Development and validation of an instrument to measure satisfaction of participants at breast screening programmes

Cockburn, Jill; Hill, David; Irwig, Les; Luise, Trudy De; Turnbull, Deborah; Schofield, Penny

doi:10.1016/0277-5379(91)90126-x

Cited by 38 publications

(20 citation statements)

References 12 publications

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“…In particular, it may be important to differentiate between patients' perceptions of their physicians' technical competence during the interview and perceptions of the physicians' skill in managing the interpersonal aspects of the communication (e.g., emotional supportiveness and caring). Previous research has suggested that medical patients are capable of distinguishing among physicians' interpersonal, communication, and technical skills, and that these are among the most important dimensions for determining patients' perceptions of the quality of medical care (Cockburn et al, 1991;Di Matteo & Hays, 1980;Thorn & Campbell, 1997;Wiggers, O'Donovan, Redman, & Sanson-Fisher, 1990). Although research has documented the relative importance of these three factors for patient outcomes such as satisfaction (Wiggers et al), trust in the physician (Thorn & Campbell, 1997), and compliance with medical recommendations (Willson & McNamara, 1982), no research to date has compared the importance of these factors with regard to patients' psychological adjustment.…”

Section: Discussionmentioning

confidence: 99%

Research Training in Biopsychosocial Breast Cancer Research

Andrykowski¹

2003

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Section: Discussionmentioning

confidence: 99%

Research Training in Biopsychosocial Breast Cancer Research

Andrykowski¹

2003

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“…Previous surveys of satisfaction with mammography have included information transfer as one of many components of satisfaction but have not addressed it in depth. 1,6,7 Because they are such different populations and receive their mammography results by different methods, we analyzed the patients who had screening mammograms separately from those who had diagnostic mammograms. For patients undergoing screening exams, longer waiting time for results, difficulty getting in touch with someone to answer questions, low ratings of how clearly results were explained, and considerable or extreme anxiety about the results were all associated with dissatisfaction with the way the results were reported.…”

Section: Discussionmentioning

confidence: 99%

Measuring satisfaction with mammography results reporting

Dolan

Feinglass²,

Priyanath³

et al. 2001

J Gen Intern Med

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OBJECTIVE:To assess factors associated with patient satisfaction with communication of mammography results and their understanding and ability to recall these results. DESIGN:Cross-sectional telephone survey. SETTING: Academic breast imaging center.PATIENTS: Two hundred ninety-eight patients who had either a screening or diagnostic mammogram. MEASUREMENTS AND MAIN RESULTS:Survey items assessed waiting time for results, anxiety about results, satisfaction with several components of results reporting, and patients' understanding of results and recommendations. Women undergoing screening exams were more likely to be dissatisfied with the way the results were communicated than those who underwent diagnostic exams and received immediate results (20% vs 11%, P = .05). For these screening patients, waiting for more than two weeks for notification of results, difficulty getting in touch with someone to answer questions, low ratings of how clearly results were explained, and considerable or extreme anxiety about the results were all independently associated with dissatisfaction with the way the results were reported, while age and actual exam result were not. CONCLUSIONS:Patients undergoing screening mammograms were more likely to be dissatisfied with the way the results were communicated than were those who underwent diagnostic mammograms. Interventions to reduce the wait time for results, reduce patients' anxiety, and improve the clarity with which the results and recommendations are given may help improve overall satisfaction with mammography result reporting. This report focuses on women's satisfaction with communication of mammography results and follow-up recommendations at one institution, prior to the implementation of the Mammography Quality Standards Act on April 28, 1999. We summarize the results of a telephone survey of 298 women undergoing screening and diagnostic mammography at an academic breast-imaging center in April 1999. The purposes of the study were 1) to describe satisfaction with communication of results among patients with documented normal and abnormal screening and diagnostic mammogram results; 2) to measure the effect of patient age, mammography results, time it took to receive the results, patient reported anxiety about the results, and satisfaction with components of communication of results (staff and physician time spent communicating, clarity of explanation, comfort level, access, and how well questions were answered) on overall satisfaction with results reporting; and 3) to evaluate patients' understanding of their mammogram results and recommendations by determining the prevalence of inability to recall results and recommendations and rates of discordance between patient-reported results and follow-up recommendations and the results and recommendations documented in radiology reports. METHODS Current PracticesDuring the study period, screening and diagnostic mammograms were performed at two locations, located one block apart. Both, however, were part of same mammography center with centr...

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“…[5][6][7][8] However, accepted standards for quality of mammography do not include acceptability, but refer exclusively to the technical and interpretative aspects of the examination. [9][10][11] This may be partially explained by the fact that assessing patient satisfaction is not straightforward.…”

Section: Introductionmentioning

confidence: 99%

“…12 13 One approach is to identify issues that women take into account when assessing mammography, and then develop an outcome measure that covers these topics. 6 14 15 Women's evaluations of a mammography service have been commonly related to the following six aspects of the procedure; pain, discomfort, or embarrassment associated with the breast compression, the amount of information given to them, waiting time associated with the procedure, quality of the facilities, and the technician's skills. [16][17][18][19][20][21] These are all aspects of care that can indicate substantial scope for reducing non-attendance by improving the way mammography is provided.…”

Section: Introductionmentioning

confidence: 99%

Mammography: influence of departmental practice and women's characteristics on patient satisfaction: comparison of six departments in Norway

Löken

Steine

Lærum

1998

Quality and Safety in Health Care

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Objective-To investigate how departmental practice and women's characteristics are related to low patient satisfaction with mammography. Design-Survey of patients by means of self administered questionnaires before and after mammography. Patients-488 women (89% of those invited), aged 23-86 years, at six departments. Main outcome measures-Low level of satisfaction measured on psychometric scales of physical pain, psychological distress, staV punctuality and technical skills, information provided, and physical surroundings. Results-Satisfaction varied by department on the scales for pain, punctuality, information, and surroundings. After adjustment for women's characteristics an attributable risk of negative outcome by department was identified on the scales for pain, distress, punctuality, information, and surroundings. Adjusted odds ratio (ORs) ranged from 0.3 (95% confidence interval (95% CI) 1.2 to 6.0) on the pain scale, to 6.0 (2.9 to 12.3) on the punctuality scale. After adjustment for confounding variables, higher risk of dissatisfaction was associated with age <50, nervousness about mammography, expected pain, lack of knowledge about mammography, and distrust in mammography (adjusted OR (95% CI) ranged from 1.6 (1.0 to 2.7) to 3.7 (2.0 to 7.3)). Conclusion-Departmental practices differed for breast compression, information, punctuality, and facilities and were associated with a low level of satisfaction irrespective of patient characteristics. Women's lack of knowledge about mammography and distrust in the procedure were confirmed as risk factors for dissatisfaction. All these factors might be helped by training the staV, improving facilities, and informing the women.

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Development and validation of an instrument to measure satisfaction of participants at breast screening programmes

Cited by 38 publications

References 12 publications

Research Training in Biopsychosocial Breast Cancer Research

Research Training in Biopsychosocial Breast Cancer Research

Measuring satisfaction with mammography results reporting

Mammography: influence of departmental practice and women's characteristics on patient satisfaction: comparison of six departments in Norway

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