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Validation of the Italian version of the Patient Reported Experience Measures for intermediate care services

机译：验证中级护理服务的意大利语版《患者报告的体验措施》

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Background: Intermediate care (IC) services are a key component of integrated care for elderly people, providing a link between hospital and home through provision of rehabilitation and health and social care. The Patient Reported Experience Measures (PREMs) are designed to measure user experience of care in IC settings. Objective: To examine the feasibility and the scaling properties of the Italian version of PREMs questionnaires for use in IC services. Methods: A cross-sectional survey was conducted on consecutive users of 1 home-based and 4 bed-based IC services in Emilia-Romagna (Italy). The main outcome measure was the PREMs questionnaire results. PREMs for each home- and bed-based IC services were translated, back-translated, and adapted through consensus among the members of the advisory board and pilot testing of face validity in 15 patients. A total of 199 questionnaires were returned from users of bed-based services and 185 were returned by mail from users of home-based services. The return rates and responses were examined. Mokken analysis was used to examine the scaling properties of the PREMs. Results: Analysis performed on the bed-based PREMs (N=154) revealed that 13 items measured the same construct and formed a moderate-strength scale (Loevinger H=0.488) with good reliability (Cronbach’s alpha =0.843). Analysis of home-based PREMs (N=134 records) revealed that 15 items constituted a strong scale (Loevinger H=0.543) with good reliability (Cronbach’s alpha =0.875). Conclusion: The Italian versions of the bed- and home-based IC-PREMs questionnaires proved to be valid and reliable tools to assess patients’ experience of care. Future plans include monitoring user experience over time in the same facilities and in other Italian IC settings for between-service benchmarking.
机译：背景：中级护理（IC）服务是老年人综合护理的关键组成部分，通过提供康复，健康和社会护理服务在医院和家庭之间建立联系。患者报告的体验评估（PREM）旨在评估IC设置中用户的护理体验。目的：研究用于IC服务的意大利版PREMs问卷的可行性和定标性质。方法：在意大利艾米利亚—罗马涅（Imilia-Romagna）的1位家庭和4张病床IC服务的连续用户中进行了横断面调查。主要结局指标是PREMs问卷调查结果。通过咨询委员会成员之间的共识以及对15位患者的面部有效性进行试点测试，对每种基于家庭和基于床位的IC服务的PREM进行了翻译，回译和改编。从基于床的服务的用户那里总共返回了199份问卷，从基于家庭的服务的用户通过邮件返回了185份问卷。检查了返回率和响应。使用Mokken分析来检查PREM的缩放比例属性。结果：对基于床的PREM（N = 154）进行的分析显示，有13个项目测量了相同的结构并形成了中等强度的量表（Loevinger H = 0.488），具有良好的可靠性（Cronbach's alpha = 0.843）。对家用PREM的分析（N = 134条记录）显示，有15项构成了强大的规模（Loevinger H = 0.543），并且具有良好的可靠性（Cronbach's alpha = 0.875）。结论：意大利语版的基于床和家庭的IC-PREMs问卷被证明是评估患者护理经验的有效且可靠的工具。未来的计划包括在一段时间内监视相同设施和其他意大利IC设置中的用户体验，以进行服务间基准测试。

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