Acceptability, sensitivity and content validity of the VECS and VSSS in measuring expectations and satisfaction in psychiatric patients and their relatives

Ruggeri, Mirella; Dall'Agnola, Rosa Bruna; Agostini, Carlo; Bisoffi, Giulia

doi:10.1007/bf00802049

Cited by 91 publications

(51 citation statements)

References 25 publications

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“…Satisfaction with mental health services was assessed using the Verona Service Satisfaction Scale (VSSSR; Ruggeri and Dall'Agnola, 1993; Ruggeri et al, 1994, 1996, 2007) which is designed for self-administration and can be completed without prior training in 20–30 min. The VSSS has been implemented both in the version for Patients and for Relatives (Ruggeri et al, 2007).…”

Section: Methodsmentioning

confidence: 99%

Family Burden, Emotional Distress and Service Satisfaction in First Episode Psychosis. Data from the GET UP Trial

et al. 2017

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Background: Literature has documented the role of family in the outcome of chronic schizophrenia. In the light of this, family interventions (FIs) are becoming an integral component of treatment for psychosis. The First Episode of Psychosis (FEP) is the period when most of the changes in family atmosphere are observed; unfortunately, few studies on the relatives are available.Objective: To explore burden of care and emotional distress at baseline and at 9-month follow-up and the levels of service satisfaction at follow-up in the two groups of relatives (experimental treatment EXP vs. treatment as usual TAU) recruited in the cluster-randomized controlled GET UP PIANO trial.Methods: The experimental treatment was provided by routine public Community Mental Health Centers (Italian National Health Service) and consisted of Treatment as Usual plus evidence-based additional treatment (Cognitive Behavioral Therapy for psychosis for patients, Family Intervention for psychosis, and Case Management). TAU consisted of personalized outpatient psychopharmacological treatment, combined with non-specific supportive clinical management and informal support/educational sessions for families. The outcomes on relatives were assessed by the Involvement Evaluation Questionnaire (IEQ-EU), the General Health Questionnaire (GHQ-12), and the Verona Service Satisfaction Scale (VSSS-EU). Differences within and between groups were evaluated.Results: At baseline, 75 TAU and 185 EXP caregivers were assessed. In the experimental group 92% of relatives participated in at least 1 family session. At follow-up both groups experienced improvement in all IEQ and GHQ items, but caregivers belonging to the EXP arm experienced a significantly greater change in 10 IEQ items (mainly pertaining to the “Tension” dimension) and in GHQ items. Due to the low sample size, a significant effectiveness was only observed for 2 IEQ items and 1 GHQ-12 item. With respect to VSSS data at follow-up, caregivers in the EXP arm experienced significantly greater satisfaction in 8 items, almost all pertaining to the dimensions “Relatives' Involvement” and “Professionals' Skills and Behavior.”Conclusions: The Family intervention for psychosis delivered in the GET UP PIANO trial reduced family burden of illness and improved emotional distress and satisfaction with services. These results should encourage to promote FIs on caregivers of first-episode psychosis patients.

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Section: Methodsmentioning

confidence: 99%

Family Burden, Emotional Distress and Service Satisfaction in First Episode Psychosis. Data from the GET UP Trial

et al. 2017

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“…The Verona Service Satisfaction Scale [VSSS-54;Ruggeri et al, 1994], was used to measure satisfaction with mental health services; the items are rated on a sevenpoint Likert scale with global score reflecting higher satisfaction.…”

Section: Satisfaction Toward Care Servicesmentioning

confidence: 99%

“…Two factors seem particularly worthy of investigation in multi-factorial models: the first is satisfaction with care received (Ruggeri et al, 1994), a multidimensional concept which has been found to be associated with a higher number of unmet needs for care and lower QOL (Ruggeri et al, 2003). The second factor is represented by spiritual and religious well-being: in a recent study the QOL spiritual domain of patients with residual schizophrenia explained more than 64% of the variance of overall QOL score (Shah et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

Lanfredi

Candini

Buizza

et al. 2014

Psychiatry Research

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a b s t r a c tQuality of life (QOL) has been considered an important outcome measure in psychiatric research and determinants of QOL have been widely investigated. We aimed at detecting predictors of QOL at baseline and at testing the longitudinal interrelations of the baseline predictors with QOL scores at a 1-year follow-up in a sample of patients living in Residential Facilities (RFs). Logistic regression models were adopted to evaluate the association between WHOQoL-Bref scores and potential determinants of QOL. In addition, all variables significantly associated with QOL domains in the final logistic regression model were included by using the Structural Equation Modeling (SEM). We included 139 patients with a diagnosis of schizophrenia spectrum. In the final logistic regression model level of activity, social support, age, service satisfaction, spiritual well-being and symptoms' severity were identified as predictors of QOL scores at baseline. Longitudinal analyses carried out by SEM showed that 40% of QOL follow-up variability was explained by QOL at baseline, and significant indirect effects toward QOL at follow-up were found for satisfaction with services and for social support. Rehabilitation plans for people with schizophrenia living in RFs should also consider mediators of change in subjective QOL such as satisfaction with mental health services.

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“…The previous literature concerning the effects of patient socio-demographic characteristics on service satisfaction remains inconclusive. On the one hand, no clear relationship has been found between satisfaction and psychosocial factors, such as marital status, occupation and education [39]; on the other hand, previous findings indicate that socio-demographic variables have only a modest impact in the various domains of satisfaction [19,34,38,40,41]. In line with these findings in the present study, we found that OCD patients without partner or spouse were more dissatisfied in the type of interventions, similar to the patients without positive family history.…”

Section: Discussionmentioning

confidence: 99%

Patient satisfaction with specialized mental health service for obsessive-compulsive disorder

et al. 2013

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BackgroundPatient satisfaction is an important outcome variable that is increasingly used in mental health service evaluation. There are no results available for patients with obsessive-compulsive disorder (OCD) yet.MethodsUsing the Verona Service Satisfaction Scale, patient satisfaction with a specialized mental health service was examined in patients with OCD.ResultsOCD patients were overall satisfied with the professional help provided, whereas satisfaction with the professional involvement of relatives within the treatment and health care process was found to be quite low. Patients with more severe OCD, as measured by the Yale-Brown Obsessive-Compulsive Scale, as well as chronically ill and more disabled patients were more likely to be dissatisfied with the overall care they received. Patient satisfaction plays an important role in the long-term course of an illness such OCD. This seems to be decreased so longer illness is not or badly treated. There is a stronger need for involvement of family members in the treatment and health care of patients with OCD.ConclusionsMore OCD-specific treatment offers have to be established for patients with this long-term illness such as psychotherapy in groups.

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Acceptability, sensitivity and content validity of the VECS and VSSS in measuring expectations and satisfaction in psychiatric patients and their relatives

Cited by 91 publications

References 25 publications

Family Burden, Emotional Distress and Service Satisfaction in First Episode Psychosis. Data from the GET UP Trial

Family Burden, Emotional Distress and Service Satisfaction in First Episode Psychosis. Data from the GET UP Trial

The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

Patient satisfaction with specialized mental health service for obsessive-compulsive disorder

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