The Use of Cognitive Testing to Develop and Evaluate CAHPS™ 1.0 Core Survey Items

Harris-Kojetin, Lauren; Fowler, Floyd J.; Brown, Julie A.; Schnaier, Jenny; Sweeny, Sheri

doi:10.1097/00005650-199903001-00002

Cited by 95 publications

(64 citation statements)

References 8 publications

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“…The use of 'not applicable' (N/A) categories is encouraged where appropriate [12,21]. Absence of these can result in higher levels of missing data or may lead to disengagement from completing the instrument.…”

Section: Discussionmentioning

confidence: 99%

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Development and Validation of NEWSQOL<sup>®</sup>, the Newcastle Stroke-Specific Quality of Life Measure

et al. 2003

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Background: A review of stroke-specific quality of life (QOL) measures indicated little evidence of their validity/reliability. Purpose: To describe the development/validation of a new measure – the Newcastle Stroke-Specific Quality of Life Measure (NEWSQOL). Methods: Phase I: qualitative interviews (28 stroke patients) determined QOL issues for inclusion in the measure. Initial items/response categories were pre-tested (30 patients). Administration of the NEWSQOL in the item reduction stage (100 patients) identified poorly performing items and factor analysis showed likely domains. Internal consistency was examined. Phase II: NEWSQOL and comparator measures were administered (106 patients) to examine validity/test-retest reliability. Results: Phase I: 140 items were identified for initial inclusion. Qualitative pre-testing led to an extensive revision. Item reduction resulted in a final measure of 56 items in 11 domains (feelings, activities of daily living/self-care, cognition, mobility, emotion, sleep, interpersonal relationships, communication, pain/sensation, vision, fatigue; Cronbach’s α = 0.71–0.90). Phase II: NEWSQOL domain scores, except cognition, were moderately/highly correlated (0.45–0.76) with relevant comparator measures. NEWSQOL domains feelings, communication and cognition low/moderately correlated with Barthel Index scores (–0.49 to –0.28), as predicted. Test-retest reliability was high (intraclass correlation coefficient range 0.78–0.92). Conclusions: NEWSQOL is an acceptable, patient-derived, interviewer-administered, stroke-specific QOL measure with evidence of reliability and validity, making it a promising instrument for assessing QOL after stroke. Involvement of relevant patients in determining the content and format considerably enhances confidence in its validity.

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Section: Discussionmentioning

confidence: 99%

“…The measure was interviewer-administered as if in a routine interview and at the same time 'direct probing' techniques were used, involving the asking of supplementary questions that seek to examine how respondents interpret or feel about items and response options [12]. Two waves of pre-test interviewing were undertaken.…”

Section: Phase Imentioning

confidence: 99%

Development and Validation of NEWSQOL<sup>®</sup>, the Newcastle Stroke-Specific Quality of Life Measure

et al. 2003

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“…It comprises a number of modules for different patient groups and has been extensively tested. 161,[322][323][324][325][326][327][328][329][330][331][332][333][334] Caution should be exercised, however, before US approaches such as CAHPS are implemented in the UK because their applicability to the NHS context may be limited. 335 The underlying philosophies of the market-led US and publicly provided UK healthcare systems are different, and the primary objectives of NHS consumer surveys are not consistent with those of the Agency for Health Care Policy and Research in their administration of CAHPS.…”

Section: The Us Experiencementioning

confidence: 99%

The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature

Crow

Gage

Hampson

et al. 2002

Health Technol Assess

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“…The cognitive interview method has played an important role in the development of many diverse health care measures. Examples include the Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys that target Medicare recipients' understanding of their health plan [6,7] and patient experiences with hospital care [6,8]; the digestive health status instrument to identify patients in community, primary care, and gastroenterology practices suffering from gastroesophageal disease [9,10]; and the Chicago Community Asthma Survey to measure public understanding of asthma and its management [11].…”

Section: Introductionmentioning

confidence: 99%

The use of cognitive interviews to revise the Quality of Trauma Care Patient-Reported Experience Measure (QTAC-PREM)

et al. 2015

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Our results informed changes to item content, format, and response options. This study highlights key issues to consider when incorporating patient/family perspectives into quality measurement, most notably, that few participants can assess the quality of care in the pre-hospital and emergency department phases of care and that novel methods are needed to evaluate the effectiveness and equity of care.

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The Use of Cognitive Testing to Develop and Evaluate CAHPS™ 1.0 Core Survey Items

Cited by 95 publications

References 8 publications

Development and Validation of NEWSQOL<sup>®</sup>, the Newcastle Stroke-Specific Quality of Life Measure

Development and Validation of NEWSQOL<sup>®</sup>, the Newcastle Stroke-Specific Quality of Life Measure

The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature

The use of cognitive interviews to revise the Quality of Trauma Care Patient-Reported Experience Measure (QTAC-PREM)

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