Development and Validation of the MiPrep Survey: An Instrument Assessing Patients' Perceived Preparation for Medical Interventions Including Medical Imaging, Radiotherapy, and Surgery

Kristy L Fakes; Alix E Hall; Mariko L Carey; Allison W Boyes; Michael Symonds; Tiffany-Jane Evans; Rob W Sanson-Fisher

doi:10.1016/j.jval.2019.01.017

Development and Validation of the MiPrep Survey: An Instrument Assessing Patients' Perceived Preparation for Medical Interventions Including Medical Imaging, Radiotherapy, and Surgery

Value Health. 2019 Jun;22(6):704-711. doi: 10.1016/j.jval.2019.01.017. Epub 2019 May 17.

Authors

Kristy L Fakes¹, Alix E Hall², Mariko L Carey³, Allison W Boyes³, Michael Symonds⁴, Tiffany-Jane Evans⁵, Rob W Sanson-Fisher³

Affiliations

¹ Health Behaviour Research Collaborative, Faculty of Health and Medicine, School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia; Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, New South Wales, Australia; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia. Electronic address: kristy.fakes@newcastle.edu.au.
² Health Behaviour Research Collaborative, Faculty of Health and Medicine, School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia; Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, New South Wales, Australia; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia; Clinical Research Design, Information Technology and Statistical Support, Hunter Medical Research Institute, Newcastle, New South Wales, Australia.
³ Health Behaviour Research Collaborative, Faculty of Health and Medicine, School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia; Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, New South Wales, Australia; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.
⁴ Hunter New England Imaging, John Hunter Hospital/Royal Newcastle Centre, New Lambton Heights, New South Wales, Australia.
⁵ Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia; Clinical Research Design, Information Technology and Statistical Support, Hunter Medical Research Institute, Newcastle, New South Wales, Australia.

PMID: 31198188
DOI: 10.1016/j.jval.2019.01.017

Abstract

Background: Adequately preparing patients for medical interventions is an important component of quality healthcare. Nevertheless, few instruments for assessing patients' preparation exist.

Objectives: To develop a psychometrically rigorous instrument to assess patients' perceptions of the quality of preparation.

Methods: An instrument to measure patients' preparation for medical interventions (MiPrep) was developed and tested with patients undergoing medical imaging, radiotherapy, or surgery. Patients were recruited and asked to complete 2 surveys. Survey A assessed patient and intervention characteristics. Survey B (postintervention) contained MiPrep to assess validity (face, content, and construct) and reliability (internal consistency and test-retest).

Results: A total of 869 (85%) patients consented to participate and 551 (63%) returned the postintervention survey. Face and content validity were demonstrated. Exploratory factor analysis identified 2 survey modules: receipt and adequacy of information (2 domains) and overall appraisal of patient-centered care (1 domain). Reliability was evidenced by adequate internal consistency (Cronbach α 0.81-0.89) and item-total correlations higher than 0.20. Nevertheless, individual item test-retest reliability requires further confirmation. The final instrument contained 27 items.

Conclusions: The MiPrep instrument has evidence of being a valid and reliable instrument of preparation for medical interventions. Healthcare providers can use the instrument as a quality assurance tool to identify areas for improvement and areas of excellence in patients' preparation. Future studies should verify these findings in other populations and examine the divergent and predictive validity of the instrument.

Keywords: diagnostic techniques and procedures; psychometrics; quality of healthcare; surveys and questionnaires.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Aged
Aged, 80 and over
Diagnostic Imaging / methods
Diagnostic Imaging / psychology
Female
Humans
Male
Middle Aged
Patients / psychology*
Perception*
Psychometrics / instrumentation
Psychometrics / methods
Psychometrics / standards*
Reproducibility of Results
Self Efficacy
Surgical Procedures, Operative / methods
Surgical Procedures, Operative / psychology
Surveys and Questionnaires / standards*