Abstract
BackgroundThe 15-item care transition measure (CTM-15) is a reliable and valid instrument assessing the quality of care transition from patients’ perspectives. The aim of this study was to evaluate the psychometric properties of the CTM-15 and the CTM-3 (a 3-item short version of the CTM-15) in Mainland China.Methodology/FindingsThis was a cross-sectional study with a convenience sample of 646 patients in a general tertiary-level hospital in Chengdu, China. The results indicated that the Cronbach’s α values of the Chinese version of the two measures were 0.90 and 0.56, and the test-retest reliability values were 0.91 and 0.87, respectively. Three factors were extracted for the CTM-15 in Chinese populations. The CTM-15 and the CTM-3 scores discriminated well between patients with and without re-hospitalization for their index condition. The CTM-15 and the CTM-3 had significant positive relationships with self-rated health status. The CTM-3 score was significantly related to the CTM-15 score, and the CTM-3 score accounted for 64.23% of the variance of the CTM-15 score.Conclusions/SignificanceThis study has demonstrated the psychometric properties of the CTM-15 and the CTM-3 in Mainland China. Although the Cronbach’s α value of the CTM-3 is suboptimal, it has exhibited high test-retest reliability, convergent validity and criterion validity. Therefore, the CTM-3 can substitute the CTM-15 as a performance measurement tool when the sample size is large enough to compensate its suboptimal reliability or the reduced response burden is a concern.
Highlights
Care transition is defined as a series of activities to ensure the coordination and continuity of care for patients who transfer between different healthcare locations or levels of care [1]
With regard to the known-group validity analysis, the findings showed that statistically significant differences in the Care Transition Measure-15 (CTM-15) and the Care Transition Measure-3 (CTM-3) scores were found between patients who re-hospitalized for their index condition and those who did not
Our results demonstrated a favorable internal consistency reliability of the CTM-15
Summary
Care transition is defined as a series of activities to ensure the coordination and continuity of care for patients who transfer between different healthcare locations or levels of care [1]. Care transition is a concern of many healthcare systems because it impacts the overall quality of patients’ care. The Centers for Medicare & Medicaid Services (CMS) proposes that effective and sustainable patient-centered strategies should be developed to improve the quality of care transition [6]. It has been reported that, persistent and efficient communication among patients, caregivers and healthcare professionals is essential for care transition from hospital to home [8]. The 15-item care transition measure (CTM-15) is a reliable and valid instrument assessing the quality of care transition from patients’ perspectives. The aim of this study was to evaluate the psychometric properties of the CTM-15 and the CTM-3 (a 3-item short version of the CTM-15) in Mainland China
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