Dataset Information

Psychometric properties of the Dutch version of the Hospital-level Consumer Assessment of Health Plans Survey instrument.

ABSTRACT:

Objectives

To assess the reliability and validity of a translated version of the American Hospital-level Consumer Assessment of Health Plans Survey (H-CAHPS) instrument for use in Dutch health care.

Data sources/study setting

Primary survey data from adults aged 18 years or more who were recently discharged from two multispecialty city hospitals in the Netherlands.

Study design

We used forward and backward translation procedures and a panel of experts to adapt the 66-item pilot H-CAHPS into a 70-item Dutch instrument. Descriptive statistics and standard psychometric methods were then used to test the reliability and validity of the new instrument.

Data collection

From late November 2003 to early January 2004, the survey was administered by mail to 1,996 patients discharged within the previous 2 months.

Principal findings

Analyses supported the reliability and validity of the following 7-factor H-CAHPS structure for use in Dutch hospitals: on doctor's communication, nurses' communication, discharge information, communication about medication, pain control, physical environment of hospital, and nursing services. The internal consistency reliability of the scales ranged from 0.60 to 0.88. Items related to "family receiving help when on visit,""hospital staff introducing self," and "admission delays" did not improve the psychometric properties of the new instrument.

Conclusions

These findings suggest that the H-CAHPS instrument is reliable and valid for use in the Dutch context. However, more research will be needed to support its equivalence to the United States version, and its use for between-hospital comparisons.

SUBMITTER: Arah OA

PROVIDER: S-EPMC1681536 | biostudies-literature | 2006 Feb

REPOSITORIES: biostudies-literature

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Publications

Psychometric properties of the Dutch version of the Hospital-level Consumer Assessment of Health Plans Survey instrument.

Arah Onyebuchi A OA ten Asbroek A H A AH Delnoij Diana M J DM de Koning Johan S JS Stam Piet J A PJ Poll Aldien H AH Vriens Barbara B Schmidt Paul F PF Klazinga Niek S NS

Health services research 20060201 1

<h4>Objectives</h4>To assess the reliability and validity of a translated version of the American Hospital-level Consumer Assessment of Health Plans Survey (H-CAHPS) instrument for use in Dutch health care.<h4>Data sources/study setting</h4>Primary survey data from adults aged 18 years or more who were recently discharged from two multispecialty city hospitals in the Netherlands.<h4>Study design</h4>We used forward and backward translation procedures and a panel of experts to adapt the 66-item p ...[more]

PMID: 16430612

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Project description:BackgroundAlcohol and drug misuse among college students has been studied extensively and has been clearly identified as a public health problem. Within more general populations alcohol misuse remains one of the leading causes of disease, disability and death worldwide. Conducting research on alcohol misuse requires valid and reliable instruments to measure its consequences. One scale that is often used is the consequences scale in the Core Alcohol and Drug Survey (CADS). However, psychometric studies on the CADS are rare and the ones that do exist report varying results. This article aims to address this imbalance by examining the psychometric properties of a Dutch version of the CADS in a large sample of Flemish university and college students.MethodsThe analyses are based on data collected by the inter-university project 'Head in the clouds', measuring alcohol use among students. In total, 19,253 students participated (22.1% response rate). The CADS scale was measured using 19 consequences, and participants were asked how often they had experienced these on a 6-point scale. Firstly, the factor structure of the CADS was examined. Two models from literature were compared by performing confirmatory factor analyses (CFA) and were adapted if necessary. Secondly, we assessed the composite reliability as well as the convergent, discriminant and concurrent validity.ResultsThe two-factor model, identifying personal consequences (had a hangover; got nauseated or vomited; missed a class) and social consequences (got into an argument or fight; been criticized by someone I know; done something I later regretted; been hurt or injured) was indicated to be the best model, having both a good model fit and an acceptable composite reliability. In addition, construct validity was evaluated to be acceptable, with good discriminant validity, although the convergent validity of the factor measuring 'social consequences' could be improved. Concurrent validity was evaluated as good.ConclusionsIn deciding which model best represents the data, it is crucial that not only the model fit is evaluated, but the importance of factor reliability and validity issues is also taken into account. The two-factor model, identifying personal consequences and social consequences, was concluded to be the best model. This shortened Dutch version of the CADS (CADS_D) is a useful tool to screen alcohol-related consequences among college students.

Dataset Information

Psychometric properties of the Dutch version of the Hospital-level Consumer Assessment of Health Plans Survey instrument.

Objectives

Data sources/study setting

Study design

Data collection

Principal findings

Conclusions

Publications

Psychometric properties of the Dutch version of the Hospital-level Consumer Assessment of Health Plans Survey instrument.

Similar Datasets

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