Evaluation of the psychometric performance of the Spanish and Catalan versions of the patient reported experiences and Outcomes of Safety in Primary Care (PREOS-PC)-Compact questionnaire
AbstractBackground Patients provide a unique, irreplaceable, and essential perspective in evaluating patient safety. The suite of Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) tools are a notable exception to the scarcity of patient-reported patient safety measures....
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | European Journal of General Practice |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/13814788.2023.2296573 |
| _version_ | 1797359523214655488 |
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| author | Maria A. Fiol-deRoque José M. Valderas Jorge Arias de la Torre Maria J. Serrano-Ripoll Montserrat Gens-Barberà Encarna Sánchez-Freire Francisco M. Martín-Luján Antonio Olry de Labry Ignacio Ricci-Cabello |
| author_facet | Maria A. Fiol-deRoque José M. Valderas Jorge Arias de la Torre Maria J. Serrano-Ripoll Montserrat Gens-Barberà Encarna Sánchez-Freire Francisco M. Martín-Luján Antonio Olry de Labry Ignacio Ricci-Cabello |
| author_sort | Maria A. Fiol-deRoque |
| collection | DOAJ |
| description | AbstractBackground Patients provide a unique, irreplaceable, and essential perspective in evaluating patient safety. The suite of Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) tools are a notable exception to the scarcity of patient-reported patient safety measures. Full evaluation of their performance has only been attempted for the English version, thereby limiting its international applicability.Objectives To assess the psychometric performance of the Spanish and Catalan versions of the PREOS-PC-Compact.Methods Cross-sectional validation study. We used Classical Test Theory methods to examine scale score distribution, internal consistency, and construct validity; and Item Response Theory (IRT) methods to further explore construct validity.Results 3287 patients completed the Spanish version, and 1007 the Catalan version. Similar results were obtained for both versions. Confirmatory Factor Analysis supported a single construct for each scale. The correlations between PREOS-PC-Compact scales and known group analysis suggested adequate construct validity (inconclusive for known groups at the provider level). All four multi-item scales demonstrated adequate internal consistency reliability (α > 0.7), which was only confirmed for test-retest reliability for ‘Practice activation.’ A sample between 60–90 patients per practice was estimated sufficient to produce scores with reliability > 0.7 for all scales except for harm scales. IRT models showed disordered thresholds for ‘Practice activation’ and ‘Harm burden’ but showed excellent fit after reducing the response categories.Conclusion The Spanish and Catalan versions of the PREOS-PC-Compact are broadly valid and reliable tools to measure patient safety in Spanish primary care centres; confirmation of lower-than-expected test-rest reliability merits further examination . |
| first_indexed | 2024-03-08T15:19:46Z |
| format | Article |
| id | doaj.art-ed6e7bd5a9d84997bb2bf7a695a23df1 |
| institution | Directory Open Access Journal |
| issn | 1381-4788 1751-1402 |
| language | English |
| last_indexed | 2024-03-08T15:19:46Z |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Journal of General Practice |
| spelling | doaj.art-ed6e7bd5a9d84997bb2bf7a695a23df12024-01-10T10:42:54ZengTaylor & Francis GroupEuropean Journal of General Practice1381-47881751-14022024-12-0130110.1080/13814788.2023.2296573Evaluation of the psychometric performance of the Spanish and Catalan versions of the patient reported experiences and Outcomes of Safety in Primary Care (PREOS-PC)-Compact questionnaireMaria A. Fiol-deRoque0José M. Valderas1Jorge Arias de la Torre2Maria J. Serrano-Ripoll3Montserrat Gens-Barberà4Encarna Sánchez-Freire5Francisco M. Martín-Luján6Antonio Olry de Labry7Ignacio Ricci-Cabello8Research Group in Primary Care and Promotion – Balearic Islands Community (GRAPP-caIB), Health Research Institute of the Balearic Islands (IdISBa), Palma, SpainCentre for Research in Health Systems Performance, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeInstitute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UKResearch Group in Primary Care and Promotion – Balearic Islands Community (GRAPP-caIB), Health Research Institute of the Balearic Islands (IdISBa), Palma, SpainQuality and Patient Safety Central Functional Unit, Gerència d‘Atenció Primària Camp de Tarragona, Catalan Institute of Health (ICS), Tarragona, SpainQuality and Patient Safety Unit, Gerència d‘Atenció Primària Catalunya Central, Catalan Institute of Health (ICS), Barcelona, SpainPrimary Healthcare Research Support Unit-Camp de Tarragona, Institut Universitari d’Investigació en l’Atenció Primària-IDIAP Jordi Gol, Catalan Institute of Health (ICS), Tarragona, SpainInstitute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UKResearch Group in Primary Care and Promotion – Balearic Islands Community (GRAPP-caIB), Health Research Institute of the Balearic Islands (IdISBa), Palma, SpainAbstractBackground Patients provide a unique, irreplaceable, and essential perspective in evaluating patient safety. The suite of Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) tools are a notable exception to the scarcity of patient-reported patient safety measures. Full evaluation of their performance has only been attempted for the English version, thereby limiting its international applicability.Objectives To assess the psychometric performance of the Spanish and Catalan versions of the PREOS-PC-Compact.Methods Cross-sectional validation study. We used Classical Test Theory methods to examine scale score distribution, internal consistency, and construct validity; and Item Response Theory (IRT) methods to further explore construct validity.Results 3287 patients completed the Spanish version, and 1007 the Catalan version. Similar results were obtained for both versions. Confirmatory Factor Analysis supported a single construct for each scale. The correlations between PREOS-PC-Compact scales and known group analysis suggested adequate construct validity (inconclusive for known groups at the provider level). All four multi-item scales demonstrated adequate internal consistency reliability (α > 0.7), which was only confirmed for test-retest reliability for ‘Practice activation.’ A sample between 60–90 patients per practice was estimated sufficient to produce scores with reliability > 0.7 for all scales except for harm scales. IRT models showed disordered thresholds for ‘Practice activation’ and ‘Harm burden’ but showed excellent fit after reducing the response categories.Conclusion The Spanish and Catalan versions of the PREOS-PC-Compact are broadly valid and reliable tools to measure patient safety in Spanish primary care centres; confirmation of lower-than-expected test-rest reliability merits further examination .https://www.tandfonline.com/doi/10.1080/13814788.2023.2296573Health care evaluation mechanismsobservational studypatient safetypatient reported outcomesprimary health care |
| spellingShingle | Maria A. Fiol-deRoque José M. Valderas Jorge Arias de la Torre Maria J. Serrano-Ripoll Montserrat Gens-Barberà Encarna Sánchez-Freire Francisco M. Martín-Luján Antonio Olry de Labry Ignacio Ricci-Cabello Evaluation of the psychometric performance of the Spanish and Catalan versions of the patient reported experiences and Outcomes of Safety in Primary Care (PREOS-PC)-Compact questionnaire European Journal of General Practice Health care evaluation mechanisms observational study patient safety patient reported outcomes primary health care |
| title | Evaluation of the psychometric performance of the Spanish and Catalan versions of the patient reported experiences and Outcomes of Safety in Primary Care (PREOS-PC)-Compact questionnaire |
| title_full | Evaluation of the psychometric performance of the Spanish and Catalan versions of the patient reported experiences and Outcomes of Safety in Primary Care (PREOS-PC)-Compact questionnaire |
| title_fullStr | Evaluation of the psychometric performance of the Spanish and Catalan versions of the patient reported experiences and Outcomes of Safety in Primary Care (PREOS-PC)-Compact questionnaire |
| title_full_unstemmed | Evaluation of the psychometric performance of the Spanish and Catalan versions of the patient reported experiences and Outcomes of Safety in Primary Care (PREOS-PC)-Compact questionnaire |
| title_short | Evaluation of the psychometric performance of the Spanish and Catalan versions of the patient reported experiences and Outcomes of Safety in Primary Care (PREOS-PC)-Compact questionnaire |
| title_sort | evaluation of the psychometric performance of the spanish and catalan versions of the patient reported experiences and outcomes of safety in primary care preos pc compact questionnaire |
| topic | Health care evaluation mechanisms observational study patient safety patient reported outcomes primary health care |
| url | https://www.tandfonline.com/doi/10.1080/13814788.2023.2296573 |
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