title: Validation of the measure of processes of care for adults: a measure of client-centred care.
abstract: OBJECTIVE
  To assess the psychometric properties of the measure of processes of care for adults (MPOC-A), a measure of client-centredness of care for parents of children with disabilities, adapted for adult health-care settings.
  
  
  METHODS
  A validation study.
  
  
  METHODS
  Regional orthopaedic service of a university-affiliated hospital in ON, Canada.
  
  
  METHODS
  All patients and families who had had joint replacement surgery (Knee or Hip) between January and August of 2007.
  
  
  METHODS
  MPOC-A and the client satisfaction questionnaire (CSQ).
  
  
  RESULTS
  One hundred and seventy-six questionnaires filled out by patients and 81 by family members were analysed. Scales demonstrated high internal consistency (Cronbach's alpha varying from 0.81 to 0.93 for patients and from 0.88 to 0.96 for family members). MPOC-A domain scores were moderately correlated with CSQ total scores (Pearson coefficients varying from 0.44 to 0.66 for patients and from 0.53 to 0.72 for family members). Moderate to good inter-rater agreement [intraclass correlation coefficient (ICC) from 0.50 to 0.74] and high test-retest reliability were found (ICCs varying from 0.73 to 0.83 for patients and from 0.75 to 0.91 for family members).
  
  
  CONCLUSIONS
  MPOC-A has demonstrated good psychometric properties. As general satisfaction scores are notoriously poor indicators of the quality of care, this measure can help us understand the elements that contribute to overall judgements of satisfaction and provide a level of understanding that is important to improve service quality and delivery.
authors.affiliation: School of Rehabilitation Science, IAHS, McMaster University, 1400 Main St. West, Hamilton, Canada. bamme@mcmaster.ca
authors.forename: Elena L
authors.initials: EL
authors.lastname: Bamm
authors.forename: Peter
authors.initials: P
authors.lastname: Rosenbaum
authors.forename: Paul
authors.initials: P
authors.lastname: Stratford
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000592:standards; D019645:Arthroplasty, Replacement, Knee / Q000592:standards; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D057285:Precision Medicine / Q000592:standards*; D017064:Process Assessment, Health Care / Q000592:standards*; D011594:Psychometrics / Q000592:standards; D019984:Quality Indicators, Health Care / Q000592:standards; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards