Measurement of patient satisfaction with physical therapy care: revisiting the semantic and dimensional structure equivalence of MedRisk instrument in the Brazilian context.
MedRisk is one of the several available measurement tools developed to assess patient satisfaction with outpatient physical therapy services and has been adapted to different countries, including Brazil. However, the literature shows conflicting results regarding its dimensional structure. To evalua...
| Published in: | European Journal of Physiotherapy Vol. 23; no. 1; pp. 19 - 27 |
|---|---|
| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
Feb2021
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148497120&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148497120 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21679169 FSGO jtl: European Journal of Physiotherapy issn: 21679169 maglogo: N pubinfo: dt: Feb2021 vid: 23 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 148497120 148497120 148497120 10.1080/21679169.2019.1628299 148497120 ppf: 19 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Measurement of patient satisfaction with physical therapy care: revisiting the semantic and dimensional structure equivalence of MedRisk instrument in the Brazilian context. aug: au: de Almeida, Renato Santos Reichenheim, Michael Eduardo Peterson, Christopher Martins, Mônica affil: Serra dos Órgãos University Center (UNIFESO), Post Gaduation Programe in Rehabilitation Sciences (UNISUAM), Rio de Janeiro, Brazil sug: subj: Patient Satisfaction Physical Therapy Semantics Instrument Validation Instrument Adaptation Human Brazil Funding Source Outpatient Service Validation Studies Clinical Assessment Tools Culture Factor Analysis Structural Equation Modeling Confidence Intervals Psychometrics Intraclass Correlation Coefficient Academic Medical Centers Adult Middle Age Aged Male Child Reliability and Validity Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Child: 6-12 years Male ab: MedRisk is one of the several available measurement tools developed to assess patient satisfaction with outpatient physical therapy services and has been adapted to different countries, including Brazil. However, the literature shows conflicting results regarding its dimensional structure. To evaluate the Brazilian version of MedRisk for semantic equivalence to the original English version, followed by an assessment of its dimensional structure. The original 18-item version was first submitted to translation and back-translation, followed by a pre-test on 55 patients (semantic equivalence phase). Another 326 patients were interviewed to assess the dimensional structure. An initial confirmatory factor analysis (CFA) was followed by exploratory structural equation modelling (ESEM). CFA was performed on the 16-item version agreed upon in the first phase, and indicated poor fit (RMSEA = 0.10, 90% CI: 0.08–0.12; CFI = 0.84; TLI = 0.79). The ensuing ESEM pointed to a four-factor structure, but five cross-loadings emerged, suggesting violation of the item factor specificity. High residual variances were also found in 3 items (≥0.70), which is indicative of poor item reliability. Although semantic equivalence was achieved, several uncovered psychometric (configural and metric) shortcomings show that MedRisk still requires refinements before recommending its use in Brazilian health services. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|