The SATISPSY-22: development and validation of a French hospitalized patients' satisfaction questionnaire in psychiatry.
OBJECTIVE
The aim of our study was to develop a specific French self-administered instrument for measuring hospitalized patients' satisfaction in psychiatry based on exclusive patient point of view: the SATISPSY-22.


METHODS
The development of the SATISPSY was undertaken in three steps: item generation, item reduction, and validation. The content of the SATISPSY was derived from 80 interviews with patients hospitalized in psychiatry. Using item response and classical test theories, item reduction was performed in 2 hospitals on 270 responders. The validation was based on construct validity, reliability, and some aspects of external validity.


RESULTS
The SATISPSY contains 22 items describing 6 dimensions (staff, quality of care, personal experience, information, activity, and food). The six-factor structure accounted for 78.0% of the total variance. Each item achieved the 0.40 standard for item-internal consistency, and the Cronbach's alpha coefficients were>0.70. Scores of dimensions were strongly positively correlated with Visual Analogue Scale scores. Significant associations with socioeconomic and clinical indicators showed good discriminant and external validity. INFIT statistics were ranged from 0.71 to 1.25.


CONCLUSIONS
The SATISPSY-22 presents satisfactory psychometric properties, enabling patient feedback to be incorporated in a continuous quality health care improvement strategy.
Aix-Marseille University, EA 3279-Public Health, Chronic Diseases and Quality of Life - Research Unit, 13005 Marseille, France; Department of Psychiatry, La Conception University Hospital, 13005 Marseille, France. Electronic address: xavier.zendjidjian@ap-hm.fr.
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Zendjidjian
Aix-Marseille University, EA 3279-Public Health, Chronic Diseases and Quality of Life - Research Unit, 13005 Marseille, France.
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Auquier
Aix-Marseille University, EA 3279-Public Health, Chronic Diseases and Quality of Life - Research Unit, 13005 Marseille, France; Department of Psychiatry, Sainte-Marguerite University Hospital, 13009 Marseille, France.
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Lançon
Aix-Marseille University, EA 3279-Public Health, Chronic Diseases and Quality of Life - Research Unit, 13005 Marseille, France.
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Loundou
Department of Psychiatry, Sainte-Marguerite University Hospital, 13009 Marseille, France.
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Parola
Department of Psychiatry, Sainte-Marguerite University Hospital, 13009 Marseille, France.
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Faugère
Aix-Marseille University, EA 3279-Public Health, Chronic Diseases and Quality of Life - Research Unit, 13005 Marseille, France.
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Boyer
D000328:Adult; D005260:Female; D005602:France; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011570:Psychiatry; D011594:Psychometrics; D011787:Quality of Health Care; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards*
Inpatient; Psychiatry; Psychometrics; Questionnaire; Satisfaction; Validity