title: Quality of paediatric rehabilitation from the parent perspective: validation of the short Measure of Processes of Care (MPOC-20) in the Netherlands.
abstract: OBJECTIVE
  In the present study we aim to assess the reliability and validity of the 20-item version of the Dutch Measure of Processes of Care (MPOC).
  
  
  METHODS
  The reliability, concurrent validity, predictive validity and construct validity of the Dutch MPOC-20 were determined. A subset of MPOC-20 data was extracted from a large Dutch MPOC (56-item version) database.
  
  
  METHODS
  Participants were 405 mothers and 22 fathers of children aged 1-18 years recruited through nine paediatric rehabilitation centres in the Netherlands.
  
  
  METHODS
  The participants filled out the MPOC-20 items, the Client Satisfaction Questionnaire (CSQ), and two additional questions about satisfaction with services and the amount of stress they experienced.
  
  
  RESULTS
  The internal consistency analyses (alphas 0.75-0.87) and the test-retest analyses (intraclass correlation coefficients (ICCs) 0.78-0.91) showed that the Dutch MPOC-20 is a reliable tool. The concurrent validity of the Dutch MPOC-20 was confirmed by positive correlations between MPOC-20 scale scores and the CSQ (r 0.39-0.69), and between MPOC-20 scale scores and an overall satisfaction variable (r 0.37-0.66). The predictive validity of the Dutch MPOC-20 was supported by moderately negative correlations between MPOC-20 scores and a stress variable (r -0.27 to -0.44). The construct validity of the Dutch MPOC-20 was confirmed by significant scale intercorrelations (r 0.41-0.84) and a factor analysis.
  
  
  CONCLUSIONS
  The 20-item version of the MPOC (Dutch MPOC-20) is a reliable and valid measure of the family-centredness of paediatric rehabilitation.
authors.affiliation: Utrecht University, Langeveld Institute for Study of Education and Development in Childhood and Adolescence, The Netherlands. R.Siebes@fss.uu.nl
authors.forename: Renate C
authors.initials: RC
authors.lastname: Siebes
authors.forename: Gerard H
authors.initials: GH
authors.lastname: Maassen
authors.forename: Lex
authors.initials: L
authors.lastname: Wijnroks
authors.forename: Marjolijn
authors.initials: M
authors.lastname: Ketelaar
authors.forename: Petra E M
authors.initials: PE
authors.lastname: van Schie
authors.forename: Jan Willem
authors.initials: JW
authors.lastname: Gorter
authors.forename: Adri
authors.initials: A
authors.lastname: Vermeer
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D019538:Health Care Surveys; D006801:Humans; D007223:Infant; D009426:Netherlands; D017063:Outcome Assessment, Health Care / Q000379:methods*; D010290:Parents / Q000523:psychology*; D017060:Patient Satisfaction; D011594:Psychometrics; D012046:Rehabilitation; D015203:Reproducibility of Results