title: Validation of the Chinese version of Perception of Care in an acute psychiatric ward in Hong Kong.
abstract: BACKGROUND
  This study aimed to validate and culturally adapt the Perception of Care (PoC) for patients receiving acute psychiatric inpatient services in Hong Kong.
  
  
  METHODS
  The PoC was translated and culturally adapted into a written Chinese version (C-PoC). Subjects completed C-PoC, Chinese version of Admission Experience Survey (C-AES) and World Health Organization Quality of Life Measure (WHOQOL-BREF). They were then rated by assessors with Brief Psychiatric Rating Scale (BPRS), Hamilton Rating Scale for Depression, Hamilton Rating Scale for Anxiety and Extrapyramidal Symptom Rating Scale. Explorative factor analysis and correlation between C-PoC, WHOQOL-BREF and C-AES served as the theoretical basis of construct validity. Multivariate analysis was used to identify predictors of satisfaction.
  
  
  RESULTS
  The C-PoC has a four-factor structure that resembles the original scale with demonstrating satisfactory construct validity and test-re-test reliability. Psychiatric symptom ratings did not predict any satisfaction ratings. Extrapyramidal symptoms predicted poorer satisfaction. Younger patients with affective diagnoses had better satisfaction.
  
  
  CONCLUSIONS
  The C-PoC is a psychometrically sound translation of the original scale. The current study paves the way for further studies among Chinese-speaking communities on the determinants and implications of patients' satisfaction by offering a psychometrically sound and yet concise instrument.
authors.affiliation: Department of General Adult Psychiatry, Castle Peak Hospital, Hong Kong.
authors.forename: Chi-Kin Jackie
authors.initials: CK
authors.lastname: Fu
authors.forename: Po-Ling Paulina
authors.initials: PL
authors.lastname: Chow
authors.forename: Wai-Sum Joanna
authors.initials: WS
authors.lastname: Lam
authors.forename: Chi-Kwong
authors.initials: CK
authors.lastname: Tung
authors.forename: Yue-Lok Francis
authors.initials: YL
authors.lastname: Cheung
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D003068:Coercion; D006723:Hong Kong; D006760:Hospitalization; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D017060:Patient Satisfaction / Q000208:ethnology / Q000706:statistics & numerical data*; D011369:Professional-Patient Relations; D011567:Psychiatric Department, Hospital; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D011594:Psychometrics / Q000379:methods; D011788:Quality of Life; D013223:Statistics as Topic; D014177:Translations; D055815:Young Adult
keywords: institutionalization; psychometrics; satisfaction; validation study