caa a22 4500 606179844 CHVBK 20210128100803.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s11136-015-0919-5 doi (NATIONALLICENCE)springer-10.1007/s11136-015-0919-5 The use of cognitive interviews to revise the Quality of Trauma Care Patient-Reported Experience Measure (QTAC-PREM) [Elektronische Daten] [Niklas Bobrovitz, Maria Santana, Theresa Kline, John Kortbeek, Henry Stelfox] Purpose: The "Quality of Trauma Care Patient-Reported Experience Measure” is the first measure of patient experiences with overall injury care. The objective of this study was to use cognitive interviews to inform revision of the measure into a parsimonious set of items that function as intended, in preparation for multicenter testing. Methods: Concurrent and retrospective cognitive interviews with injured patients (n=17) and family members (n=13) using semi-structured interview guides. Responses were analyzed using thematic analysis. Results: Six broad themes were identified and guided revisions: (1) participants did not have the information to answer items (n=9); (2) items were ambiguous or were inconsistently interpreted (n=13); (3) items did not measure the intended constructs (n=6); (4) items included assumptions about healthcare processes (n=4); (5) items measured non-priority aspects of injury care (n=8); and (6) items were redundant (n=5). Two issues resulted in key conceptual and content changes: participants' difficulty to evaluate pre-hospital, emergency department, and intensive care unit services due to recall issues and the challenge to evaluate the effectiveness and equity of care. In total, 39 items were deleted, 28 new items developed, and the final instrument included 63 items. Conclusions: Our results informed changes to item content, format, and response options. This study highlights key issues to consider when incorporating patient/family perspectives into quality measurement, most notably, that few participants can assess the quality of care in the pre-hospital and emergency department phases of care and that novel methods are needed to evaluate the effectiveness and equity of care. Springer International Publishing Switzerland, 2015 Cognitive interviews nationallicence Measure development nationallicence Patient experience nationallicence Injury care nationallicence Bobrovitz Niklas Nuffield Department of Primary Care Health Sciences, University of Oxford, 2nd Floor, Radcliffe Observatory Quarter, Woodstock Road, OX2 6GG, Oxford, UK aut Santana Maria Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada aut Kline Theresa Department of Psychology, University of Calgary, Calgary, AB, Canada aut Kortbeek John Department of Surgery, University of Calgary, Calgary, AB, Canada aut Stelfox Henry Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada aut Quality of Life Research Springer International Publishing 24/8(2015-08-01), 1911-1919 0962-9343 24:8<1911 2015 24 11136 https://doi.org/10.1007/s11136-015-0919-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-015-0919-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bobrovitz Niklas Nuffield Department of Primary Care Health Sciences, University of Oxford, 2nd Floor, Radcliffe Observatory Quarter, Woodstock Road, OX2 6GG, Oxford, UK aut NATIONALLICENCE 700 1- Santana Maria Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada aut NATIONALLICENCE 700 1- Kline Theresa Department of Psychology, University of Calgary, Calgary, AB, Canada aut NATIONALLICENCE 700 1- Kortbeek John Department of Surgery, University of Calgary, Calgary, AB, Canada aut NATIONALLICENCE 700 1- Stelfox Henry Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/8(2015-08-01), 1911-1919 0962-9343 24:8<1911 2015 24 11136