Development and testing of a scale measuring parent satisfaction with staff interactions

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This study tested the psychometric properties of the Parent Satisfaction Scale (PSS), a new scale measuring parents' satisfaction with their child's mental health services, primarily focusing on staff's interpersonal interactions. Data were collected by postal surveys 5 to 10 months after a child's admission to 1 of 5 mental health treatment programs. Completed surveys were received from parents of 120 of a potential 232 children (52% response rate). Internal consistency reliability of the PSS was strong (α=.96). Construct validity was supported by significant relationships between the PSS and constructs considered to be antecedent variables influencing parent satisfaction, including met expectations (r=0.62, P<.001), met desires (r=0.32, P<.001), and met needs (r=0.55, P<.001). Convergent validity was supported, with the PSS having Pearson correlations of .86 (P<.001) with the Client Satisfaction Questionnaire-8 and .76 (P<.001) with parents' ratings of satisfaction with specific services received.


Mental Health Mental Health Service Construct Validity Convergent Validity Specific Service 
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  1. 1.
    U.S. Public Health Service.Report of the Surgeon General's Conference on Children's Mental Health: A National Agenda. Washington, DC: U.S. Government Printing Office; 2000.Google Scholar
  2. 2.
    Substance Abuse and Mental Health Services Administration.Mental Health, United States. Rockwell, Md: Center for Mental Health Services; 1996.Google Scholar
  3. 3.
    U.S. Department of Health and Human Services.National Plan for Research on Child and Adolescent Mental Disorders: A Report Requested by the U.S. Congress. Washington, DC: National Advisory Council; 1990.Google Scholar
  4. 4.
    Boyd LA.Integrating Systems of Care for Children and Families: An Overview of Values, Methods and Characteristics of Developing Models, With Examples and Recommendations. Tampa, Fla: Florida Mental Health Institute; 1994.Google Scholar
  5. 5.
    Junek W, Thompson AH. Self-regulating service delivery systems: a model for children and youth at risk.Journal of Behavioral Health Services and Research. 1999;26(1):74–79.Google Scholar
  6. 6.
    Knitzer J. Children's mental health policy: challenging the future.Journal of Emotional and Behavioral Disorders. 1993;1:8–16.Google Scholar
  7. 7.
    National Mental Health Association and the Federation of Families for Children's Mental Health.All Systems Failure: An Examination of the Results of Neglecting the Needs of Children With Serious Emotional Disturbance. Washington, DC: National Mental Health Association; 1993.Google Scholar
  8. 8.
    Greeneich D. The link between new and return business and quality of care: patient satisfaction.Advances in Nursing Science. 1993;16(1):62–72.Google Scholar
  9. 9.
    Megivern K, Halm MA, Jones G. Measuring patient satisfaction as an outcome of care.Journal of Nursing Care Quality. 1992;6(4):9–21.Google Scholar
  10. 10.
    Plante TG, Couchman CE, Diaz AR. Measuring treatment outcome and client satisfaction among children and families.The Journal of Mental Health Administration. 1995;22(3):261–269.Google Scholar
  11. 11.
    Delaney KR, Engels-Scianna B. Parents' perceptions of their child's emotional illness and psychiatric treatment needs.Journal of Child and Adolescent Psychiatric Nursing. 1996;9(4):15–24.Google Scholar
  12. 12.
    Dickey B, Wagenaar H. Evaluating mental health care reform: including the clinician, client, and family perspective.The Journal of Mental Health Administration. 1994;21(3):313–319.Google Scholar
  13. 13.
    Eriksen LR. Patient satisfaction with nursing care: concept clarification.Journal of Nursing Measurement. 1995;3(1):59–76.Google Scholar
  14. 14.
    Hsieh M.Importance and Anticipation as Expectation and Their Relationship to Patient Satisfaction With Health Care [dissertation]. Chicago, Ill: University of Illinois; 1988.Google Scholar
  15. 15.
    Lin C. Patient satisfaction with nursing care as an outcome variable: dilemmas for nursing evaluation researchers.Journal of Professional Nursing. 1996;12(4):207–216.Google Scholar
  16. 16.
    Sheppard M. Client satisfaction, extended intervention, and interpersonal skills in community mental health.Journal of Advanced Nursing. 1993;18:246–259.Google Scholar
  17. 17.
    Williams B, Wilkinson G. Patient satisfaction in mental health care.British Journal of Psychiatry. 1995;166:559–562.Google Scholar
  18. 18.
    McMahon RJ, Forehand RL. Consumer satisfaction in behavioral treatment of children: types, issues, and recommendations.Behavior Therapy. 1983;14:209–225.Google Scholar
  19. 19.
    Young SC, Nicholson J, Davis M. An overview of issues in research on consumer satisfaction with child and adolescent mental health services.Journal of Child and Family Studies. 1995;4(2):219–238.Google Scholar
  20. 20.
    Gerkensmeyer J.Examining Parent Satisfaction With Services for Children and Adolescents With Mental Health Problems [dissertation]. Indianapolis, Ind: Indiana University; 1999.Google Scholar
  21. 21.
    Lebow J. Consumer satisfaction with mental health treatment.Psychological Bulletin. 1982;91(2):244–259.Google Scholar
  22. 22.
    Gowers S, Kushlick A. Customer satisfaction in adolescent psychiatry.Journal of Mental Health. 1992;1:353–362.Google Scholar
  23. 23.
    Measelle JR, Weinstein RS, Martinez M. Parent satisfaction with case managed systems of care for children and youth with severe emotional disturbance.Journal of Child and Family Studies. 1998;7(4):451–467.Google Scholar
  24. 24.
    Palisin H, Cecil J, Gumbardo D, Varley C. A survey of parents' satisfaction with their children's hospitalization on a psychiatric unit.Children's Health Care. 1997;26(4):233–240.Google Scholar
  25. 25.
    Gerkensmeyer J, McBride AB, Feaster CF, Austin J. Evaluating mental health services for children: the parents' perspective. In: Liberton C, Kutash K, Friedman R, eds.The 9th Annual Research Conference Proceedings: A System of Care for Children's Mental Health. Tampa, Fla: University of South Florida; 1997:153–158.Google Scholar
  26. 26.
    Webster-Stratton C. Systematic comparison of consumer satisfaction of three cost-effective parent training programs for conduct problem children.Behavior Therapy. 1989;20:103–115.Google Scholar
  27. 27.
    Baker BL, Landen SJ, Kashikma KJ. Effects of parent training on families of children with mental retardation: increased burden or generalized benefit?American Journal on Mental Retardation. 1991;96(2):127–136.Google Scholar
  28. 28.
    Bradley EJ, Clark BS. Patients' characteristics and consumer satisfaction on an inpatient child psychiatric unit.Canadian Journal of Psychiatry. 1993;38(3):175–180.Google Scholar
  29. 29.
    Charlop MH, Parrish JM, Renton LR, Cataldo MF. Evaluation of hospital-based outpatient pediatric psychology services.Journal of Pediatric Psychology. 1986;12(4):485–503.Google Scholar
  30. 30.
    Chung WS, Pardeck JT, Murphy JW. Factors associated with premature termination of psychotherapy by children.Adolescence. 1995;30(119):717–721.Google Scholar
  31. 31.
    Furey WM, Basili LA. Predicting consumer satisfaction in parent training for noncompliant children.Behavior Therapy. 1988;19:555–564.Google Scholar
  32. 32.
    Hillier S, Loshak R, Rahman S, Marks F. An evaluation of child psychiatric services for Bangladeshi parents.Journal of Mental Health. 1994;3:327–337.Google Scholar
  33. 33.
    Horner B, Rey JA. Preliminary findings from program evaluation research on the North Idaho Child And Adolescent Service System Project. In Willis J, Liberton C, Kutash K, Friedman R, eds.The 6th Annual Research Conference Proceedings: A System of Care for Children's Mental Health: Expanding the Research Base. Tampa, Fla: University of South Florida; 1993:19–28.Google Scholar
  34. 34.
    Kopec-Schrader EM, Marden K, Rey SW, Touyz PJ, Beumont, PJV. Parental evaluation of treatment outcome and satisfaction with an inpatient program for eating disorders.Australian and New Zealand Journal of Psychiatry. 1993;27:264–269.Google Scholar
  35. 35.
    Szykula AA, Morris SB, Studweeks C. Child-focused behavior and strategic therapies: outcome comparisons.Psychotherapy. 1987;24(35):546–551.Google Scholar
  36. 36.
    Williams PD, Elder JH, Griggs C. The effects of family training and support on child behavior and parent satisfaction.Archives of Psychiatric Nursing. 1987;1(2):89–97.Google Scholar
  37. 37.
    Pascoe JM. Patient satisfaction in primary health care.Evaluation and Program Planning. 1983;6:185–210.Google Scholar
  38. 38.
    Attkisson CC, Zwick R. The client satisfaction questionnaire: psychometric properties and correlations with service utilization and psychotherapy outcome.Evaluation and Program Planning. 1982;5:233–237.Google Scholar
  39. 39.
    Attkisson CC, Greenfield TK. The Client Satisfaction Questionnaire-8 and the Service Satisfaction Scale-30. In: Maruish ME, ed.The Use of Psychological Testing for Treatment Planning and Outcome Assessment. Hillsdale, NJ: Erlbaum; 1994;402–420.Google Scholar
  40. 40.
    Taylor P, Nelson-Wernick E, Lois C. Development and use of a method of assessing patient perceptions of care.Hospital and Health Services Administration. 1981;Winter:89–104.Google Scholar
  41. 41.
    Vandvik IH, Hoyeraal HM, Fagertun H. The first stay in a pediatric rheumatology ward.Scandinavian Journal of Rheumatology. 1990;19:216–222.Google Scholar
  42. 42.
    DeVellis RF.Scale Development: Theory and Applications. Newbury Park: Sage; 1991.Google Scholar
  43. 43.
    Corrigan P. Consumer satisfaction with institutional and community care.Community Mental Health Journal. 1990; 26(2):155–165.Google Scholar
  44. 44.
    Locker D, Dant D. Theoretical and methodological issues in sociological studies of consumer satisfaction with medical care.Social Science and Medicine. 1978;12:283–292.Google Scholar
  45. 45.
    McPhee C, Zusmen J, Joss RH. Measurement of patient satisfaction: a survey of practices in community mental health centers.Comprehensive Psychiatry. 1975;16(4):399–404.Google Scholar
  46. 46.
    Petersen M. Measuring patient satisfaction: collecting useful data.Journal of Nursing Quality Assurance. 1988;2(3):25–35.Google Scholar
  47. 47.
    Dawson K, Mogridge N. Parental perceptions of paediatric inpatient care.New Zealand Medical Journal. 1991;104:12–13.Google Scholar
  48. 48.
    Edwards D, Yarvis RM, Mueller DP, Langsley DG. Does patient satisfaction correlate with success?Hospital and Community Psychiatry. 1978;29(3):188–190.Google Scholar
  49. 49.
    Eriksen L. Patient satisfaction: an indicator of nursing care quality.Nursing Management. 1987;18:31–35.Google Scholar
  50. 50.
    Essex D, Fox J, Joseph M. The development, factor analysis, and revision of a client satisfaction form.Community Mental Health Journal. 1981;17(3):226–235.Google Scholar
  51. 51.
    Fiester A, Fort D. A method of evaluating the impact of services at a community mental health center.American Journal of Community Psychology. 1978;6(3):291–302.Google Scholar
  52. 52.
    Goldsmith G. Patient satisfaction with a family practice clinic: comparison of a questionnaire and an interview survey.The Journal of Ambulatory Care Management. 1983;May:24–31.Google Scholar
  53. 53.
    Grella C, Grusky O. Families of the seriously mentally ill and their satisfaction with services.Hospital and Community Psychiatry. 1989;40(8):831–835.Google Scholar
  54. 54.
    Kotsopoulos S, Elwood S, Oke L. Parent satisfaction in a child psychiatric service.Canadian Journal of Psychiatry. 1989;34:530–532.Google Scholar
  55. 55.
    Reynolds I, Jones J, Berry D, Hoult J. A crisis team for the mentally ill: the effect on patients, relatives, and admissions.American Psychologist. 1990;152:646–652.Google Scholar
  56. 56.
    Risser N. Development of an instrument to measure patient satisfaction with nurses and nursing care in primary care settings.Nursing Research. 1975;24(1):45–52.Google Scholar
  57. 57.
    Stamps P, Lapriore E. Measuring patient satisfaction in a community hospital.Hospital Topics. 1987;65(5):22–26.Google Scholar
  58. 58.
    Willer B, Miller GH. On the relationship of client satisfaction to client characteristics and outcome of treatment.Journal of Clinical Psychology. 1978;34(1):157–162.Google Scholar
  59. 59.
    Williams F, Elder J, Griggs C. The effects of family training and support on child behavior and parent satisfaction.Archives of Psychiatric Nursing. 1987;1(2):89–97.Google Scholar
  60. 60.
    Zyzanski S, Shulka B, Cassell J. Scale for the measurement of “satisfaction” with medical care: modifications on content, format, and scoring.Medical Care. 1974;12(7):611–620.Google Scholar
  61. 61.
    Armstrong-Esther C, Lacy B, Sandilands M, Browne K. Partnership in care.Journal of Advanced Nursing. 1987;12:735–741.Google Scholar
  62. 62.
    Collins B, Collins T. Parent-professional relations in the treatment of seriously emotionally disturbed children and adolescents.Social Work. 1990;35(6):522–527.Google Scholar
  63. 63.
    Modcrin M, Robinson J. Parents of children with emotional disorders: issues for consideration and practice.Community Mental Health Journal. 1991;27(4):281–292.Google Scholar
  64. 64.
    Kutash K, Robbins T.Measures of Satisfaction With Child Mental Health Services. Tampa, Fla: Florida Mental Health Center: Research and Training Center for Children's Mental Health; 1992.Google Scholar
  65. 65.
    Gerkensmeyer J, McBride AB, Finke L, Austin J. Parent satisfaction with mental health staff interactions: the development, validity, and reliability of the parent satisfaction scale and the parent-staff interaction scale. In: Liberton C, Kutash K, Friedman R, eds.The 8th Annual Research Conference Proceedings: A System of Care for Children's Mental Health. Tampa, Fla: University of South Florida; 1997:153–158.Google Scholar
  66. 66.
    American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994.Google Scholar
  67. 67.
    McDermott PA. A nationwide study of developmental and gender prevalence for psychopathology in childhood and adolescence.Journal of Abnormal Child Psychology. 1996;24(1):53–66.Google Scholar
  68. 68.
    Byalin K. Assessing parental satisfaction with children's mental health services.Evaluation and Program Planning. 1993;16:69–72.Google Scholar
  69. 69.
    Stevenson J, Srebnik D. Congruence between parent-professional ratings of level of functioning: collaboration and satisfaction. In: Liberton C, Kutash K, Friedman R, eds.The 8th Annual Research Conference Proceedings: A System of Care for Children's Mental Health. Tampa, Fla: University of South Florida; 1997:167–170.Google Scholar
  70. 70.
    Gerkensmeyer J. Parent satisfaction with mental health services: relationship to outcomes. In Liberton C, Kutash K, Friedman R, eds.The 14th Annual Research Conference Proceedings: A System of Care for Children's Mental Health. Expanding the Research Base. Tampa, Fla: University of South Florida; 2001:259–266.Google Scholar

Copyright information

© Association of Behavioral Healthcare Management, NCCBH 2005

Authors and Affiliations

  1. 1.Indiana University School of NursingIndianapolis

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