title: Development and validation of a cystic fibrosis patient and family member experience of care survey.
abstract: OBJECTIVE
  The purpose of this study was to develop a cystic fibrosis (CF)-specific patient and family experience of care survey that CF care centers could use to inform quality improvement efforts.
  
  
  METHODS
  A literature search and query of CF care centers was conducted to identify existing surveys. Individuals with CF, their families, and health care professionals were also asked what to include. Following this process, a draft survey was developed and then reviewed by focus groups. Finally, a version was piloted at 25 CF care centers to validate and further refine the instrument.
  
  
  RESULTS
  No CF-specific surveys were found in the literature. Focus group participants stated that they understood the survey questions and that they covered important aspects of care, particularly infection control. The pilot test of the instrument with 485 participants supported its validity by demonstrating significant differences across centers and that most of the 3 care dimensions had acceptable internal consistency (Cronbach α: adults, 0.71-0.85; children, 0.68-0.79).
  
  
  CONCLUSIONS
  A CF-specific patient and family experience of care survey was developed with input from individuals with CF, their families, and health care professionals. The instrument was validated and has been deployed to CF care centers.
authors.affiliation: Leadership Preventive Medicine Residency Program, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA. Karen.Homa@Hitchcock.org
authors.forename: Karen
authors.initials: K
authors.lastname: Homa
authors.forename: Kathryn A
authors.initials: KA
authors.lastname: Sabadosa
authors.forename: Eugene C
authors.initials: EC
authors.lastname: Nelson
authors.forename: William H
authors.initials: WH
authors.lastname: Rogers
authors.forename: Bruce C
authors.initials: BC
authors.lastname: Marshall
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003550:Cystic Fibrosis / Q000523:psychology / Q000628:therapy*; D005190:Family; D005260:Female; D017144:Focus Groups; D019538:Health Care Surveys / Q000592:standards*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010865:Pilot Projects; D011594:Psychometrics; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards; D055815:Young Adult