Article

Purpose - To determine the factorial validity, internal consistency,
criterion-related and concurrent validity of the Perception of Quality of
Rehabilitation Services - Montreal (PQRS-Montreal) questionnaire for persons
receiving traumatic brain injury (TBI) rehabilitation services. Setting - Seventeen facilities providing acute care and
intensive inpatient and outpatient TBI adult rehabilitation. Participants
Five-hundred thirty adults (GCS = 3-15; mean age = 41.5 +/- 16.9 years) who
received rehabilitation were administered the questionnaire during an interview
near time of discharge. Subjects responded to the 61 PQRS-Montreal items
(five-point scale of agreement) and to the Client Satisfaction Question (CSQ8).
Results Exploratory and confirmatory factor analyses identified three potential
subscales (one- and two-factor solutions) explaining 26.1-41% of the variance
(ecological approach, quality of team, service organization). The subscales'
internal structures were interpretable and their internal consistency varied from
0.51 to 0.90 (Cronbach's alpha). Rehabilitation phase significantly and
positively impacted factor scores and all factor scores were significantly and
moderately correlated with CSQ8 scores. Conclusions The PQRS-Montreal possesses
adequate psychometric properties supporting its use as a valid tool to measure
patients' perception of the quality of TBI rehabilitation services. This tool
could help guide the development and monitoring of TBI rehabilitation service
delivery. Implications for Rehabilitation The importance of measuring and
monitoring quality of care is increasingly important in rehabilitation. Using the
experiences and perceptions of care of service users is a valid way of assessing
the quality of rehabilitation services. The PQRS-Montreal has adequate
psychometric properties supporting its use as a valid tool to measure patients'
perception of the quality of TBI rehabilitation services. This tool could help
guide the development and monitoring of TBI rehabilitation service delivery.

Langue : ANGLAIS