Development and validation of a patient experience assessment questionnaire for evaluating hospital care in Iran
Abstract Purpose Understanding patient experience is crucial for advancing patient-centered care and improving hospital service quality. This study aimed to design and validate a Persian version of a patient experience assessment questionnaire to evaluate hospital services. Methods This descriptive-...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-025-12208-8 |
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| author | Faezeh Nezamdoost Ali Vafaei Najar Marziye Zarqi Jamshid Jamali Seyed Saeed Tabatabaei Elaheh Hooshmand |
| author_facet | Faezeh Nezamdoost Ali Vafaei Najar Marziye Zarqi Jamshid Jamali Seyed Saeed Tabatabaei Elaheh Hooshmand |
| author_sort | Faezeh Nezamdoost |
| collection | DOAJ |
| description | Abstract Purpose Understanding patient experience is crucial for advancing patient-centered care and improving hospital service quality. This study aimed to design and validate a Persian version of a patient experience assessment questionnaire to evaluate hospital services. Methods This descriptive-analytical study on tool development was conducted cross-sectionally during 2021–2022 in Iran. The study consisted of two stages: (1) In the first stage, a deductive approach and comprehensive literature review were employed to develop the initial questionnaire items, based on the framework from prior research titled "Developing a Model for Evaluating Patient Experience in Teaching Hospitals in Iran." (2) In the second stage, validation was carried out by assessing face validity, content validity (using expert panels to evaluate the Content Validity Index (CVI) and Content Validity Ratio (CVR)), and construct validity through confirmatory factor analysis. Sampling for the face validity stage included 30 randomly selected patients, while construct validity was assessed with a sample of 340 participants, of which 300 provided complete and valid data. Reliability was determined using internal consistency (Cronbach's alpha) and stability (intra-cluster correlation coefficient) measures. Results The initial questionnaire comprised 44 items. Following expert reviews and validation processes, 10 items were removed, resulting in a final version with 33 items. The confirmatory factor analysis confirmed the five-dimensional structure, with a Cronbach's alpha of 0.97 and an intra-cluster correlation coefficient of 0.89, indicating strong internal consistency and reliability. Conclusion This study successfully developed and validated a 33-item questionnaire for assessing patient experience in Iranian hospitals, ensuring cultural relevance and robust psychometric properties. |
| format | Article |
| id | doaj-art-bb68ba9557014cf28c86affcaa0faec7 |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-bb68ba9557014cf28c86affcaa0faec72025-01-19T12:15:09ZengBMCBMC Health Services Research1472-69632025-01-0125111010.1186/s12913-025-12208-8Development and validation of a patient experience assessment questionnaire for evaluating hospital care in IranFaezeh Nezamdoost0Ali Vafaei Najar1Marziye Zarqi2Jamshid Jamali3Seyed Saeed Tabatabaei4Elaheh Hooshmand5Student Research Committee, Mashhad University of Medical SciencesDepartment of Management sciences and health Economics, School of Health, Mashhad University of Medical SciencesDepartment of Health Services Management, Iran University of Medical Sciences (IUMS)Social Determinates of Health Research Center, Mashhad University of Medical SciencesDepartment of Management sciences and health Economics, School of Health, Mashhad University of Medical SciencesDepartment of Management sciences and health Economics, School of Health, Mashhad University of Medical SciencesAbstract Purpose Understanding patient experience is crucial for advancing patient-centered care and improving hospital service quality. This study aimed to design and validate a Persian version of a patient experience assessment questionnaire to evaluate hospital services. Methods This descriptive-analytical study on tool development was conducted cross-sectionally during 2021–2022 in Iran. The study consisted of two stages: (1) In the first stage, a deductive approach and comprehensive literature review were employed to develop the initial questionnaire items, based on the framework from prior research titled "Developing a Model for Evaluating Patient Experience in Teaching Hospitals in Iran." (2) In the second stage, validation was carried out by assessing face validity, content validity (using expert panels to evaluate the Content Validity Index (CVI) and Content Validity Ratio (CVR)), and construct validity through confirmatory factor analysis. Sampling for the face validity stage included 30 randomly selected patients, while construct validity was assessed with a sample of 340 participants, of which 300 provided complete and valid data. Reliability was determined using internal consistency (Cronbach's alpha) and stability (intra-cluster correlation coefficient) measures. Results The initial questionnaire comprised 44 items. Following expert reviews and validation processes, 10 items were removed, resulting in a final version with 33 items. The confirmatory factor analysis confirmed the five-dimensional structure, with a Cronbach's alpha of 0.97 and an intra-cluster correlation coefficient of 0.89, indicating strong internal consistency and reliability. Conclusion This study successfully developed and validated a 33-item questionnaire for assessing patient experience in Iranian hospitals, ensuring cultural relevance and robust psychometric properties.https://doi.org/10.1186/s12913-025-12208-8Patient experiencePatient-centered carePatient satisfactionPatient responsivenessPatient experience assessment questionnaire |
| spellingShingle | Faezeh Nezamdoost Ali Vafaei Najar Marziye Zarqi Jamshid Jamali Seyed Saeed Tabatabaei Elaheh Hooshmand Development and validation of a patient experience assessment questionnaire for evaluating hospital care in Iran BMC Health Services Research Patient experience Patient-centered care Patient satisfaction Patient responsiveness Patient experience assessment questionnaire |
| title | Development and validation of a patient experience assessment questionnaire for evaluating hospital care in Iran |
| title_full | Development and validation of a patient experience assessment questionnaire for evaluating hospital care in Iran |
| title_fullStr | Development and validation of a patient experience assessment questionnaire for evaluating hospital care in Iran |
| title_full_unstemmed | Development and validation of a patient experience assessment questionnaire for evaluating hospital care in Iran |
| title_short | Development and validation of a patient experience assessment questionnaire for evaluating hospital care in Iran |
| title_sort | development and validation of a patient experience assessment questionnaire for evaluating hospital care in iran |
| topic | Patient experience Patient-centered care Patient satisfaction Patient responsiveness Patient experience assessment questionnaire |
| url | https://doi.org/10.1186/s12913-025-12208-8 |
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