Psychometric evaluation of 3-set 4P questionnaire

Åkerman, Eva; Fridlund, Bengt; Samuelson, Karin; Baigi, Amir; Ersson, Anders

doi:10.1016/j.iccn.2012.06.002

Cited by 5 publications

(2 citation statements)

References 23 publications

(35 reference statements)

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“…Patients’ support needs, are not routinely assessed or addressed during patients’ ICU or acute hospital stay, and currently there are few evidence-based strategies for the translation of this increasing awareness into clinical practice [13]. Existing needs assessment questionnaires focus on a narrow or specific phase of ICU survivorship and there is limited evidence of their clinimetric or psychometric validity [14–18]. The issues are undoubtedly complex; nonetheless, a tool that could both capture patient need throughout the continuum of recovery and provide a mechanism for targeted support would be useful for the development or redesign of interventions, services or strategies.…”

Section: Introductionmentioning

confidence: 99%

Identifying patients’ support needs following critical illness: a scoping review of the qualitative literature

et al. 2019

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Background Intensive care survivors suffer chronic and potentially life-changing physical, psychosocial and cognitive sequelae, and supporting recovery is an international priority. As survivors’ transition from the intensive care unit to home, their support needs develop and change. Methods In this scoping review, we categorised patients’ support needs using House’s Social Support Needs framework (informational, emotional, instrumental, appraisal) and mapped these against the Timing it Right framework reflecting the patient’s transition from intensive care (event/diagnosis) to ward (stabilisation/preparation) and discharge home (implementation/adaptation). We searched electronic databases from 2000 to 2017 for qualitative research studies reporting adult critical care survivors’ experiences of care. Two reviewers independently screened, extracted and coded data. Data were analysed using a thematic framework approach. Results From 3035 references, we included 32 studies involving 702 patients. Studies were conducted in UK and Europe ( n = 17, 53%), Canada and the USA ( n = 6, 19%), Australasia ( n = 6, 19%), Hong Kong ( n = 1, 3%), Jordan ( n = 1, 3%) and multi-country ( n = 1, 3%). Across the recovery trajectory, informational, emotional, instrumental, appraisal and spiritual support needs were evident, and the nature and intensity of need differed when mapped against the Timing it Right framework. Informational needs changed from needing basic facts about admission, to detail about progress and treatments and coping with long-term sequelae. The nature of emotional needs changed from needing to cope with confusion, anxiety and comfort, to a need for security and family presence, coping with flashbacks, and needing counselling and community support. Early instrumental needs ranged from managing sleep, fatigue, pain and needing nursing care and transitioned to needing physical and cognitive ability support, strength training and personal hygiene; and at home, regaining independence, strength and return to work. Appraisal needs related to obtaining feedback on progress, and after discharge, needing reassurance from others who had been through the ICU experience. Conclusions This review is the first to identify the change in social support needs among intensive care survivors as they transition from intensive care to the home environment. An understanding of needs at different transition periods would help inform health service provision and support for survivors. Electronic supplementary material The online version of this article (10.1186/s13054-019-2441-6) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Identifying patients’ support needs following critical illness: a scoping review of the qualitative literature

et al. 2019

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“…20, 21 This 53-item instrument assesses disability and need for follow-up care after the ICU. In the development paper, the evaluation of internal consistency, reliability and structural validity had a COSMIN quality assessment of poor due to a small sample size, while the second paper further evaluated the same measurement properties in a larger population with a COSMIN quality assessment of fair.…”

Section: Resultsmentioning

confidence: 99%

A systematic review finds limited data on measurement properties of instruments measuring outcomes in adult intensive care unit survivors

Robinson

Davis

Dinglas

et al. 2017

Journal of Clinical Epidemiology

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Background and Objective There is a growing number of studies evaluating the physical, cognitive, mental health and health-related quality of life (QOL) outcomes of adults surviving critical illness. However, there is little consensus on the most appropriate instruments to measure these outcomes. To inform the development of such consensus, we conducted a systematic review of the performance characteristics of instruments measuring physical, cognitive, mental health and HRQOL outcomes in adult intensive care unit (ICU) survivors. Methods We searched PubMed, Embase, PsycInfo, Cumulative Index of Nursing and Allied Health Literature, and The Cochrane Library in March 2015. We also conducted manual searches of reference lists of eligible studies and relevant review articles. Two people independently selected studies, completed data abstraction, and assessed the quality of eligible studies using the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) initiative checklist. Results We identified 20 studies which explicitly evaluated measurement properties for 21 different instruments assessing outcomes in ICU survivors. Eleven of the instruments assessed QOL, with few instruments assessing other domains. Of the 9 measurement properties evaluated on the COSMIN checklist, 6 were assessed in <10% of the evaluations. Overall quality of eligible studies was poor to fair based on the COSMIN checklist. Conclusions While an increasing number of studies measure physical, cognitive, mental health and HRQOL outcomes in adult ICU survivors, data on the measurement properties of such instruments are sparse and generally of poor to fair quality. Empirical analyses evaluating the performance of instruments in adult ICU survivors are needed to advance research in this field.

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Screening tools for post–intensive care syndrome and post-traumatic symptoms in intensive care unit survivors: A scoping review

Pant

Vyas²,

Meghani³

et al. 2023

Australian Critical Care

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Psychometric evaluation of 3-set 4P questionnaire

Cited by 5 publications

References 23 publications

Identifying patients’ support needs following critical illness: a scoping review of the qualitative literature

Identifying patients’ support needs following critical illness: a scoping review of the qualitative literature

A systematic review finds limited data on measurement properties of instruments measuring outcomes in adult intensive care unit survivors

Screening tools for post–intensive care syndrome and post-traumatic symptoms in intensive care unit survivors: A scoping review

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