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The Colonoscopy Satisfaction and Safety Questionnaire (CSSQP) for Colorectal Cancer Screening: A Development and Validation Study

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  • Alicia Brotons

    (Department of Gastroenterology, Vega Baja Hospital of Orihuela, 03314 Orihuela, Spain
    Department of Pathology and Surgery, Miguel Hernandez University of Elche, 03203 Elche, Spain)

  • Mercedes Guilabert

    (Department of Health Psychology, Miguel Hernandez University of Elche, 03550 Elche, Spain)

  • Francisco Javier Lacueva

    (Department of Pathology and Surgery, Miguel Hernandez University of Elche, 03203 Elche, Spain)

  • José Joaquín Mira

    (Department of Health Psychology, Miguel Hernandez University of Elche, 03550 Elche, Spain
    Alicante-Sant Joan Health District, 03550 Alicante, Spain)

  • Blanca Lumbreras

    (Department of Public Health, Miguel Hernandez University of Elche, 03550 Elche, Spain
    CIBER of Epidemiology and Public Health, 28029 Madrid, Spain)

  • María Dolores Picó

    (Department of Gastroenterology, University General Hospital of Elche, 03203 Elche, Spain)

  • Julián Vitaller

    (Department of Public Health, Miguel Hernandez University of Elche, 03550 Elche, Spain
    CIBER of Epidemiology and Public Health, 28029 Madrid, Spain)

  • Mariana Fe García-Sepulcre

    (Department of Gastroenterology, University General Hospital of Elche, 03203 Elche, Spain)

  • Germán Belda

    (Department of Gastroenterology, Vega Baja Hospital of Orihuela, 03314 Orihuela, Spain)

  • Javier Sola-Vera

    (Department of Gastroenterology, University General Hospital of Elche, 03203 Elche, Spain)

Abstract

Colonoscopy services working in colorectal cancer screening programs must perform periodic controls to improve the quality based on patients’ experiences. However, there are no validated instruments in this setting that include the two core dimensions for optimal care: satisfaction and safety. The aim of this study was to design and validate a specific questionnaire for patients undergoing screening colonoscopy after a positive fecal occult blood test, the Colonoscopy Satisfaction and Safety Questionnaire based on patients’ experience (CSSQP). The design included a review of available evidence and used focus groups to identify the relevant dimensions to produce the instrument (content validity). Face validity was analyzed involving 15 patients. Reliability and construct and empirical validity were calculated. Validation involved patients from the colorectal cancer screening program at two referral hospitals in Spain. The CSSQP version 1 consisted of 15 items. The principal components analysis of the satisfaction items isolated three factors with saturation of elements above 0.52 and with high internal consistency and split-half readability: Information, Care, and Service and Facilities features. The analysis of the safety items isolated two factors with element saturations above 0.58: Information Gaps and Safety Incidents. The CSSQP is a new valid and reliable tool for measuring patient’ experiences, including satisfaction and safety perception, after a colorectal cancer screening colonoscopy.

Suggested Citation

  • Alicia Brotons & Mercedes Guilabert & Francisco Javier Lacueva & José Joaquín Mira & Blanca Lumbreras & María Dolores Picó & Julián Vitaller & Mariana Fe García-Sepulcre & Germán Belda & Javier Sola-V, 2019. "The Colonoscopy Satisfaction and Safety Questionnaire (CSSQP) for Colorectal Cancer Screening: A Development and Validation Study," IJERPH, MDPI, vol. 16(3), pages 1-15, January.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:3:p:392-:d:202096
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    References listed on IDEAS

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    1. Doris Y. P. Leung & Ka Ming Chow & Sally W. S. Lo & Winnie K. W. So & Carmen W. H. Chan, 2016. "Contributing Factors to Colorectal Cancer Screening among Chinese People: A Review of Quantitative Studies," IJERPH, MDPI, vol. 13(5), pages 1-21, May.
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