Structural and reliability analysis of a patient satisfaction with cancer‐related care measure

Abstract

BACKGROUND: Patient satisfaction is an important outcome measure of quality of cancer care and 1 of the 4 core study outcomes of the National Cancer Institute (NCI)‐sponsored Patient Navigation Research Program to reduce race/ethnicity‐based disparities in cancer care. There is no existing patient satisfaction measure that spans the spectrum of cancer‐related care. The objective of this study was to develop a Patient Satisfaction With Cancer Care measure that is relevant to patients receiving diagnostic/therapeutic cancer‐related care. METHODS: The authors developed a conceptual framework, an operational definition of Patient Satisfaction With Cancer Care, and an item pool based on literature review, expert feedback, group discussion, and consensus. The 35‐item Patient Satisfaction With Cancer Care measure was administered to 891 participants from the multisite NCI‐sponsored Patient Navigation Research Program. Principal components analysis (PCA) was conducted for latent structure analysis. Internal consistency was assessed using Cronbach coefficient alpha (α). Divergent analysis was performed using correlation analyses between the Patient Satisfaction With Cancer Care, the Communication and Attitudinal Self‐Efficacy–Cancer, and demographic variables. RESULTS: The PCA revealed a 1‐dimensional measure with items forming a coherent set explaining 62% of the variance in patient satisfaction. Reliability assessment revealed high internal consistency (α ranging from 0.95 to 0.96). The Patient Satisfaction With Cancer Care demonstrated good face validity, convergent validity, and divergent validity, as indicated by moderate correlations with subscales of the Communication and Attitudinal Self‐Efficacy–Cancer (all P < .01) and nonsignificant correlations with age, primary language, marital status, and scores on the Rapid Estimate of Adult Literacy in Medicine Long Form (all P > .05). CONCLUSIONS: The Patient Satisfaction With Cancer Care is a valid tool for assessing satisfaction with cancer‐related care for this sample. Cancer 2011. © 2010 American Cancer Society.

Patient Navigation: The Promise to Reduce Health Disparities

“…Further research needs to study this issue with appropriate control populations, to understand if patient navigation is serving to benefit the quality of care in low income and minority communities. 18,19 The initial reports suggest that patient navigation holds promise to address care needs to vulnerable populations, and bridge the disparities gap. Currently, however, patient navigation systems are more likely to be found and marketed in systems caring and targeting patients who are insured, employed and educated.…”

Systematic Review of Oncology Nurse Practitioner Navigation Metrics

“…Internal consistency reliability ranged from 0.95-0.96. Good face validity and convergent and divergent validity were also demonstrated (Jean-Pierre et al, 2011). The PSN-1 is a measure of patient satisfaction with navigation services.…”

“…The PSN-1 is a measure of patient satisfaction with navigation services. Jean-Pierre et al (2011) performed PCA on 783 participants in a multiinstitutional study for psychometric development and analysis. The items were found to be a comprehensible set because 77% of the variance was accounted for.…”

Study design and protocol for My Guide : An e-health intervention to improve patient-centered outcomes among Hispanic breast cancer survivors

“…Each question asks participants to use a four-point response scale to agree or disagree with statements regarding their level of confidence with different skills. This measure is a psychometrically validated measure previously used with Hispanic BCS [47,48]. …”