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.
Highlights
Colorectal cancer is one of the most common cancers in both men and women worldwide [1]and is a good candidate for screening programs
Areas to be explored and elements for the CSSQP were proposed, which were subsequently validated in patients who underwent a colonoscopy in the colorectal cancer screening program of the National
The questionnaire aims to explore all the areas that fall within the scope of the colonoscopy services working in screening programs
Summary
Colorectal cancer is one of the most common cancers in both men and women worldwide [1]and is a good candidate for screening programs. Colorectal cancer is one of the most common cancers in both men and women worldwide [1]. Colonoscopy is an essential procedure in colorectal. Information prior to the procedure regarding what sensations to expect after the colonoscopy. Need for a place (locker) to store personal objects during the procedure. A total of 505 consecutive patients underwent colonoscopy after a FOBT, 300 (59.4%) at Vega Baja Hospital and 205 (40.6%) at Elche University Hospital. Three hundred and seventy-eight 378 filled out the questionnaire (global response rate 74.85%, 80% at Vega Baja Hospital of Orihuela and 63% at University Hospital of Elche). Eight questionnaires were incomplete and interpreted as “not valid”, and were excluded.
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