Brief scale measuring patient preparedness for hospital discharge to home: Psychometric properties
BACKGROUND: Adverse events occur when patients transition from the hospital to outpatient care. For quality improvement and research purposes, clinicians need appropriate, reliable, and valid survey instruments to measure and improve the discharge processes. OBJECTIVE: The object was to describe psy...
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Published in | Journal of hospital medicine Vol. 3; no. 6; pp. 446 - 454 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Hoboken
Wiley Subscription Services, Inc., A Wiley Company
01.11.2008
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Abstract | BACKGROUND:
Adverse events occur when patients transition from the hospital to outpatient care. For quality improvement and research purposes, clinicians need appropriate, reliable, and valid survey instruments to measure and improve the discharge processes.
OBJECTIVE:
The object was to describe psychometric properties of the Brief PREPARED (B‐PREPARED) instrument to measure preparedness for hospital discharge from the patient's perspective.
METHODS:
The study was a prospective cohort of 460 patient or proxy telephone interviews following hospital discharge home. We administered the Satisfaction with Information about Medicines Scale and the PREPARED instrument 1 week after discharge. PREPARED measured patients' perceptions of quality and outcome of the discharge‐planning processes. Four weeks after discharge, interviewers elicited emergency department visits. The main outcome was the B‐PREPARED scale value: the sum of scores from 11 items. Internal consistency, construct, and predictive validity were assessed.
RESULTS:
The mean B‐PREPARED scale value was 17.3 ± 4.2 (SD) with a range of 3 to 22. High scores reflected high preparedness. Principal component analysis identified 3 domains: self‐care information, equipment/services, and confidence. The B‐PREPARED had acceptable internal consistency (Cronbach's alpha 0.76) and construct validity. The B‐PREPARED correlated with medication information satisfaction (P < 0.001). Higher median B‐PREPARED scores appropriately discriminated patients with no worry about managing at home from worriers (P < 0.001) and predicted patients without emergency department visits after discharge from those who had visits (P = 0.011).
CONCLUSIONS:
The B‐PREPARED scale measured patients' perceptions of their preparedness for hospital discharge home with acceptable internal consistency and construct and predictive validity. Brevity may potentiate use by patients and proxies. Clinicians and researchers may use B‐PREPARED to evaluate discharge interventions. Journal of Hospital Medicine 2008;3(6):446–454. © 2008 Society of Hospital Medicine. |
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AbstractList | Adverse events occur when patients transition from the hospital to outpatient care. For quality improvement and research purposes, clinicians need appropriate, reliable, and valid survey instruments to measure and improve the discharge processes.
The object was to describe psychometric properties of the Brief PREPARED (B-PREPARED) instrument to measure preparedness for hospital discharge from the patient's perspective.
The study was a prospective cohort of 460 patient or proxy telephone interviews following hospital discharge home. We administered the Satisfaction with Information about Medicines Scale and the PREPARED instrument 1 week after discharge. PREPARED measured patients' perceptions of quality and outcome of the discharge-planning processes. Four weeks after discharge, interviewers elicited emergency department visits. The main outcome was the B-PREPARED scale value: the sum of scores from 11 items. Internal consistency, construct, and predictive validity were assessed.
: The mean B-PREPARED scale value was 17.3 +/- 4.2 (SD) with a range of 3 to 22. High scores reflected high preparedness. Principal component analysis identified 3 domains: self-care information, equipment/services, and confidence. The B-PREPARED had acceptable internal consistency (Cronbach's alpha 0.76) and construct validity. The B-PREPARED correlated with medication information satisfaction (P < 0.001). Higher median B-PREPARED scores appropriately discriminated patients with no worry about managing at home from worriers (P < 0.001) and predicted patients without emergency department visits after discharge from those who had visits (P = 0.011).
The B-PREPARED scale measured patients' perceptions of their preparedness for hospital discharge home with acceptable internal consistency and construct and predictive validity. Brevity may potentiate use by patients and proxies. Clinicians and researchers may use B-PREPARED to evaluate discharge interventions. Abstract BACKGROUND: Adverse events occur when patients transition from the hospital to outpatient care. For quality improvement and research purposes, clinicians need appropriate, reliable, and valid survey instruments to measure and improve the discharge processes. OBJECTIVE: The object was to describe psychometric properties of the Brief PREPARED (B‐PREPARED) instrument to measure preparedness for hospital discharge from the patient's perspective. METHODS: The study was a prospective cohort of 460 patient or proxy telephone interviews following hospital discharge home. We administered the Satisfaction with Information about Medicines Scale and the PREPARED instrument 1 week after discharge. PREPARED measured patients' perceptions of quality and outcome of the discharge‐planning processes. Four weeks after discharge, interviewers elicited emergency department visits. The main outcome was the B‐PREPARED scale value: the sum of scores from 11 items. Internal consistency, construct, and predictive validity were assessed. RESULTS: The mean B‐PREPARED scale value was 17.3 ± 4.2 (SD) with a range of 3 to 22. High scores reflected high preparedness. Principal component analysis identified 3 domains: self‐care information, equipment/services, and confidence. The B‐PREPARED had acceptable internal consistency (Cronbach's alpha 0.76) and construct validity. The B‐PREPARED correlated with medication information satisfaction ( P < 0.001). Higher median B‐PREPARED scores appropriately discriminated patients with no worry about managing at home from worriers ( P < 0.001) and predicted patients without emergency department visits after discharge from those who had visits ( P = 0.011). CONCLUSIONS: The B‐PREPARED scale measured patients' perceptions of their preparedness for hospital discharge home with acceptable internal consistency and construct and predictive validity. Brevity may potentiate use by patients and proxies. Clinicians and researchers may use B‐PREPARED to evaluate discharge interventions. Journal of Hospital Medicine 2008;3(6):446–454. © 2008 Society of Hospital Medicine. BACKGROUND: Adverse events occur when patients transition from the hospital to outpatient care. For quality improvement and research purposes, clinicians need appropriate, reliable, and valid survey instruments to measure and improve the discharge processes. OBJECTIVE: The object was to describe psychometric properties of the Brief PREPARED (B‐PREPARED) instrument to measure preparedness for hospital discharge from the patient's perspective. METHODS: The study was a prospective cohort of 460 patient or proxy telephone interviews following hospital discharge home. We administered the Satisfaction with Information about Medicines Scale and the PREPARED instrument 1 week after discharge. PREPARED measured patients' perceptions of quality and outcome of the discharge‐planning processes. Four weeks after discharge, interviewers elicited emergency department visits. The main outcome was the B‐PREPARED scale value: the sum of scores from 11 items. Internal consistency, construct, and predictive validity were assessed. RESULTS: The mean B‐PREPARED scale value was 17.3 ± 4.2 (SD) with a range of 3 to 22. High scores reflected high preparedness. Principal component analysis identified 3 domains: self‐care information, equipment/services, and confidence. The B‐PREPARED had acceptable internal consistency (Cronbach's alpha 0.76) and construct validity. The B‐PREPARED correlated with medication information satisfaction (P < 0.001). Higher median B‐PREPARED scores appropriately discriminated patients with no worry about managing at home from worriers (P < 0.001) and predicted patients without emergency department visits after discharge from those who had visits (P = 0.011). CONCLUSIONS: The B‐PREPARED scale measured patients' perceptions of their preparedness for hospital discharge home with acceptable internal consistency and construct and predictive validity. Brevity may potentiate use by patients and proxies. Clinicians and researchers may use B‐PREPARED to evaluate discharge interventions. Journal of Hospital Medicine 2008;3(6):446–454. © 2008 Society of Hospital Medicine. BACKGROUNDAdverse events occur when patients transition from the hospital to outpatient care. For quality improvement and research purposes, clinicians need appropriate, reliable, and valid survey instruments to measure and improve the discharge processes.OBJECTIVEThe object was to describe psychometric properties of the Brief PREPARED (B-PREPARED) instrument to measure preparedness for hospital discharge from the patient's perspective.METHODSThe study was a prospective cohort of 460 patient or proxy telephone interviews following hospital discharge home. We administered the Satisfaction with Information about Medicines Scale and the PREPARED instrument 1 week after discharge. PREPARED measured patients' perceptions of quality and outcome of the discharge-planning processes. Four weeks after discharge, interviewers elicited emergency department visits. The main outcome was the B-PREPARED scale value: the sum of scores from 11 items. Internal consistency, construct, and predictive validity were assessed.RESULTS: The mean B-PREPARED scale value was 17.3 +/- 4.2 (SD) with a range of 3 to 22. High scores reflected high preparedness. Principal component analysis identified 3 domains: self-care information, equipment/services, and confidence. The B-PREPARED had acceptable internal consistency (Cronbach's alpha 0.76) and construct validity. The B-PREPARED correlated with medication information satisfaction (P < 0.001). Higher median B-PREPARED scores appropriately discriminated patients with no worry about managing at home from worriers (P < 0.001) and predicted patients without emergency department visits after discharge from those who had visits (P = 0.011).CONCLUSIONSThe B-PREPARED scale measured patients' perceptions of their preparedness for hospital discharge home with acceptable internal consistency and construct and predictive validity. Brevity may potentiate use by patients and proxies. Clinicians and researchers may use B-PREPARED to evaluate discharge interventions. |
Author | Aldag, Jean C. Novotny, Nancy L. Graumlich, James F. |
Author_xml | – sequence: 1 givenname: James F. surname: Graumlich fullname: Graumlich, James F. email: jfg@uic.edu organization: Department of Medicine, University of Illinois College of Medicine, Peoria, Illinois – sequence: 2 givenname: Nancy L. surname: Novotny fullname: Novotny, Nancy L. organization: Department of Medicine, University of Illinois College of Medicine, Peoria, Illinois – sequence: 3 givenname: Jean C. surname: Aldag fullname: Aldag, Jean C. organization: Department of Medicine, University of Illinois College of Medicine, Peoria, Illinois |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/19084894$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.7326/0003-4819-138-3-200302040-00007 10.1891/jnm-v14i3a002 10.1177/1054773804263165 10.1016/S0002-9343(99)00159-X 10.1093/intqhc/13.2.109 10.1111/j.1532-5415.1997.tb03097.x 10.1136/qhc.0100135 10.1001/jama.297.8.831 10.1111/j.1532-5415.1995.tb05810.x 10.1097/00005650-200503000-00007 10.1111/j.1475-6773.2005.00475.x |
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Adverse events occur when patients transition from the hospital to outpatient care. For quality improvement and research purposes, clinicians need... Adverse events occur when patients transition from the hospital to outpatient care. For quality improvement and research purposes, clinicians need appropriate,... Abstract BACKGROUND: Adverse events occur when patients transition from the hospital to outpatient care. For quality improvement and research purposes,... BACKGROUNDAdverse events occur when patients transition from the hospital to outpatient care. For quality improvement and research purposes, clinicians need... |
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SubjectTerms | Adult Aged Aged, 80 and over Cohort Studies continuity of patient care Female Follow-Up Studies health care surveys Health Care Surveys - methods Health Care Surveys - standards Humans Male Middle Aged patient discharge Patient Discharge - standards Patient Education as Topic - methods Patient Education as Topic - standards Patient Satisfaction patient-centered care Prospective Studies Psychometrics Weights and Measures - standards |
Title | Brief scale measuring patient preparedness for hospital discharge to home: Psychometric properties |
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