Highlights
- •We developed the WatLX patient experience measure for the rehabilitative care sector.
- •The measurement tool includes a parsimonious set of 10 patient experience questions that underwent face and content validation through expert consultations and a card sort activity, and usability testing through cognitive interviews.
- •The WatLX takes patients approximately 10 minutes to complete, which may contribute to higher completion rates.
- •Psychometric and feasibility testing is reported elsewhere. Future development includes releasing multi-lingual formats, developing a version for clients with cognitive deficits, and exploring administration via web-based and smartphone applications.
Abstract
Objective
To develop and test face and content validity, and user interface design of a rehabilitative
care patient experience measure.
Design
Mixed methods, cross-sectional validation study that included subject matter expert
input. Cognitive interviewing tested user interface and design.
Setting
Outpatient rehabilitative care settings.
Participants
Subject matter experts (n=3), health care providers (n=137), and patients and caregivers
(n=5) contributed to the question development. Convenience and snowball sampling were
used to recruit rehabilitative care patients postdischarge (n=9) for cognitive interviews
to optimize survey design and user interface (N=154).
Interventions
Not applicable.
Main Outcome Measure
This novel survey instrument measures 6 concepts previously identified as key to outpatient
rehabilitative care patients’ experience: ecosystem issues, client and informal caregiver
engagement, patient and health care provider relations, pain and functional status,
group and individual identity, and open-ended feedback.
Results
502 survey questions from psychometrically tested instruments, secondary data from
a related ethnographic study, and consultations with health care providers, patients,
caregivers, and subject matter experts, were analyzed to create a 10-item questionnaire
representing 6 key constructs that influence patient experience quality. Cognitive
interviewing with 9 patients (3 rounds of 3 participants each), produced 3 progressively
edited versions of the survey instrument. A final version required no further modifications.
Discussion
Rehabilitative care clients have characteristics that differentiate their experience
from that of other sectors and patient groups, warranting a distinct experience measure.
The survey instrument includes a parsimonious set of questions that address strategic
issues in the ongoing improvement of care delivery and the patient experience in the
rehabilitative care sector.
Conclusion
The rehabilitative care patient experience survey instrument developed has an acceptable
user interface, and content and face validity. Psychometric testing of the survey
instrument is reported elsewhere.
Keywords
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Article info
Publication history
Published online: June 26, 2018
Footnotes
Disclosures: none.
Presented as an oral presentation at the International Conference for Integrated Care, Barcelona, Spain, May 23-25, 2016, and the Canadian Association for Health Services and Policy Research Conference, Toronto, ON, May 9-12, 2016; and as a webinar to the Rehabilitative Care Alliance, October 3, 2017. Partial version of WatLX available here: http://www.rehabcarealliance.ca/outpatient-/-ambulatory-1. No reprints are available.
Identification
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© 2018 by the American Congress of Rehabilitation Medicine
