Dataset Information

Patient satisfaction in pediatric outpatient settings from the parents' perspective - the Child ZAP: a psychometrically validated standardized questionnaire.

ABSTRACT:

Background

Patient surveys constitute a valuable source of information in patient-focused health care. The objective of this study was to develop and validate a standardized, patient centered, quantitative instrument to assess parent satisfaction in ambulatory pediatric care to be used in quality management and benchmarking activities, the Child-ZAP.

Methods

A preliminary version of the survey (38 items) was conducted in n?=?19 pediatric practices. After psychometric testing a modified Child-ZAP was tested in a second survey (n?=?20 new pediatric practices). Data from n?=?979 patients were available for analysis.

Results

The final version of the Child-ZAP contains eight dimensions, three "Child-Scales" and five "Parent-Scales". Confirmatory factor analysis confirms the three hypothesized child dimensions as well as the five parent dimensions. The factorial structure is confirmed in subgroups of younger and older children.

Conclusions

With satisfactory to good results for validity and reliability testing, the final Child-ZAP is applicable in pediatric ambulatory care for children of all age groups.

SUBMITTER: Bitzer EM

PROVIDER: S-EPMC3479005 | biostudies-literature | 2012 Oct

REPOSITORIES: biostudies-literature

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Publications

Patient satisfaction in pediatric outpatient settings from the parents' perspective - the Child ZAP: a psychometrically validated standardized questionnaire.

Bitzer Eva Maria EM Volkmer Stephanie S Petrucci Marco M Weissenrieder Nikolaus N Dierks Marie-Luise ML

BMC health services research 20121002

<h4>Background</h4>Patient surveys constitute a valuable source of information in patient-focused health care. The objective of this study was to develop and validate a standardized, patient centered, quantitative instrument to assess parent satisfaction in ambulatory pediatric care to be used in quality management and benchmarking activities, the Child-ZAP.<h4>Methods</h4>A preliminary version of the survey (38 items) was conducted in n = 19 pediatric practices. After psychometric testing a mod ...[more]

PMID: 23031482

Similar Datasets

Project description:BackgroundMany tools have been developed to measure physical activity parenting practices (PAPP). Currently, there is little standardization on how PAPP constructs are operationalized for 5-12 year-old children. Given this lack of consistency our team have started the process of standardizing the measurement of PAPP by developing an item bank which was conceptually informed by 24 experts from 6 countries.PurposeThe purpose of this paper is to present the psychometric properties of the PAPP item bank using the expert-informed PAPP conceptual framework.MethodsA sample (N = 626) of Canadian parents completed the PAPP item bank (100 items measuring 12 constructs). Confirmatory Factor Analyses (CFA), confirmatory bi-factor item analyses, and Item Response Modeling (IRM) were used to assess the structural validity of scores derived from the PAPP item bank. Differential Item Functioning (DIF) and Differential Response Functioning (DRF) were used to determine whether the PAPP items are invariant by parent sex, ethnicity of parent, and household income. Finally, Computerized Adaptive Testing (CAT) simulations were used to determine the efficiency of the item bank - this involved ascertaining whether each construct can be assessed with fewer items.ResultsThe PAPP expert-informed conceptual framework was mainly supported by the CFA analyses. Notable changes included: a) collapsing smaller constructs into one general construct (modeling, co-participation, and monitoring constructs were collapsed into a construct assessing nondirective support); or b) splitting a construct into two smaller constructs (restrict for safety reason construct was split into indoor physical activity restriction and allowance for unsupervised outside physical activity). While the CFA analyses supported the structural validity of 11 constructs, the bi-factor item analyses and IRM analyses supported collapsing correlated constructs into more general constructs. These analyses further reduced the number of constructs measured by the PAPP item bank to nine constructs (65 items - reliability ranging from .79 to .94). As seven of the PAPP constructs had reliability greater than .80, CAT simulations further reduced the number of items to 31 items.ConclusionOverall, the PAPP item bank has excellent psychometric properties and provides an efficient way to assess PAPP.

Dataset Information

Patient satisfaction in pediatric outpatient settings from the parents' perspective - the Child ZAP: a psychometrically validated standardized questionnaire.

Background

Methods

Results

Conclusions

Publications

Patient satisfaction in pediatric outpatient settings from the parents' perspective - the Child ZAP: a psychometrically validated standardized questionnaire.

Similar Datasets

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