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Comparison between Two Generic Questionnaires to Assess Satisfaction with Medication in Chronic Diseases  [PDF]
Stéphanie Delestras, Matthieu Roustit, Pierrick Bedouch, Mélanie Minoves, Valérie Dobremez, Roseline Mazet, Audrey Lehmann, Magalie Baudrant, Beno?t Allenet
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0056247
Abstract: Objective The objective of this work was to compare two generic questionnaires assessing patients’ satisfaction with medication. In addition we tested whether satisfaction can predict adherence to medication regimens in patients with chronic diseases, and which dimensions of satisfaction are most involved. Methods This prospective, observational study was conducted over one year in a heterogeneous population of patients with various chronic diseases. Satisfaction with medication was assessed by using the TSQM? vII and the SatMed-Q? questionnaires, and adherence to treatment was assessed with the Morisky-Green questionnaire. Clinical pharmacists interviewed patients to collect clinical, demographic and therapeutic data. Results 190 patients were enrolled. Both questionnaires showed excellent reliability and correlation was high (R = 0.70; p<0.001). Adherence was correlated with satisfaction with medication whether assessed with the SatMed-Q? (R = 0.23; p = 0.002) or the TSQM? (R = 0.17; p = 0.02). Among different dimensions of satisfaction, convenience of use and side effects are prominent predictors of adherence. Conclusion Adherence is related to the patient’s satisfaction with medication whether assessed with the TSQM? vII or the SatMed-Q?. Therefore, these simple questionnaires could be used as predictive tools to identify patients whos’ adherence needs to be improved.
Scoring and psychometric properties of the Eye-Drop Satisfaction Questionnaire (EDSQ), an instrument to assess satisfaction and compliance with glaucoma treatment
Antoine Regnault, Muriel Viala-Danten, Hélène Gilet, Gilles Berdeaux
BMC Ophthalmology , 2010, DOI: 10.1186/1471-2415-10-1
Abstract: The EDSQ was administered during an observational, retrospective study to 184 French patients treated for glaucoma. The hypothesized structure, including six dimensions (patient-clinician relationship; patient experience; patient-treatment interaction; apprehension; patient knowledge; travel), was tested by assessing the internal consistency reliability (Cronbach's alpha) and construct-related validity (item convergent and discriminant validity). As unsatisfactory results were demonstrated, another structure was defined using a principal component analysis (PCA) combined with content of items. Psychometric properties of this new structure were assessed. Scores were compared between low, moderate and high compliance profile groups defined using data collected with the Travalert electronic device.Analyses were performed with the 169 patients who completed at least half of the EDSQ items. The hypothesized structure showed a Cronbach's alpha lower than 0.70 for four dimensions out of six and an overall poor construct-related validity (range of item-scale correlations: 0.00-0.68). The new structure obtained with the PCA included six dimensions: concern about treatment (five items); concern about disease (two items); satisfaction with patient-clinician relationship (five items); positive beliefs (three items); treatment convenience (three items); and self-declared compliance (three items). A score ranging from 0 to 100 was calculated for each dimension, with higher scores indicating more of the attribute referred to in the dimension. Internal consistency reliability was good (Cronbach's alpha greater than 0.70 for five dimensions). The structure offered good construct-related validity (range of item-scale correlations: 0.36-0.82). Ceiling effects of 21% and 49%, were observed for the satisfaction with patient-clinician relationship and self-declared compliance scores. Patients in low compliance profile group reported the lowest score for the satisfaction with patient-clin
Postal survey methodology to assess patient satisfaction in a suburban emergency medical services system: an observational study
Aaron W Bernard, Christopher J Lindsell, Daniel A Handel, Lindsey Collett, Paul Gallo, Kevin D Kaiser, Donald Locasto
BMC Emergency Medicine , 2007, DOI: 10.1186/1471-227x-7-5
Abstract: Patients transported between January 2001 and December 2004 were mailed a brief satisfaction questionnaire. The questionnaire was printed on a pre-addressed, postage paid postcard and consisted of five questions that used a five-point Likert scale to assess satisfaction with EMS personnel and services provided. Three open-ended questions assessed concerns, the most important service provided, and methods for improving service. Survey response rate was the primary outcome of interest. The Chi-square test was used to compare rates between years.The survey required about 6 man hours and cost about $70 per month. Overall response rate was 32.0% (857/2764; 95CI 30.3% – 33.9%). During the first year, response rate was 42.6% (95CI 38.5% – 46.8%), but was significantly lower in subsequent years (29.0% in year 2, 30.8% in year 3, and 27.6% in year 4, p < 0.05). There were 847/851 respondents (99.5%) who were satisfied or very satisfied with their EMS experience. Three patients felt the service was adequate and one was very unsatisfied. Open-ended questions suggested that interpersonal communications were the single most important contributor to patient satisfaction. Patients also reported that response times and technical aspects of care were important to them.Postal surveys for assessing patient satisfaction following EMS transport can achieve comparable response rates to similar surveys in other health care settings. Response rates did not decline after the second year of patient surveys, suggesting some stability after the initial year. Interpersonal communication was determined to be the single most important contributor to patient satisfaction.Objective information to assure the quality of care delivered by EMS systems is in demand by governmental agencies, insurance companies, and customers [1]. Standard quality indicators such as response time and outcome data may not reflect everything that patients consider important. Patient satisfaction is a quality indicator that
Higher Education for Students with Autism, Using Net Promoter Score to Assess Parents Satisfaction  [PDF]
Wajdi Ahmed Wazzan
Creative Education (CE) , 2019, DOI: 10.4236/ce.2019.1011177
Abstract: This study aims to present the experience of a large public university, King Abdulaziz University, Jeddah, Saudi Arabia, in teaching students with Autism. We needed to assess the overall effect of teaching method, programs, parent’s contribution,?and?student’s involvement on the success of the university in teaching students with Autism Spectrum Disorder (ASD) using a single measure, the Net Promoter Score (NPS). We have received encouraging feedback from students’ families using the NPS to measure their general satisfaction with the educational process of their children. This paper also discusses the positive impact of this experience on the University; in terms of opening the door to the acceptance of students with Autism. This study represents a unique attempt to allow Autism students to continue their higher education. The paper discusses a theoretical framework on the disability of Autism in terms of definition, characteristics and prevalence. The study presents the experience of teaching autistic students and discusses the nature of the challenges faced by the students in terms of study and adaptation to the academic community in general. This study also discusses the adaptive strategies adopted by the students in overcoming all obstacles and problems encountered in their studies at the Faculty of Tourism. This experiment led to the Tourism Faculty promise to allocate 10% of its seats for students with special needs.
Psychometric evaluation of the Osteoporosis Patient Treatment Satisfaction Questionnaire (OPSAT-Q?), a novel measure to assess satisfaction with bisphosphonate treatment in postmenopausal women
Emuella M Flood, Kathleen M Beusterien, Hannah Green, Richard Shikiar, Robert W Baran, Mayur M Amonkar, David Cella
Health and Quality of Life Outcomes , 2006, DOI: 10.1186/1477-7525-4-42
Abstract: The OPSAT-Q contains 16 items in four subscales: Convenience, Confidence with Daily Activities, Side Effects, and Overall Satisfaction. All four subscale scores and an overall composite satisfaction score (CSS) can be computed. The OPSAT-Q, Osteoporosis Targeted Quality of Life (OPTQoL), and sociodemographic/clinical questionnaires, including 3 global items on convenience, functioning and side effects, were self-administered to women with osteoporosis or osteopenia recruited from four US clinics. Analyses included item and scale performance, internal consistency reliability, reproducibility, and construct validity. Reproducibility was measured using the intraclass correlation coefficient (ICC) via a follow-up questionnaire completed by participants 2 weeks post baseline.104 women with a mean age of 65.1 years participated. The majority were Caucasian (64.4%), living with someone (74%), and not currently employed (58.7%). 73% had osteoporosis and 27% had osteopenia. 80% were taking weekly bisphosphonates and 18% were taking daily medication (2% missing data). On a scale of 0–100, individual patient subscale scores ranged from 17 to 100 and CSS scores ranged from 44 to 100. All scores showed acceptable internal consistency reliability (Cronbach's alpha > 0.70) (range 0.72 to 0.89). Reproducibility ranged from 0.62 (Daily Activities) to 0.79 (Side Effects) for the subscales; reproducibility for the CSS was 0.81. Significant correlations were found between the OPSAT-Q subscales and conceptually similar global measures (p < 0.001).The findings from this study confirm the validity and reliability of the OPSAT-Q and support the proposed composition of four subscales and a composite score. They also support the use of the OPSAT-Q to examine the impact of bisphosphonate dosing frequency on patient satisfaction.Osteoporosis is a major public health threat for 44 million Americans, 68% of whom are women [1]. Ten million individuals currently have osteoporosis in the United Sta
Developing a Test Battery to assess Determinants of Marital Relationship Satisfaction in Saudi Arabia  [PDF]
Nadia Al Tamimi,Tulika Jaiswal,Ina Grau,Rainer Banse
Interpersona : An International Journal on Personal Relationships , 2009,
Abstract: A sample of 50 wives and 50 husbands from Saudi Arabia completed a battery of scales assessing different aspects of couple relationship functioning which had been translated from English to Arabic. The selection of measures was based on the Vulnerability-Stress-Adaptation Model (VSA, Karney & Bradbury, 1995) and included measures of partner attachment, conflict behaviour, and relationship with members of the family-in-law as predictors and marital satisfaction as criterion variable. All scales of the test battery showed acceptable reliability. The newly developed conflict behaviour scale consisted of three theoretically meaningful factors (Positive behaviour, Negative behaviour, and Abuse). All instruments showed evidence for convergent validity and contributed significantly to the prediction of relationship satisfaction. The results showed in general a similar pattern of correlations in Saudi Arabia as previous studies in Western countries.
Satisfaction Derived by the Customers on the Services Offered by the Foreign Sector Banks in Coimbatore District  [PDF]
S. Thinakaran
Bonfring International Journal of Industrial Engineering and Management Science , 2012, DOI: 10.9756/bijiems.1505
Abstract: Customer satisfaction on various services is considered as an important parameter for the management of banks to prepare future strategy. Today, customers are more value oriented in their consumption of services because they have alternative choices. After the emergence of foreign banks in India, the banking sector in India has become more competitive and accurate. Foreign banks have brought latest technology and latest banking practices to India. Foreign Banks in India have brought prompt services to customers. Their contribution is significant in terms of making the Indian Banking system more competitive and efficient. Hence, the present study is a fact finding exercise to measure the level of satisfaction derived by the customers of foreign sector banks in Coimbatore district and to identify the factors that influence the same.
Job satisfaction and its modeling among township health center employees: a quantitative study in poor rural China
Jun A Liu, Qi Wang, Zu X Lu
BMC Health Services Research , 2010, DOI: 10.1186/1472-6963-10-115
Abstract: A self-completion questionnaire was used to assess the job satisfaction and relevant features (response rate: 90.5%) among 172 employees (i.e., clinic doctors, medico-technical workers and public health workers) of 17 THCs in Anhui and Xinjiang provinces of China. The study covered a time period of two months in 2007.The mean staff job satisfaction scored 83.3, which was in the category of "somewhat satisfied" on a scale ranging from 0 (extremely dissatisfied) to 100 (extremely satisfied) by employing Likert's transformation formula. Exploratory factor analysis (EFA) revealed eight domains involved in modeling of job satisfaction, among which, the caregivers were more satisfied with job significance (88.2), job competency (87.9) and teamwork (87.7), as compared with work reward (72.9) and working conditions (79.7). Mean job satisfaction in Xinjiang (89.7) was higher than that in Anhui (75.5).Employees of THCs have moderate job satisfactions in poor areas, which need to be raised further by improving their working conditions and reward.Job satisfaction is defined as the positive personal perception towards work or work experiences [1]. In fact, job satisfaction has been identified as an important determinant of employee retention, turnover and work performance [2]. In health service sectors, job satisfaction is highly associated with staff's intention to quit, quality and efficiency of services, and patient satisfaction [3]. It has been reported that doctors with higher job satisfaction are more likely to provide more satisfactory services and produce better therapeutic effect than those with the lower one [4]. Therefore, higher job satisfaction tends to result in much higher patient satisfaction and reduce medical costs, thereby making a hospital more competitive [5].Recently, doctor dissatisfaction has become a subject of keen investigation [6]. In 2001, Richard Smith posed a question "Why are doctors so unhappy?" in BMJ, believing that the reasons varied, some of
An ensemble approach to assess hydrological models' contribution to uncertainties in the analysis of climate change impact on water resources
J. A. Velázquez, J. Schmid, S. Ricard, M. J. Muerth, B. Gauvin St-Denis, M. Minville, D. Chaumont, D. Caya, R. Ludwig,R. Turcotte
Hydrology and Earth System Sciences (HESS) & Discussions (HESSD) , 2013,
Abstract: Over the recent years, several research efforts investigated the impact of climate change on water resources for different regions of the world. The projection of future river flows is affected by different sources of uncertainty in the hydro-climatic modelling chain. One of the aims of the QBic3 project (Québec-Bavarian International Collaboration on Climate Change) is to assess the contribution to uncertainty of hydrological models by using an ensemble of hydrological models presenting a diversity of structural complexity (i.e., lumped, semi distributed and distributed models). The study investigates two humid, mid-latitude catchments with natural flow conditions; one located in Southern Québec (Canada) and one in Southern Bavaria (Germany). Daily flow is simulated with four different hydrological models, forced by outputs from regional climate models driven by global climate models over a reference (1971–2000) and a future (2041–2070) period. The results show that, for our hydrological model ensemble, the choice of model strongly affects the climate change response of selected hydrological indicators, especially those related to low flows. Indicators related to high flows seem less sensitive on the choice of the hydrological model.
An ensemble approach to assess hydrological models' contribution to uncertainties in the analysis of climate change impact on water resources
J. A. Velázquez,J. Schmid,S. Ricard,M. J. Muerth
Hydrology and Earth System Sciences Discussions , 2012, DOI: 10.5194/hessd-9-7441-2012
Abstract: Over the recent years, several research efforts investigated the impact of climate change on water resources for different regions of the world. The projection of future river flows is affected by different sources of uncertainty in the hydro-climatic modelling chain. One of the aims of the QBic3 project (Québec-Bavarian International Collaboration on Climate Change) is to assess the contribution to uncertainty of hydrological models by using an ensemble of hydrological models presenting a diversity of structural complexity (i.e. lumped, semi distributed and distributed models). The study investigates two humid, mid-latitude catchments with natural flow conditions; one located in Southern Québec (Canada) and one in Southern Bavaria (Germany). Daily flow is simulated with four different hydrological models, forced by outputs from regional climate models driven by a given number of GCMs' members over a reference (1971–2000) and a future (2041–2070) periods. The results show that the choice of the hydrological model does strongly affect the climate change response of selected hydrological indicators, especially those related to low flows. Indicators related to high flows seem less sensitive on the choice of the hydrological model. Therefore, the computationally less demanding models (usually simple, lumped and conceptual) give a significant level of trust for high and overall mean flows.
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