliability for assessing pediatric patient experiences in hospitals. Further validation is needed for specific items to ensure comprehensive assessment.
Area of Science:
- Pediatric healthcare quality assessment
- Cross-cultural adaptation of patient experience surveys
Background:
- The Child Hospital Consumer Assessment of Healthcare Providers and Systems Survey (Child HCAHPS) measures pediatric inpatient care experiences.
- Developing culturally relevant tools is crucial for accurate healthcare quality assessment.
Purpose of the Study:
- To develop a Japanese version of the Child HCAHPS.
- To evaluate the validity and reliability of the Japanese Child HCAHPS.
Main Methods:
- Conceptual and cultural adaptation of the Child HCAHPS into Japanese.
- Administration of the Japanese survey via a push-to-web method to parents/guardians of pediatric patients.
- Statistical analysis including confirmatory factor analysis and Cronbach's alpha for validity and reliability testing.
Main Results:
- A 35% response rate was achieved from 1300 eligible participants.
- Confirmatory factor analysis supported the original factor structure for most composites (CFI=0.92, TLI=0.90, RMSEA=0.052).
- Most items demonstrated good internal consistency reliability (Cronbach's alpha >= 0.7).
Conclusions:
- The Japanese Child HCAHPS possesses acceptable psychometric properties for evaluating patient and family experiences in Japanese pediatric hospitals.
- Further validation of specific items and composites is recommended in multicenter studies.
Background:
The Child Hospital Consumer Assessment of Healthcare Providers and Systems Survey (Child HCAHPS) assesses the experiences of pediatric patients and their parents or guardians with inpatient care. This study aimed to develop a Japanese version of the Child HCAHPS and to examine its validity and reliability.
Methods:
A Japanese version draft of the Child HCAHPS was produced in a conceptually equivalent and culturally appropriate manner. Using the draft Japanese version, the survey was administered using a push-to-web method to eligible parents/guardians of children (aged 0-17 years) discharged from a tertiary children's hospital in Osaka, Japan in December 2021 through March 2022. Construct validity and internal consistency reliability were tested.
Results:
Of 1300 eligible candidates to whom survey invitations were mailed, 460 returned complete surveys (response rate 35%). The validity of a composite "Involving teens in their care" remained unproven. However, with the remaining composites, confirmatory factor analysis indicated fair goodness of fit of the same factor structure as that of the original Child HCAHPS (the comparative fit index = 0.92, Tucker-Lewis index = 0.90, and root mean square error of approximation = 0.052). The Cronbach coefficient was close to or above 0.7 for most of the items, indicating good reliability.
Conclusions:
The Japanese Child HCAHPS demonstrated acceptable psychometric properties for assessing patient and family experiences in a Japanese tertiary children's hospital. However, several items and composites with suboptimal properties warrant further validation in future multicenter surveys.
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