The MedRisk Instrument for Measuring Patient Satisfaction With Physical Therapy Care: A Psychometric Analysis

Abstract

Study Design: Psychometric evaluation of a cross-sectional survey. Objectives: To determine the validity of measures obtained from the MedRisk Instrument for Measuring Patient Satisfaction With Physical Therapy Care (MRPS) to differentiate between patient satisfaction with internal and external factors. Background: Self-report measures that sample a variety of items provide clinicians with an array of information that may assist in assessing patient satisfaction. An important measurement characteristic of these instruments is the ability to discriminate between different factors that may influence patient reports of satisfaction with care, ie, discriminant validity. In previous work, exploratory factor analysis suggested that the MRPS questionnaire has a 2-factor structure: ''internal,'' relating to the patient-therapist interaction, and ''external,'' describing nontherapist issues such as admissions and clinic environment. Methods and Measures: One thousand four hundred forty-nine adult patients completed the MRPS questionnaire upon finishing their course of outpatient physical therapy treatment. Discriminant validity of the 2-factor model was assessed using confirmatory factor analysis. The measures from the 2 factors were then evaluated for reliability by calculating the standard error of measurement (SEM), and for concurrent validity by correlating the mean score of the factors and individual items to global measures of satisfaction. Results: Confirmatory factor analysis supported a good to excellent model fit for the internal factor (7 items) and external factor (3 items). The SEM for the 2 factors was 0.19 and 0.24, indicating a low degree of measurement error. Both factors had high significant correlation with global measures of satisfaction (internal, r = 0.83 and 0.80; external, r = 0.71 and 0.71). All individual items within the 2 factors had significant correlations with global measures ranging from r = 0.33 to 0.80. Conclusions: Our findings provide evidence of discriminant and concurrent validity of the 2-factor solution for the MRPS questionnaire for the sample that was tested. This 2-factor solution yields

Characteristics of therapeutic alliance in musculoskeletal physiotherapy and occupational therapy practice: a scoping review of the literature

“…Other alliance-type measures (3 studies) were the working subscale of the Pain Rehabilitation Expectation Scale (PRES) [41], the Helping Alliance Questionnaire (HAq) [42], communication preferences of patients with chronic illness questionnaire [43] and revised version of the Helping alliance questionnaire [44]. Four measures from 4 studies focused on satisfaction; Medical Interview Satisfaction Scale (MISS) [45], Health Care Satisfaction questionnaire [46], MedRisk [47] and Physiotherapy Outpatient Satisfaction questionnaire [48]. Three measures that focused on empathy: Consultation and Relational Empathy scale [49], Barett-Lennard Relationship scale [50] and Truax Accurate Empathy Scale [51].…”

“…The study by Hall et al [61] included 6 MSK studies and reported 3 key components of TA including agreement in goals, agreement on interventions and affective bond. Three outcome measures of TA; WAI-12 [39], WAI-36 [40] and MedRisk [47] were used in the MSK studies. Hall et al [61] reported positive associations between TA and global perceived effect, change in pain, physical function, patient satisfaction, depression and general health status.…”

Kinesio Taping Does Not Provide Additional Benefits in Patients With Chronic Low Back Pain Who Receive Exercise and Manual Therapy: A Randomized Controlled Trial

“…Patient Satisfaction With Physical Therapy Care, 4,11 which is a 13-item questionnaire that assesses satisfaction with physical therapy care. Each item varies from 1 (strongly disagree) to 5 (absolutely agree), with higher scores indicating greater patient satisfaction.…”

The effect of work-based mentoring on patient outcome in musculoskeletal physiotherapy: study protocol for a randomised controlled trial

“…Exclusion criteria are patients under 18 years of age, and patients who are not English-literate due to the validity of some of the selected outcome measures being established only for the English language and for adults [85–92]. Patients will receive their normal care; written consent will be obtained for their outcome data to be used for the purposes of the study.…”

“…Moves towards patient centred care have seen the growth of interest in measurement of patient satisfaction as an important outcome measure in healthcare research [126, 127]. The MRPS will be used on the basis of its psychometric properties, its validation for use in an outpatient physiotherapy environment, its user-friendliness, and its satisfaction on the criteria identified by several authors exploring suitable patient satisfaction questionnaires [92, 127–133]. …”