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Development and psy...
Development and psychometric properties of a short version of the Patient Continuity of Care Questionnaire
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- Säfström, Emma, 1980- (author)
- Linköpings universitet,Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Nyköping Hospital, Sörmland County Council, Nyköping, Sweden.; Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Nyköping Hospital, Sörmland County Council, Nyköping; Center for Clinical Research Sörmland, Uppsala University, Eskilstuna
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- Årestedt, Kristofer, 1968- (author)
- Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Hållbar hälsa,Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden.; Department of Research, Region Kalmar County, Kalmar, Sweden.
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- Hadjistavropoulos, Heather D. (author)
- Univ Regina, Canada,Department of Psychology, University of Regina, Regina, Saskatchewan, Canada.
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- Liljeroos, Maria, 1965- (author)
- Linköpings universitet,Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Center for Clinical Research Sörmland, Uppsala University, Eskilstuna
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- Nordgren, Lena, Docent, 1963- (author)
- Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Vårdvetenskap,Center for Clinical Research Sörmland, Uppsala University, Eskilstuna; Department of Public Health and Caring Sciences, Uppsala University, Uppsala
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- Jaarsma, Tiny, Professor, 1964- (author)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Department of Nursing Science, Julius Center, University Medical Center Utrecht, Utrecht, The Netherlands
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- Strömberg, Anna, 1967- (author)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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(creator_code:org_t)
- 2023-02-16
- 2023
- English.
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In: Health Expectations. - : John Wiley & Sons. - 1369-6513 .- 1369-7625. ; 26:3, s. 1137-1148
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Abstract
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- IntroductionHospitalization due to cardiac conditions is increasing worldwide, and follow-up after hospitalization usually occurs in a different healthcare setting than the one providing treatment during hospitalization. This leads to a risk of fragmented care and increases the need for coordination and continuity of care after hospitalization. Furthermore, international reports highlight the importance of improving continuity of care and state that it is an essential indicator of the quality of care. Patients' perceptions of continuity of care can be evaluated using the Patient Continuity of Care Questionnaire (PCCQ). However, the original version is extensive and may prove burdensome to complete; therefore, we aimed to develop and evaluate a short version of the PCCQ. MethodsThis was a psychometric validation study. Content validity was evaluated among user groups, including patients (n = 7), healthcare personnel (n = 15), and researchers (n = 7). Based on the results of the content validity and conceptual discussions among the authors, 12 items were included in the short version. Data from patients were collected using a consecutive sampling procedure involving patients 6 weeks after hospitalization due to cardiac conditions. Rasch analysis was used to evaluate the psychometric properties of the short version of the PCCQ. ResultsA total of 1000 patients were included [mean age 72 (SD = 10), 66% males]. The PCCQ-12 presented a satisfactory overall model fit and a person separation index of 0.79 (Cronbach's alpha: .91, ordinal alpha: .94). However, three items presented individual item misfits. No evidence of multidimensionality was found, meaning that a total score can be calculated. A total of four items presented evidence of response dependence but, according to the analysis, this did not seem to affect the measurement properties or reliability of the PCCQ-12. We found that the first two response options were disordered in all items. However, the reliability remained the same when these response options were amended. In future research, the benefits of the four response options could be evaluated. ConclusionThe PCCQ-12 has sound psychometric properties and is ready to be used in clinical and research settings to measure patients' perceptions of continuity of care after hospitalization. Patient or Public ContributionPatients, healthcare personnel and researchers were involved in the study because they were invited to select items relevant to the short version of the questionnaire.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- continuity of care
- patient discharge
- psychometrics
- quality of care
- reproducibility of results
- surveys and questionnaires
- validation studies
- Omvårdnad
- Nursing
Publication and Content Type
- ref (subject category)
- art (subject category)
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Säfström, Emma, ...
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Årestedt, Kristo ...
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Hadjistavropoulo ...
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Liljeroos, Maria ...
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Nordgren, Lena, ...
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Jaarsma, Tiny, P ...
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Strömberg, Anna, ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nursing
- Articles in the publication
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Health Expectati ...
- By the university
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Linnaeus University
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Uppsala University
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Linköping University