Development and psychometric validation of the hospitalized patients’ expectations for treatment scale-patient version

ObjectivesA general expectation measurement of inpatients across wards is needed in the patient safety management systems of general hospitals. This study developed and psychometrically validated a new scale fulfilling the requirements above: the Hospitalized Patients’ Expectations for Treatment Sca...

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Main Authors: Chunfeng Xiao, Aoxue Wu, Yufei Wang, Tao Li, Yanping Duan, Yinan Jiang, Lili Shi, Xia Hong, Wenqi Geng, Jiarui Li, Jianhua Du, Jiaojiao Hu, Jinya Cao, Jing Wei
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1201707/full
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author Chunfeng Xiao
Aoxue Wu
Aoxue Wu
Yufei Wang
Yufei Wang
Tao Li
Yanping Duan
Yinan Jiang
Lili Shi
Xia Hong
Wenqi Geng
Jiarui Li
Jianhua Du
Jiaojiao Hu
Jinya Cao
Jing Wei
author_facet Chunfeng Xiao
Aoxue Wu
Aoxue Wu
Yufei Wang
Yufei Wang
Tao Li
Yanping Duan
Yinan Jiang
Lili Shi
Xia Hong
Wenqi Geng
Jiarui Li
Jianhua Du
Jiaojiao Hu
Jinya Cao
Jing Wei
author_sort Chunfeng Xiao
collection DOAJ
description ObjectivesA general expectation measurement of inpatients across wards is needed in the patient safety management systems of general hospitals. This study developed and psychometrically validated a new scale fulfilling the requirements above: the Hospitalized Patients’ Expectations for Treatment Scale-Patient version (HOPE-P). MethodsA total of 35 experts and ten inpatients were interviewed during the formulation of the HOPE-P scale, which was initially designed with three dimensions: doctor–patient communication expectations, treatment outcome expectations, and disease management expectancy. We recruited 210 inpatients from a general hospital in China and explored the reliability, validity, and psychometric characteristics of the questionnaire. Item analysis, construct validity, internal consistency and 7-day test–retest reliability analysis were applied.ResultsExploratory and confirmatory analyses supported a 2-dimension (doctor–patient communication expectation and treatment outcome expectation) structure with satisfactory model fit parameters (root mean square residual (RMR) = 0.035, a root-mean-square-error of approximation (RMSEA) = 0.072, comparative fit index (CFI) = 0.984, Tucker-Lewis index (TLI) = 0.970). Item analysis revealed an appropriate item design (r = 0.573–0.820). The scale exhibited good internal consistency, with Cronbach’s α of 0.893, 0.761, and 0.919 for the overall scale, the doctor–patient communication expectation subscale, and the treatment outcome expectation subscale, respectively. The 7-day test–retest reliability was 0.782 (p < .001).ConclusionOur results indicated that the HOPE-P is a reliable and valid assessment tool to measure the expectations of general hospital inpatients, with a strong capacity to recognize patients’ expectations regarding doctor–patient communication and treatment outcomes.
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spelling doaj.art-15db0706c9414965b577fc87ade352762023-06-12T04:27:17ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-06-011410.3389/fpsyt.2023.12017071201707Development and psychometric validation of the hospitalized patients’ expectations for treatment scale-patient versionChunfeng Xiao0Aoxue Wu1Aoxue Wu2Yufei Wang3Yufei Wang4Tao Li5Yanping Duan6Yinan Jiang7Lili Shi8Xia Hong9Wenqi Geng10Jiarui Li11Jianhua Du12Jiaojiao Hu13Jinya Cao14Jing Wei15Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaEight-Year Medical Doctor Program, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China4+4 Medical Doctor Program, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaObjectivesA general expectation measurement of inpatients across wards is needed in the patient safety management systems of general hospitals. This study developed and psychometrically validated a new scale fulfilling the requirements above: the Hospitalized Patients’ Expectations for Treatment Scale-Patient version (HOPE-P). MethodsA total of 35 experts and ten inpatients were interviewed during the formulation of the HOPE-P scale, which was initially designed with three dimensions: doctor–patient communication expectations, treatment outcome expectations, and disease management expectancy. We recruited 210 inpatients from a general hospital in China and explored the reliability, validity, and psychometric characteristics of the questionnaire. Item analysis, construct validity, internal consistency and 7-day test–retest reliability analysis were applied.ResultsExploratory and confirmatory analyses supported a 2-dimension (doctor–patient communication expectation and treatment outcome expectation) structure with satisfactory model fit parameters (root mean square residual (RMR) = 0.035, a root-mean-square-error of approximation (RMSEA) = 0.072, comparative fit index (CFI) = 0.984, Tucker-Lewis index (TLI) = 0.970). Item analysis revealed an appropriate item design (r = 0.573–0.820). The scale exhibited good internal consistency, with Cronbach’s α of 0.893, 0.761, and 0.919 for the overall scale, the doctor–patient communication expectation subscale, and the treatment outcome expectation subscale, respectively. The 7-day test–retest reliability was 0.782 (p < .001).ConclusionOur results indicated that the HOPE-P is a reliable and valid assessment tool to measure the expectations of general hospital inpatients, with a strong capacity to recognize patients’ expectations regarding doctor–patient communication and treatment outcomes.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1201707/fullpatient expectationgeneral hospitaldoctor–patient relationshipoutcome expectationdisease management expectancypatient safety
spellingShingle Chunfeng Xiao
Aoxue Wu
Aoxue Wu
Yufei Wang
Yufei Wang
Tao Li
Yanping Duan
Yinan Jiang
Lili Shi
Xia Hong
Wenqi Geng
Jiarui Li
Jianhua Du
Jiaojiao Hu
Jinya Cao
Jing Wei
Development and psychometric validation of the hospitalized patients’ expectations for treatment scale-patient version
Frontiers in Psychiatry
patient expectation
general hospital
doctor–patient relationship
outcome expectation
disease management expectancy
patient safety
title Development and psychometric validation of the hospitalized patients’ expectations for treatment scale-patient version
title_full Development and psychometric validation of the hospitalized patients’ expectations for treatment scale-patient version
title_fullStr Development and psychometric validation of the hospitalized patients’ expectations for treatment scale-patient version
title_full_unstemmed Development and psychometric validation of the hospitalized patients’ expectations for treatment scale-patient version
title_short Development and psychometric validation of the hospitalized patients’ expectations for treatment scale-patient version
title_sort development and psychometric validation of the hospitalized patients expectations for treatment scale patient version
topic patient expectation
general hospital
doctor–patient relationship
outcome expectation
disease management expectancy
patient safety
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1201707/full
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