We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Development of a Caregiver-Reported Experience Measure for Pediatric Hospital-to-Home Transitions.
- Authors
Desai, Arti D.; Jacob‐Files, Elizabeth A.; Lowry, Sarah J.; Opel, Douglas J.; Mangione‐Smith, Rita; Britto, Maria T.; Howard, Waylon J.; Jacob-Files, Elizabeth A; Mangione-Smith, Rita
- Abstract
<bold>Objective: </bold>To develop and test a caregiver-reported experience measure for pediatric hospital-to-home transitions.<bold>Data Sources/study Setting: </bold>Primary data were collected between 07/2014 and 05/2015 from caregivers within 2-8 weeks of their child's discharge from a tertiary care children's hospital.<bold>Study Design/data Collection: </bold>We used a step-wise approach to developing the measure that included drafting de novo survey items based on caregiver interviews (n = 18), pretesting items using cognitive interviews (n = 18), and pilot testing revised items among an independent sample of caregivers (n = 500). Item reduction statistics and confirmatory factor analysis (CFA) were performed on a test sample of the pilot data to refine the measure, followed by CFA on the validation sample to test the final measure model fit.<bold>Principal Findings: </bold>Of 46 initial survey items, 19 were removed after pretesting and 19 were removed after conducting item statistics and CFA. This resulted in an eight-item measure with two domains: transition preparation (four items) and transition support (four items). Survey items assess the quality of discharge instructions, access to needed support and resources, care coordination, and follow-up care. Practical fit indices demonstrated an acceptable model fit: χ2 = 28.3 (df = 19); root-mean-square error of approximation = 0.04; comparative fit index = 0.99; and Tucker-Lewis index = 0.98.<bold>Conclusions: </bold>An eight-item caregiver-reported experience measure to evaluate hospital-to-home transition outcomes in pediatric populations demonstrated acceptable content validity and psychometric properties.
- Subjects
CHILDREN'S hospitals; CAREGIVERS; PATIENT safety; PEDIATRICS; HOSPITALS; INPATIENT care; PSYCHOLOGY of caregivers; COMPARATIVE studies; CONTINUUM of care; FACTOR analysis; HEALTH services accessibility; PATIENT aftercare; INTERVIEWING; RESEARCH methodology; MEDICAL cooperation; RESEARCH; RESEARCH evaluation; RESEARCH funding; SOCIOECONOMIC factors; EVALUATION research; DISCHARGE planning
- Publication
Health Services Research, 2018, Vol 53, p3084
- ISSN
0017-9124
- Publication type
journal article
- DOI
10.1111/1475-6773.12864