Abstract
BackgroundNo validated instruments for the evaluation of patient satisfaction in colposcopy do exist. Therefore, this study reports on the development of a Patient’s Experience and Attitude to Colposcopy questionnaire.MethodsPatients who recently received colposcopy participated in a focus group. A panel of experts evaluated the transcriptions and agreed on a 15-item draft questionnaire. The draft questionnaire was completed by 68 women who subsequently came for a colposcopy. For construct validation, Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were performed as well as reliability analysis. Concurrent validity was assessed with the 4-item Patient Health questionnaire (PHQ-4).ResultsConstruct validation resulted in an 8-item patient perception scale with good psychometric properties (Cronbach’s alpha: 0.76) and excellent model fit. Two subscales could be discriminated: patient procedure perception scale (alpha: 0.89) and caregiver attitude perception scale (alpha: 0.71). Both subscales intercorrelated moderately (r = 0.28, p = 0.045). The subscale patient perception correlated significantly with the PHQ-4 scale and its anxiety subscale, not with the depression subscale.ConclusionsWe developed a Patient’s Experience and Attitude to Colposcopy questionnaire with adequate psychometric properties. Future application in out-patient clinics should further evaluate its clinical relevance.
Highlights
No validated instruments for the evaluation of patient satisfaction in colposcopy do exist
Colposcopy is the standard procedure in diagnosing high-grade squamous intraepithelial lesions (HSIL), a precancerous stage of cervical cancer
These items especially referred to aspects of the way the procedure was perceived by the women: “I felt stressed before the colposcopy” and “I was worried about the outcome of the colposcopy”
Summary
No validated instruments for the evaluation of patient satisfaction in colposcopy do exist. In the Netherlands, the prevalence of high risk Human Papilloma Virus (hrHPV) is 8% in women between 30 and 60 years [1] These women are invited once every 5 years to participate in the national cervical screening program. Different validated tools have been developed to explore the patient’s experience with given care Examples of such tools are the Quality of Care Through the Patient’s Eyes (QUOTE) [9] and the Consumer Assessment of Healthcare Providers and Systems (CAHPS) [10] surveys. These questionnaires are intended to measure on the meso-level of healthcare and are not specific enough for assessing colposcopy experience [11].
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