Desarrollo y validación de un cuestionario genérico para la evaluación de la satisfacción de los pacientes crónicos: Cuestionario SAT-Q / Development and validation of a generic questionnaire for evaluating satisfaction in patients with chronic disease: The SAT-Q Questionnaire

ObjetivoDesarrollar y validar un cuestionario reducido de satisfacción del paciente crónico.DiseñoEstudio epidemiológico, observacional, multicéntrico y transversal.EmplazamientoCuatro centros de salud del Área Sanitaria IV del Principado de Asturias.ParticipantesDoscientos dos pacientes con enfermedad crónica diagnosticada y al menos un año desde inicio del tratamiento farmacológico.MétodosA partir de una revisión bibliográfica se construyó un banco de ítems inicial de 61 ítems relativos a satisfacción del paciente. El proceso de traducción-retrotraducción de los ítems y los paneles de expertos (n=8) y pacientes (n=30) concluyeron en una versión del cuestionario con 34 ítems (satisfacción con el tratamiento farmacológico y satisfacción con los servicios sanitarios). Finalmente, se realizó el análisis de reducción (correlación ítem total <0,2 y análisis factorial exploratorio) y validación del SAT-Q (factibilidad, fiabilidad y validez de criterio). Se aplicó el cuestionario SAT-Q y uno genérico de calidad de vida relacionada con la salud, el SF-12.ResultadosEl análisis de reducción concluyó en una versión final de 18 ítems: satisfacción general con el tratamiento (3), efectos adversos (3), olvidos (2), efectividad (3), conveniencia (4) y atención sanitaria (3). La consistencia interna de las dimensiones fue aceptable y los coeficientes de correlación intraclase moderados-altos. Se encontró una relación significativa entre las puntuaciones del SAT-Q (con la excepción de olvidos) y los Componentes Sumarios Físico y Mental del SF-12.ConclusionesSe ha desarrollado y validado de forma preliminar un nuevo cuestionario integral para la evaluación de la satisfacción de los pacientes crónicos(AU)

ObjectivesTo develop and validate a brief general questionnaire to assess satisfaction in patients with chronic disease.Designepidemiological, observational, multicentre cross-sectional study.Location4 Primary Health Care Centers from the IV Health Area in the Principality of Asturias.SubjectsA total of 202 patients diagnosed with chronic illness who were following a pharmacological regimen for at least one year.MethodsAn extensive literature review was conducted to create an initial item pool of 61 questions regarding patient satisfaction. Then, a forward-backward translation into Spanish was carried out. Next, both the expert (n=8) and patient (n=30) panels led to a new version of 34 items (concerning satisfaction with medication and satisfaction with health service). Finally, scale item reduction (item-total correlation and exploratory factorial analysis —EFA—) and psychometrical validation (feasibility, reliability and criterion validity) of the SAT-Q— were evaluated. Both the SAT-Q and the SF-12 (to assess patient health related quality of life) were applied.ResultsItem reduction analysis resulted in 18 items: general satisfaction with medication (3), adverse-events (3), oversights (2), effectiveness (3), convenience (4) and Health services (3). Internal consistency (Cronbach á) and Intraclass Correlation Coefficients were moderate-high. Moreover, significant positive correlations between SAT-Q scores and SF-12 Physical and Mental Summary Components were found (with the exception of oversights).ConclusionsA brief questionnaire for measuring satisfaction in chronic patients has been developed and preliminary validated(AU)

[Development and validation of a generic questionnaire for evaluating satisfaction in patients with chronic disease: the SAT-Q Questionnaire]. / Desarrollo y validación de un cuestionario genérico para la evaluación de la satisfacción de los pacientes crónicos: Cuestionario SAT-Q.

OBJECTIVES: To develop and validate a brief general questionnaire to assess satisfaction in patients with chronic disease. DESIGN: epidemiological, observational, multicentre cross-sectional study. LOCATION: 4 Primary Health Care Centers from the IV Health Area in the Principality of Asturias. SUBJECTS: A total of 202 patients diagnosed with chronic illness who were following a pharmacological regimen for at least one year. METHODS: An extensive literature review was conducted to create an initial item pool of 61 questions regarding patient satisfaction. Then, a forward-backward translation into Spanish was carried out. Next, both the expert (n=8) and patient (n=30) panels led to a new version of 34 items (concerning satisfaction with medication and satisfaction with health service). Finally, scale item reduction (item-total correlation and exploratory factorial analysis -EFA-) and psychometrical validation (feasibility, reliability and criterion validity) of the SAT-Q- were evaluated. Both the SAT-Q and the SF-12 (to assess patient health related quality of life) were applied. RESULTS: Item reduction analysis resulted in 18 items: general satisfaction with medication (3), adverse-events (3), oversights (2), effectiveness (3), convenience (4) and Health services (3). Internal consistency (Cronbach α) and Intraclass Correlation Coefficients were moderate-high. Moreover, significant positive correlations between SAT-Q scores and SF-12 Physical and Mental Summary Components were found (with the exception of oversights). CONCLUSIONS: A brief questionnaire for measuring satisfaction in chronic patients has been developed and preliminary validated.