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Development and validation of the quality care questionnaire –palliative care (QCQ-PC): patient-reported assessment of quality of palliative care
- Source :
- BMC Palliative Care, BMC Palliative Care, Vol 17, Iss 1, Pp 1-8 (2018)
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- Background In this study, we aimed to develop and validate an instrument that could be used by patients with cancer to evaluate their quality of palliative care. Methods Development of the questionnaire followed the four-phase process: item generation and reduction, construction, pilot testing, and field testing. Based on the literature, we constructed a list of items for the quality of palliative care from 104 quality care issues divided into 14 subscales. We constructed scales of 43 items that only the cancer patients were asked to answer. Using relevance and feasibility criteria and pilot testing, we developed a 44-item questionnaire. To assess the sensitivity and validity of the questionnaire, we recruited 220 patients over 18 years of age from three Korean hospitals. Results Factor analysis of the data and fit statistics process resulted in the 4-factor, 32-item Quality Care Questionnaire-Palliative Care (QCQ-PC), which covers appropriate communication with health care professionals (ten items), discussing value of life and goals of care (nine items), support and counseling for needs of holistic care (seven items), and accessibility and sustainability of care (six items). All subscales and total scores showed a high internal consistency (Cronbach alpha range, 0.89 to 0.97). Multi-trait scaling analysis showed good convergent (0.568–0.995) and discriminant (0.472–0.869) validity. The correlation between the total and subscale scores of QCQ-PC and those of EORTC QLQ-C15-PAL, MQOL, SAT-SF, and DCS was obtained. Conclusion This study demonstrates that the QCQ-PC can be adopted to assess the quality of care in patients with cancer. Electronic supplementary material The online version of this article (10.1186/s12904-018-0296-2) contains supplementary material, which is available to authorized users.
- Subjects :
- Adult
Male
medicine.medical_specialty
Palliative care
Psychometrics
media_common.quotation_subject
lcsh:Special situations and conditions
Quality care
03 medical and health sciences
0302 clinical medicine
Patient satisfaction
Cronbach's alpha
Neoplasms
Surveys and Questionnaires
Validation
Health care
Humans
Medicine
Quality (business)
030212 general & internal medicine
Aged
Quality of Health Care
media_common
Questionnaire
business.industry
lcsh:RC952-1245
Palliative Care
Quality of care
Reproducibility of Results
General Medicine
Middle Aged
Patient Satisfaction
030220 oncology & carcinogenesis
Family medicine
Value of life
Female
Factor Analysis, Statistical
business
Research Article
Subjects
Details
- ISSN :
- 1472684X
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- BMC Palliative Care
- Accession number :
- edsair.doi.dedup.....7d0cfb8448d581038b2608280d0e4928