Validation and adaptation of the hospital consumer assessment of healthcare providers and systems in Arabic context: Evidence from Saudi Arabia

Abstract

One of the main purposes of healthcare organizations is to serve patients by providing safe and high-quality patient-centered care. Patients are considered the most appropriate source to assess the quality level of healthcare services. The objectives of this paper were to describe the translation and adaptation process of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for Arabic speaking populations, examine the degree of equivalence between the original English version and the Arabic translated version, and estimate and report the validity and reliability of the translated Arabic HCAHPS version. The translation process had four main steps: (1) qualified bilingual translators translated the HCAHPS from English to Arabic; (2) the Arabic version was translated back to English and reviewed by experts to ensure content accuracy (content equivalence); (3) both Arabic and English versions were verified for accuracy and validity of the translation, checking for the similarities and differences (semantic equivalence); (4) finally, two independent bilinguals reviewed and made the final revision of both the Arabic and English versions separately and agreed on one final version that is similar and equivalent to the original English version in terms of content and meaning. The study findings showed that the overall Cronbach's α for the Arabic HCAHPS version was 0.90, showing good internal consistency across the 9 separate domains, which ranged from 0.70 to 0.97 Cronbach's α. The correlation coefficient between each statement for each separate domain revealed a highly positive significant correlation ranging from 0.72 to 0.89. The results of the study show empirical evidence of validity and reliability of HCAHPS in its Arabic version. Moreover, the Arabic version of HCAHPS in our study presented good internal consistency and it is highly recommended to be replicated and applied in the context of other Arab countries.

Translation, Cross-Cultural Adaptation, and Validation of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) into the Malay Language

“…The HCAHPS-Malay version’s Cronbach’s alpha for patient experience factors ranged between 0.69 and 0.93, which exceeds the minimum value of 0.70 for internal consistency [29]. This is consistent with reliability values from previous studies on translation of HCAHPS into non-English languages, including Dutch, French, German, Greek, Italian, and Spanish [13,15]. The study by Kemp et al [10] also showed a high Cronbach’s alpha of 0.90 overall and a range from 0.70 to 0.96 for individual domains, which indicated that the items were correlated under their domain.…”

“…The HCAHPS questionnaire has been translated into many languages in order to be used in other countries, so that comparisons of health services quality can be made. Studies from other countries have found that the HCAHPS is relevant for patient care experiences assessment in these countries [13,15]. This study aimed to translate and validate the HCAHPS into the Malay language and is the first report of the translation and validation of the HCAHPS questionnaire in Malaysia.…”

“…Moreover, the HCAHPS findings are posted for public review, helping consumers in their decision-making process by enabling comparisons across hospitals [10,12]. The HCAHPS questionnaire has been translated and used in various countries, including Canada, China, The Netherlands, France, Finland, Germany, Italy, Greece, Poland, and Arab countries [12,13,14,15,16]. The HCAHPS survey was selected for the European Commission RN4CAST project, which involved 12 countries (England, Belgium, Germany, Finland, Ireland, Greece, Norway, The Netherlands, Sweden, Poland, Spain, and Switzerland) because of its potential to provide meaningful comparisons across healthcare systems between the participating European countries and the USA on established patient experience domains [15].…”

Translation, Cross-Cultural Adaptation, and Validation of The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Into Japanese

“…[4,17,18] Previous studies suggested that the HCAHPS® questionnaire can be used to assess patient care experiences in other countries. [12,19,20] This study aims to translate the HCAHPS® into Japanese and evaluate its validity and reliability. The translated HCHAPS® can be a useful resource for advocating patient-centred health care policy in Japan, as it allows the patient's views to be heard directly.…”

Testing the Effectiveness of Integrated Elderly Care Model on Quality of Care and Health Outcomes Among Hospitalized Elderlies in West Bank

“…The Arabic version of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scale measured the quality of provided care as perceived by the patients after implementing the integrated care model 24 . The HCAHPS is a standardized instrument and has been in use since 2006 to measure patients' perspectives of hospital care.…”