Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Spanish Validation of the User Reported Measure of Care Coordination Questionnaire for Older People with Complex, Chronic Conditions

Version 1 : Received: 8 July 2020 / Approved: 9 July 2020 / Online: 9 July 2020 (06:23:49 CEST)

A peer-reviewed article of this Preprint also exists.

Risco, E.; Sauch, G.; Albero, A.; Acar-Denizli, N.; Zabalegui, A.; Kostov, B.; Amil, P.; Alonso, A.; Rios, A.; Martín, J.; Fabrellas, N. Spanish Validation of the “User Reported Measure of Care Coordination” Questionnaire for Older People with Complex, Chronic Conditions. Int. J. Environ. Res. Public Health 2020, 17, 6608. Risco, E.; Sauch, G.; Albero, A.; Acar-Denizli, N.; Zabalegui, A.; Kostov, B.; Amil, P.; Alonso, A.; Rios, A.; Martín, J.; Fabrellas, N. Spanish Validation of the “User Reported Measure of Care Coordination” Questionnaire for Older People with Complex, Chronic Conditions. Int. J. Environ. Res. Public Health 2020, 17, 6608.

Journal reference: Int. J. Environ. Res. Public Health 2020, 17, 6608
DOI: 10.3390/ijerph17186608

Abstract

Introduction Older people with complex, chronic conditions often receive insufficient or inefficient care provision. And few instruments are able to measure their perception on care provision. The "User Reported Measure of Care Coordination" instrument has been satisfactorily used to evaluate chronic care provision and integration. The aim of this study is to validate this instrument into Spanish. Methods The questionnaire was adapted and validate in two phases: translation and cultural adaptation of the questionnaire, and psychometric property measurement. Study population were chronic care conditions patients. Results A total of 332 participants completed test re-test as part of the questionnaire validation process. The final version of the questionnaire had 6 domains: Health and Well-being (D1), Health day to day (D2), Social Services (D3), Planned Care (D4), Urgent Care (D5) and Hospital Care (D6). Cronbach's alpha for the overall questionnaire was 0.86, indicating good internal consistency. When analysing each domain, only Planned Care (D4) and Urgent Care (D5) had Cronbach’s Alphas slightly lower than 0.7, although this could be related to the low number of items in each domain. A good temporal stability was observed for the distinct subscales and items, with intraclass correlation coefficients varying from 0.412 to 0.929 (p < 0.05). Conclusion The adapted version of the “User Reported Measure of Care Coordination” into Spanish proved to be a practical tool for use in our daily practice and an efficient instrument for assessment of care coordination in chronic, complex conditions in older people across services and levels of care.

Subject Areas

Integrated Care; Social Care; Health Care; Older People; Comorbidity: Person Centered Care

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