Supportive Care in Cancer

, Volume 20, Issue 9, pp 1949–1956

Psychometric validation and reliability analysis of a Spanish version of the patient satisfaction with cancer-related care measure: a patient navigation research program study

  • Pascal Jean-Pierre
  • Kevin Fiscella
  • Paul C. Winters
  • Electra Paskett
  • Kristen Wells
  • Tracy Battaglia
  • Patient Navigation Research Program Group
Original Article

DOI: 10.1007/s00520-011-1297-3

Cite this article as:
Jean-Pierre, P., Fiscella, K., Winters, P.C. et al. Support Care Cancer (2012) 20: 1949. doi:10.1007/s00520-011-1297-3

Abstract

Background

Patient satisfaction (PS), a key measure of quality of cancer care, is a core study outcome of the multi-site National Cancer Institute-funded Patient Navigation Research Program. Despite large numbers of underserved monolingual Spanish speakers (MSS) residing in USA, there is no validated Spanish measure of PS that spans the whole spectrum of cancer-related care. The present study reports on the validation of the Patient Satisfaction with Cancer Care (PSCC) measure for Spanish (PSCC-Sp) speakers receiving diagnostic and therapeutic cancer-related care.

Methods

Original PSCC items were professionally translated and back translated to ensure cultural appropriateness, meaningfulness, and equivalence. Then, the resulting 18-item PSCC-Sp measure was administered to 285 MSS. We evaluated latent structure and internal consistency of the PSCC-Sp using principal components analysis (PCA) and Cronbach coefficient alpha (α). We used correlation analyses to demonstrate divergence and convergence of the PSCC-Sp with a Spanish version of the Patient Satisfaction with Interpersonal Relationship with Navigator (PSN-I-Sp) measure and patients' demographics.

Results

The PCA revealed a coherent set of items that explicates 47% of the variance in PS. Reliability assessment demonstrated that the PSCC-Sp had high internal consistency (α = 0.92). The PSCC-Sp demonstrated good face validity and convergent and divergent validities as indicated by moderate correlations with the PSN-I-Sp (p = 0.003) and nonsignificant correlations with marital status and household income (all ps > 0.05).

Conclusion

The PSCC-Sp is a valid and reliable measure of PS and should be tested in other MSS populations.

Keywords

Patient satisfaction Cancer-related care Racial–ethnic minorities Psychometrics Cross-cultural validation Cancer disparities Underserved populations 

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Pascal Jean-Pierre
    • 1
  • Kevin Fiscella
    • 2
  • Paul C. Winters
    • 2
  • Electra Paskett
    • 3
  • Kristen Wells
    • 4
  • Tracy Battaglia
    • 5
  • Patient Navigation Research Program Group
  1. 1.University of Miami School of Medicine and Sylvester Comprehensive Cancer CenterMiamiUSA
  2. 2.Department of Family MedicineUniversity of Rochester Medical CenterRochesterUSA
  3. 3.Ohio State UniversityColumbusUSA
  4. 4.Center for Evidence-based Medicine and Health Outcomes ResearchUniversity of South Florida College of MedicineTampaUSA
  5. 5.Boston University School of Medicine, and School of Public HealthBostonUSA

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