ABSTRACT
Background: Patient satisfaction is a principal indicator in the evaluation of the stay of pediatric patients in hospitals, since its consequences can emotionally interfere with health treatment. The aim of this study was to obtain a valid scale to assess children's satisfaction with their time spent as a patient in an Andalusian hospital. Method: The Children's Satisfaction with Hospitalization Questionnaire (CSHQ) was applied to 623 pediatric patients hospitalized in Andalusia. An exploratory factor analysis (EFA) showed one dimension underlying the children's satisfaction with their hospitalization. After that, we developed a depuration analysis process to achieve a valid and unidimensional scale to assess children's satisfaction. Results: The eleven-item one-dimension solution showed suitable consistency and goodness-of-fit indices. The final scale addresses hosting aspects as the main dimension of a minor's satisfaction in Andalusian hospitals. Conclusion: A unidimensional scale has been determined for the assessment of children's satisfaction with their stay in Andalusian hospitals based on hosting aspects. Nonetheless, other dimensions underlying the satisfaction of patients should also be considered.
Subject(s)
Child, Hospitalized/psychology , Patient Satisfaction/statistics & numerical data , Child , Child, Preschool , Factor Analysis, Statistical , Female , Hospitalization , Humans , Male , Spain , Surveys and QuestionnairesABSTRACT
Different studies around the world indicate that the percentages of overweight and obesity in childhood and adolescence are high. In this context, it would be useful to have a common, valid, and reliable instrument to assess health behaviors of families that allows comparisons of data from different countries. The objective is the adaptation of a Spanish version of the Family Health Behavior Scale (FHBS). The questionnaire originally developed by Moreno group was translated and adapted following the International Test Commission protocol. Its psychometric properties were evaluated through analysis of internal consistency, factor analysis and other evidences of validity. The Spanish version of the FHBS demonstrated adequate reliability coefficients, and its factor structure sufficiently replicated that obtained by the original measurement. The results suggested that the adapted version of the questionnaire was an adequate and valid measure for the evaluation of family health behaviors related to the prevention of overweight and obesity.
Subject(s)
Family Health , Health Behavior , Surveys and Questionnaires , Adaptation, Physiological , Adult , Child , Child, Preschool , Factor Analysis, Statistical , Female , Humans , Male , Obesity/psychology , Parents/psychology , Psychometrics , Reproducibility of Results , Spain , TranslatingABSTRACT
Objetivo: Elaborar un instrumento para evaluar la satisfacción de niños, niñas y adolescentes con su estancia hospitalaria. Métodos: Análisis cualitativo de las dimensiones de la satisfacción hospitalaria a partir de narrativas de menores hospitalizados; validación de contenido mediante juicio de expertos de los ítems generados para las distintas dimensiones de satisfacción; y estudio piloto para valorar el funcionamiento del cuestionario con 84 niños, niñas y adolescentes ingresados en hospitales andaluces. Resultados: Tras sucesivas depuraciones se obtuvo un cuestionario breve, cuya aplicación dura entre 5 y 15 minutos. Todos los ítems presentaron correlaciones ítem-total positivas (r>0,18). El cuestionario mostró un índice de consistencia interna de 0,779 (alfa de Cronbach) y contrastes de rangos significativos (U de Mann-Whitney; p<0,001), con tamaños de efectos medianos (η2>0,151) en tres dimensiones de satisfacción comparadas entre hospitales. Discusión: Se ha obtenido un cuestionario breve, de fácil aplicación, fiable en cuanto a su consistencia interna y sensible para detectar diferencias en las dimensiones de satisfacción hospitalaria. Una vez terminada su validación, servirá para evaluar la satisfacción de los menores con su estancia hospitalaria, además de ser un potencial indicador de calidad asistencial (AU)
Objective: To develop an instrument to assess the satisfaction of children and teenagers with their stay in hospital. Methods: A qualitative analysis of hospitalisation satisfaction dimensions based on the feedback of hospitalised children and teenagers; a content validation study by a group of experts of the items generated for the different satisfaction dimensions; and a pilot study to assess the usefulness of the questionnaire with a sample of 84 children and teenagers hospitalised in Andalusia. Results:: After successive refinements, a short questionnaire was obtained which took between 5 and 15minutes to complete. All items presented positive item-total correlations (r>0.18). The questionnaire showed an internal consistency index of 0.779 (Cronbach's alpha) and significant rank differences (Mann-Whitney U test; p<0.001) with medium size effects (η2>0.151) in three satisfaction dimensions compared between hospitals. Discussion: A short, easy-to-answer questionnaire was developed that is reliable regarding its internal consistency and sensitive to differences in hospital satisfaction dimensions. Once validated, it will be used to assess the satisfaction of children and teenagers with their hospital stay, in addition to being a potential indicator of quality of care (AU)
Subject(s)
Humans , Male , Female , Child , Adolescent , Length of Stay/statistics & numerical data , Pilot Projects , Patient Satisfaction , Quality of Health Care/organization & administration , Surveys and Questionnaires , Quality of Health Care , 25783/methodsABSTRACT
OBJECTIVE: To develop an instrument to assess the satisfaction of children and teenagers with their stay in hospital. METHODS: A qualitative analysis of hospitalisation satisfaction dimensions based on the feedback of hospitalised children and teenagers; a content validation study by a group of experts of the items generated for the different satisfaction dimensions; and a pilot study to assess the usefulness of the questionnaire with a sample of 84 children and teenagers hospitalised in Andalusia. RESULTS: After successive refinements, a short questionnaire was obtained which took between 5 and 15minutes to complete. All items presented positive item-total correlations (r>0.18). The questionnaire showed an internal consistency index of 0.779 (Cronbach's alpha) and significant rank differences (Mann-Whitney U test; p<0.001) with medium size effects (η2>0.151) in three satisfaction dimensions compared between hospitals. DISCUSSION: A short, easy-to-answer questionnaire was developed that is reliable regarding its internal consistency and sensitive to differences in hospital satisfaction dimensions. Once validated, it will be used to assess the satisfaction of children and teenagers with their hospital stay, in addition to being a potential indicator of quality of care.
