Dataset Information

The Use of a Brief 5-Item Measure of Family Satisfaction as a Critical Quality Indicator in Advanced Cancer Care: A Multisite Comparison.

ABSTRACT:

Background

Although family satisfaction is recognized as a critical indicator of quality for patients with advanced cancer, it is rarely assessed as part of routine clinical care. Measurement burden may be one barrier to widespread use of family satisfaction measures.

Objective

The goal of this study was to test the ability of a new, brief 5-item measure of family satisfaction with care to accurately capture differences across hospital settings.

Design

Using data from the Palliative Care for Cancer Patients study, a prospective study of 1979 patients and caregivers, we used multivariate regression analysis to detect significant differences across five sites.

Settings

Hospitalized patients with advanced cancer and their caregivers Methods: We used both the shortened 5-item version of the FAMCARE scale (previously developed using Item Response Theory) and the original 20-item FAMCARE to measure family satisfaction.

Results

On the 5-item FAMCARE, sites ranged from mean scores of 5.5-6.9 out of a possible high score of 10. Family members at one care site (n?=?783) were significantly (p?DiscussionVariability in family satisfaction with advanced cancer care across hospital settings can be more sensitively detected using a brief 5-item questionnaire versus longer measures. The development of less lengthy and burdensome measures for monitoring family satisfaction, which are still valid, can facilitate routine assessments to maintain and promote high-quality care across care settings.

SUBMITTER: Ornstein KA

PROVIDER: S-EPMC5510049 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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Publications

The Use of a Brief 5-Item Measure of Family Satisfaction as a Critical Quality Indicator in Advanced Cancer Care: A Multisite Comparison.

Ornstein Katherine A KA Penrod Joan J Schnur Julie B JB Smith Cardinale B CB Teresi Jeanne A JA Garrido Melissa M MM McKendrick Karen K Siu Albert L AL Meier Diane E DE Morrison R Sean RS

Journal of palliative medicine 20170210 7

<h4>Background</h4>Although family satisfaction is recognized as a critical indicator of quality for patients with advanced cancer, it is rarely assessed as part of routine clinical care. Measurement burden may be one barrier to widespread use of family satisfaction measures.<h4>Objective</h4>The goal of this study was to test the ability of a new, brief 5-item measure of family satisfaction with care to accurately capture differences across hospital settings.<h4>Design</h4>Using data from the P ...[more]

PMID: 28186833

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Project description:ObjectiveTo assess family satisfaction with intensive care units (ICUs) in the UK using the Family Satisfaction in the Intensive Care Unit 24-item (FS-ICU-24) questionnaire, and to investigate how characteristics of patients and their family members impact on family satisfaction.DesignProspective cohort study nested within a national clinical audit database.SettingStratified, random sample of 20 adult general ICUs participating in the Intensive Care National Audit & Research Centre Case Mix Programme.ParticipantsFamily members of patients staying at least 24 hours in ICU were recruited between May 2013 and June 2014.InterventionsConsenting family members were sent a postal questionnaire 3 weeks after the patient died or was discharged from ICU. Up to four family members were recruited per patient.Main outcome measuresFamily satisfaction was measured using the FS-ICU-24 questionnaire.Main resultsA total of 12 346 family members of 6380 patients were recruited and 7173 (58%) family members of 4615 patients returned a completed questionnaire. Overall and domain-specific family satisfaction scores were high (mean overall family satisfaction 80, satisfaction with care 83, satisfaction with information 76 and satisfaction with decision-making 73 out of 100) but varied significantly across adult general ICUs studied and by whether the patient survived ICU. For family members of ICU survivors, characteristics of both the family member (age, ethnicity, relationship to patient (next-of-kin and/or lived with patient) and visit frequency) and the patient (acute severity of illness and receipt of invasive mechanical ventilation) were significant determinants of family satisfaction, whereas, for family members of ICU non-survivors, only patient characteristics (age, acute severity of illness and duration of stay) were significant.ConclusionsOverall family satisfaction in UK adult general ICUs was high but varied significantly. Adjustment for differences in family member/patient characteristics is important to avoid falsely identifying ICUs as statistical outliers.Trial registration numberISRCTN47363549.

Project description:Background and objectivesTechnology has the potential to provide assistance and enrichment to older people; however, the desired outcomes are dependent on users' acceptance and usage. The senior technology acceptance model (STAM) was developed as a multidimensional measure assessing older people's acceptance of general technology. It contained 11 constructs measured by 38 items and had shown satisfactory psychometric properties. However, the length of the questionnaire increased respondent burden and limited its utilization. The study aimed to develop a brief, reliable, and valid version of scale to measure older people's technology acceptance by shortening the full, 38-item STAM questionnaire.Research design and methodsThe research method included (1) a sequential item-reduction strategy maximizing internal consistency, (2) convergent and discriminant validity analysis based on confirmative factor analysis, and (3) an expert review of resultant items. Data previously collected for developing the original STAM questionnaire were used to create the brief version. The data were collected from 1,012 community-dwelling individuals aged 55 and older in Hong Kong. Internal consistency and construct validity of the shortened questionnaire were examined. Two experts were invited for reviewing content validity.ResultsThe final 14-item, brief version of the STAM questionnaire consisted of a 4-factor structure, representing classical technology acceptance constructs and age-related health characteristics. Theoretical relationships in the brief version showed similar patterns to the original STAM. The 14-item STAM demonstrated robustness in psychometrics by preserving the reliability and validity of the original STAM questionnaire.Discussion and implicationsThe availability of a reliable and valid assessment tool of the short STAM can help researchers and practitioners to measure older adults' acceptance of technology and its effective usage. The short STAM could save administration time, reduce the burden on respondents, and be included in large-scale surveys.

Dataset Information

The Use of a Brief 5-Item Measure of Family Satisfaction as a Critical Quality Indicator in Advanced Cancer Care: A Multisite Comparison.

Background

Objective

Design

Settings

Results

Publications

The Use of a Brief 5-Item Measure of Family Satisfaction as a Critical Quality Indicator in Advanced Cancer Care: A Multisite Comparison.

Similar Datasets

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