EPAT-16的开发和心理测试:从患者的角度来看,对以患者为中心的简短而有效的措施
Eva Christalle1, Levente Kriston1, Stefan Zeh1
1Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Germany.
概括
一个新的16项以患者为中心的问卷 (EPAT-16) 为常规护理环境提供了可靠和有效的衡量标准. 这种简短的表格能有效地提供总体的患者中心性得分,即使资源有限.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验测量 患者体验测量
- 心理测量 心理测量 心理测量
背景情况:
- EPAT-64评估了16个维度的患者中心性 (PC),但需要64个项目,限制了其在资源有限的环境中使用.
- 为了克服这些局限性,开发了一种较短,经过验证的16项表格 (EPAT-16).
研究的目的:
- 为了测试EPAT-16的心理测量,EPAT-16是一个简短的表格,旨在测量整体的患者中心性.
- 为日常护理和研究中评估PC提供一个可行的工具.
主要方法:
- 一项横截面研究与德国的成年住院患者和门诊患者进行,涉及各种疾病.
- 根据内容相关性和项目特征,每个维度选择了一个项目.
- 进行了确认因素分析 (CFA),麦当劳的Omega可靠性和构造有效性分析.
主要成果:
- EPAT-16显示了高可接受性和良好的项目总和相关性.
- 确认因素分析表明,单维模型的轻微不适合,但高平均差异解释.
- 麦当劳的欧米茄证实了高可靠性,并支持构造有效性假设.
结论:
- EPAT-16具有强大的心理测量特性,使其适合在资源有限的环境中评估整体的患者中心性.
- 它对于日常护理反,质量改进和研究评估与其他变量的关系是有价值的.
- 通用设计允许在各种医疗条件和环境中应用,包括公开报告.
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