Journal of preventive medicine and hygiene · 2025
Validity and reliability of the Home Health Care Survey of the Consumer Assessment of Healthcare Providers and System (HHCAHPS) tool: a multicentre cross-sectional study.
СтатьяМногоцентровое исследованиеВалидационное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Iovino Paolo, Marcomini Ilaria, DI Nitto Marco, Caponnetto Valeria, Longobucco Yari, Vanzi Valentina, Zaghini Francesco, Alvaro Rosaria, Burgio Alessandra, Cicala Stefano Domenico, Cicolini Giancarlo, Lancia Loreto, Landa Paolo, Manara Duilio Fiorenzo, Mazzoleni Beatrice, Rasero Laura, Rocco Gennaro, Zega Maurizio, Sasso Loredana, Bagnasco Annamaria
Аннотация
INTRODUCTION: This study aims to investigate the psychometric properties of the Home Health Care Survey of the Consumer Assessment of Healthcare Providers and System (HHCAHPS) in the Italian context.
METHODS: This is a secondary analysis of data from the AIDOMUS-IT study. A total of 9,780 patients cared for by home healthcare services completed the HHCAHPS along with a measure of satisfaction for the care received. Structural validity was assessed with a confirmatory analytical approach (CFA). Construct validity was ascertained via hypothesis testing (convergent validity) by correlating the HHCAHPS scores with the scores derived from the measure of patient satisfaction for care. Internal consistency was assessed with the Omega (ω) coefficient.
RESULTS: Structural validity was confirmed, with satisfactory fit indices of the CFA model specified according to the conceptualized three-factor structure ("care of patients", "communication with the providers", and "specific care issues"). Construct validity was confirmed with moderate correlations between the level of satisfaction for care and the factors "communication with the providers" (r = 0.39, p < 0.001), "care of patients" (r = 0.34, p < 0.001), and "specific care issues" (r = 0.19, p < 0.001). Internal consistency was satisfactory for the "specific care issues" factor (ω = 0.81), while it was at the threshold of acceptability for the other factors (ω = 0.60-0.62).
CONCLUSIONS: This study shows that the HHCAHPS is valid and sufficiently reliable when tested on the Italian population. Therefore, this tool can be supportive for promoting research and designing interventions to promote patient-centered care within home healthcare settings.
METHODS: This is a secondary analysis of data from the AIDOMUS-IT study. A total of 9,780 patients cared for by home healthcare services completed the HHCAHPS along with a measure of satisfaction for the care received. Structural validity was assessed with a confirmatory analytical approach (CFA). Construct validity was ascertained via hypothesis testing (convergent validity) by correlating the HHCAHPS scores with the scores derived from the measure of patient satisfaction for care. Internal consistency was assessed with the Omega (ω) coefficient.
RESULTS: Structural validity was confirmed, with satisfactory fit indices of the CFA model specified according to the conceptualized three-factor structure ("care of patients", "communication with the providers", and "specific care issues"). Construct validity was confirmed with moderate correlations between the level of satisfaction for care and the factors "communication with the providers" (r = 0.39, p < 0.001), "care of patients" (r = 0.34, p < 0.001), and "specific care issues" (r = 0.19, p < 0.001). Internal consistency was satisfactory for the "specific care issues" factor (ω = 0.81), while it was at the threshold of acceptability for the other factors (ω = 0.60-0.62).
CONCLUSIONS: This study shows that the HHCAHPS is valid and sufficiently reliable when tested on the Italian population. Therefore, this tool can be supportive for promoting research and designing interventions to promote patient-centered care within home healthcare settings.