Saturday, June 22, 2024

Evaluating the Transition of Care: Insights from Danish Multimorbidity Patients

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The transition from hospital to home care presents significant challenges, particularly for patients with multiple chronic conditions. Traditional metrics, such as readmission rates, often fail to capture the nuanced experiences of these patients. To bridge this gap, the study aimed to translate, culturally adapt, and validate the Care Transitions Measure 15 (CTM-15) and the Partners at Care Transitions Measure parts 1 and 2 (PACT-M1 and PACT-M2) for Danish-speaking patients with multimorbidity. These patient-reported experience measures (PREMs) offer valuable insights into the quality of care transitions from the patient’s perspective.

Methodology

A comprehensive two-step approach was employed for content validation, involving both qualitative and quantitative methods. Cognitive debriefing and interviews with patients, who represented the target demographic, were conducted to assess aspects such as comprehensibility, relevance, and comprehensiveness. Concurrently, healthcare professionals from various sectors of the Danish healthcare system provided quantitative evaluations of the measures’ relevance and comprehensiveness via questionnaires.

The content validity index (CVI) was utilized to quantify the assessments, with an item CVI score of 0.78 or higher considered satisfactory. This dual-method approach ensured a robust evaluation of the PREMs from both patient and healthcare professional perspectives.

Findings

The qualitative feedback indicated that both CTM-15 and the PACT-M questionnaires were deemed relevant, understandable, and comprehensive by the patient cohort. Quantitative results from healthcare professionals echoed these findings, with PACT-M1 and PACT-M2 exhibiting excellent content validity. However, two items within the CTM-15 did not meet the “good” threshold, highlighting areas for potential refinement.

Overall, the Danish adaptations of the PACT-M questionnaires demonstrated strong content validity, while the CTM-15 showed acceptable validity. The study underscored the importance of incorporating patient perspectives in evaluating care transitions, offering a more holistic understanding of patient experiences.

Practical Takeaways

– Multimorbidity patients value comprehensible and relevant transition measures.
– Healthcare professionals’ input is crucial for validating patient-reported experience measures.
– Continuous refinement of PREMs is essential to ensure they accurately reflect patient experiences.

Further validation of these measures through assessments of their construct validity and reliability is recommended to enhance their applicability and accuracy. The study’s findings contribute to improving the quality of care transitions, ultimately aiming for better patient outcomes.

Original Article: J Patient Rep Outcomes. 2024 Jun 10;8(1):58. doi: 10.1186/s41687-024-00739-3.

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