Development and validation of a questionnaire to evaluate patient satisfaction with diabetes disease management.

Abstract

OBJECTIVE: To develop a reliable and valid questionnaire to measure patient satisfaction with diabetes disease management programs. RESEARCH DESIGN AND METHODS: Questions related to structure, process, and outcomes were categorized into 14 domains defining the essential elements of diabetes disease management. Health professionals confirmed the content validity. Face validity was established by a patient focus group. The questionnaire was mailed to 711 patients with diabetes who participated in a disease management program. To reduce the number of questionnaire items, a principal components analysis was performed using a varimax rotation. The Scree test was used to select significant components. To further assess reliability and validity; Cronbach's alpha and product-moment correlations were calculated for components having > or =3 items with loadings >0.50. RESULTS: The validated 73-item mailed satisfaction survey had a 34.1% response rate. Principal components analysis yielded 13 components with eigenvalues > 1.0. The Scree test proposed a 6-component solution (39 items), which explained 59% of the total variation. Internal consistency reliabilities computed for the first 6 components (alpha = 0.79-0.95) were acceptable. CONCLUSIONS: The final questionnaire, the Diabetes Management Evaluation Tool (DMET), was designed to assess patient satisfaction with diabetes disease management programs. Although more extensive testing of the questionnaire is appropriate, preliminary reliability and validity of the DMET has been demonstrated.

Gain in Patients' Knowledge of Diabetes Management Targets Is Associated With Better Glycemic Control

“…The correct answer for each question carried a score of 20%. The test was validated by a method similar to the one developed by Paddock et al (20).…”

Validation of a questionnaire measuring patient satisfaction with general practitioner services

“…The PSQ remains the only comprehensive patient satisfaction questionnaire that is designed specifically for use in the British general practice context. Other more recent questionnaires are non-UK based and/or designed for hospital patients [15][16][17] and recent British measures are designed to look at specific aspects of the service such as care across the primary/ secondary interface. 18 Initial tests on one sample of patients in Norfolk suggested that the questionnaire was internally reliable and valid.…”

Development and Validation of a New Measure to Evaluate Psychological Resistance to Insulin Treatment

“…Thus, a wellvalidated diagnostic tool may be helpful to identify specific obstacles against the initiation of insulin treatment. There are some questionnaires that measure different aspects of satisfaction with treatment or diabetes-related burdens or stress (11)(12)(13)(14)(15)(16)(17), but presently, to our knowledge, no specific measurement of the psychological barriers to insulin treatment has been created, validated, and published.…”