The Spanish Adaptation of the Quality in Psychiatric Care-Forensic Inpatient (QPC-FIP) Instrument: Psychometric...

Area of Science:

• Forensic Psychiatry
• Mental Health Services Research
• Psychometric Instrument Development

Background:

• Quality of care is crucial for recovery in forensic mental health services.
• A need exists for tools to measure patient-perceived quality of care in forensic settings.
• The Swedish Quality in Psychiatric Care-Forensic Inpatient (QPC-FIP) instrument assesses patient perspectives on care quality.

Purpose of the Study:

• To cross-culturally adapt the QPC-FIP instrument into Spanish.
• To evaluate the reliability and validity of the Spanish version of the QPC-FIP.

Main Methods:

• Translation-backtranslation methodology was employed for cultural adaptation.
• A sample of 120 forensic inpatients completed the Spanish QPC-FIP.
• Temporal stability was assessed by re-administering the instrument to 98 patients after 10 days.

Main Results:

• Confirmatory factor analysis confirmed an equivalent seven-factor structure to the original Swedish version.
• The Spanish QPC-FIP demonstrated high reliability, with a Cronbach's alpha of 0.933.
• Intraclass correlation coefficient was 0.836, and six of seven factors exceeded the 0.70 threshold for reliability.

Conclusions:

• The Spanish version of the QPC-FIP is a valid and reliable instrument.
• This validated tool can effectively measure the quality of psychiatric care in forensic contexts.
• The findings support the use of the Spanish QPC-FIP for quality improvement initiatives in forensic mental health care.