Abstract
BackgroundThe Partners at Care Transitions Measure (PACT-M) is a patient-reported questionnaire for evaluation of the quality and safety of care transitions from hospital to home, as experienced by older adults. PACT-M has two components; PACT-M 1 to capture the immediate post discharge period and PACT-M 2 to assess the experience of managing care at home. In this study, we aim to examine the psychometric properties, factor structure, validity and reliability of the PACT-M.MethodsWe administered the PACT-M over the phone and by mail, within one week post discharge with 138 participants and one month after discharge with 110 participants. We performed principal components analysis and factors were assessed for internal consistency, reliability and construct validity.ResultsReliability was assessed by calculating Cronbach’s alpha for the 9-item PACT-M 1 and 8-item PACT-M 2 and exploratory factor analysis was performed to evaluate dimensionality of the scales. Principal components analysis was chosen using pair-wise deletion. Both PACT-M 1 and PACT-M 2 showed high internal consistency and good internal reliability values and conveyed unidimensional scale characteristics with high reliability scores; above 0.8.ConclusionsThe PACT-M has shown evidence to suggest that it is a reliable measure to capture patients’ perception of the quality of discharge arrangements and also on patients’ ability to manage their care at home one month post discharge. PACT-M 1 is a marker of patient experience of transition and PACT-M 2 of coping at home.
Highlights
The Partners at Care Transitions Measure (PACT-M) is a patient-reported questionnaire for evaluation of the quality and safety of care transitions from hospital to home, as experienced by older adults
Care transition is a sequence of activities before and after discharge, designed to ensure coordination between providers and continuity of care between services, as patients move across health care services [1]
This study explored the reliability and validity of the PACT-M, a tool measuring older patients’ experience during two time points; (i) patients’ experience of preparation for discharge using PACT-M 1 within a week of discharge and (ii) coping at home using PACT-M 2 at one month post discharge
Summary
The Partners at Care Transitions Measure (PACT-M) is a patient-reported questionnaire for evaluation of the quality and safety of care transitions from hospital to home, as experienced by older adults. PACT-M has two components; PACT-M 1 to capture the immediate post discharge period and PACT-M 2 to assess the experience of managing care at home. We aim to examine the psychometric properties, factor structure, validity and reliability of the PACT-M. Care transition is a sequence of activities before and after discharge, designed to ensure coordination between providers and continuity of care between services, as patients move across health care services [1]. Most transitions require considerable and accurate cooperation between various health services providers and clinical teams; the hospital, the primary care team, social. Oikonomou et al BMC Health Services Research (2020) 20:608
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