The Right PREMTM: Rasch analysis of a new patient reported experience measure for use by older people in hospital

Healthcare rights exist to protect older people from harm and to empower older people to participate in their care with independence, choice and control. Multiple investigations revealing abuse provide evidence that older people’s rights are being breached. Older people must have the opportunity to...

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Autores principales: Louise Heuzenroeder, Jyoti Khadka, Alison Kitson
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Publicado: The Beryl Institute 2021
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spelling oai:doaj.org-article:3a8e4d47f7924b4ca100d0109fe33eee2021-11-15T04:33:55ZThe Right PREMTM: Rasch analysis of a new patient reported experience measure for use by older people in hospital2372-0247https://doaj.org/article/3a8e4d47f7924b4ca100d0109fe33eee2021-08-01T00:00:00Zhttps://pxjournal.org/journal/vol8/iss2/10https://doaj.org/toc/2372-0247Healthcare rights exist to protect older people from harm and to empower older people to participate in their care with independence, choice and control. Multiple investigations revealing abuse provide evidence that older people’s rights are being breached. Older people must have the opportunity to report on their experience of care against their rights. The Right PREM<sup>TM</sup> is a new instrument designed to measure older people’s experience of care against their healthcare rights. The objective of this cross-sectional validation study was to assess the psychometric properties of a new instrument to measure the experience of care consistent with the healthcare rights of older people in the hospital setting. Data were collected from older people who were current hospital inpatients of medical wards in four South Australian metropolitan hospitals. The Rasch model was used to assess the psychometric properties of the patient version of The Right PREM<sup>TM</sup>. The analysis was performed using the Winsteps® software program. Two hundred older patients completed the 50-item questionnaire. During the process of analysis, four items were removed as they did not fit the model and a further 11 items were removed due to high residual correlations. The final 23 items had a Person Separation Index of 2.23, a Person Separation Reliability Coefficient 0.83, an Item Separation Index of 7.70 and an Item Separation Reliability Coefficient of 0.98. Rasch analysis of the patient version of The Right PREM<sup>TM</sup>, based on a robust sample, demonstrated this new instrument is psychometrically sound and warrants ongoing development. <strong>Experience Framework</strong> This article is associated with the Policy & Measurement lens of The Beryl Institute Experience Framework. (<a href="https://www.theberylinstitute.org/ExperienceFramework">https://www.theberylinstitute.org/ExperienceFramework</a>). <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Policy%20%26%20Measurement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PolicyMeasurement">Access other resources</a> related to this lens.</li> </ul>Louise HeuzenroederJyoti KhadkaAlison KitsonThe Beryl Institutearticlehealthcare rightshospitalpatient reported experience measureolder peoplepsychometricsquestionnairerasch measurementMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2021)
institution DOAJ
collection DOAJ
language EN
topic healthcare rights
hospital
patient reported experience measure
older people
psychometrics
questionnaire
rasch measurement
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle healthcare rights
hospital
patient reported experience measure
older people
psychometrics
questionnaire
rasch measurement
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Louise Heuzenroeder
Jyoti Khadka
Alison Kitson
The Right PREMTM: Rasch analysis of a new patient reported experience measure for use by older people in hospital
description Healthcare rights exist to protect older people from harm and to empower older people to participate in their care with independence, choice and control. Multiple investigations revealing abuse provide evidence that older people’s rights are being breached. Older people must have the opportunity to report on their experience of care against their rights. The Right PREM<sup>TM</sup> is a new instrument designed to measure older people’s experience of care against their healthcare rights. The objective of this cross-sectional validation study was to assess the psychometric properties of a new instrument to measure the experience of care consistent with the healthcare rights of older people in the hospital setting. Data were collected from older people who were current hospital inpatients of medical wards in four South Australian metropolitan hospitals. The Rasch model was used to assess the psychometric properties of the patient version of The Right PREM<sup>TM</sup>. The analysis was performed using the Winsteps® software program. Two hundred older patients completed the 50-item questionnaire. During the process of analysis, four items were removed as they did not fit the model and a further 11 items were removed due to high residual correlations. The final 23 items had a Person Separation Index of 2.23, a Person Separation Reliability Coefficient 0.83, an Item Separation Index of 7.70 and an Item Separation Reliability Coefficient of 0.98. Rasch analysis of the patient version of The Right PREM<sup>TM</sup>, based on a robust sample, demonstrated this new instrument is psychometrically sound and warrants ongoing development. <strong>Experience Framework</strong> This article is associated with the Policy & Measurement lens of The Beryl Institute Experience Framework. (<a href="https://www.theberylinstitute.org/ExperienceFramework">https://www.theberylinstitute.org/ExperienceFramework</a>). <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Policy%20%26%20Measurement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PolicyMeasurement">Access other resources</a> related to this lens.</li> </ul>
format article
author Louise Heuzenroeder
Jyoti Khadka
Alison Kitson
author_facet Louise Heuzenroeder
Jyoti Khadka
Alison Kitson
author_sort Louise Heuzenroeder
title The Right PREMTM: Rasch analysis of a new patient reported experience measure for use by older people in hospital
title_short The Right PREMTM: Rasch analysis of a new patient reported experience measure for use by older people in hospital
title_full The Right PREMTM: Rasch analysis of a new patient reported experience measure for use by older people in hospital
title_fullStr The Right PREMTM: Rasch analysis of a new patient reported experience measure for use by older people in hospital
title_full_unstemmed The Right PREMTM: Rasch analysis of a new patient reported experience measure for use by older people in hospital
title_sort right premtm: rasch analysis of a new patient reported experience measure for use by older people in hospital
publisher The Beryl Institute
publishDate 2021
url https://doaj.org/article/3a8e4d47f7924b4ca100d0109fe33eee
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