title: Performance of the measures of processes of care for adults and service providers in rehabilitation settings.
abstract: BACKGROUND
  In recent years, client-centered care has been embraced as a new philosophy of care by many organizations around the world. Clinicians and researchers have identified the need for valid and reliable outcome measures that are easy to use to evaluate success of implementation of new concepts.
  
  
  OBJECTIVE
  The current study was developed to complete adaptation and field testing of the companion patient-reported measures of processes of care for adults (MPOC-A) and the service provider self-reflection measure of processes of care for service providers working with adult clients (MPOC-SP(A)).
  
  
  METHODS
  A validation study.
  
  
  METHODS
  In-patient rehabilitation facilities.
  
  
  METHODS
  MPOC-A and measure of processes of care for service providers working with adult clients (MPOC-SP(A)).
  
  
  RESULTS
  Three hundred and eighty-four health care providers, 61 patients, and 16 family members completed the questionnaires. Good to excellent internal consistency (0.71-0.88 for health care professionals, 0.82-0.90 for patients, and 0.87-0.94 for family members), as well as moderate to good correlations between domains (0.40-0.78 for health care professionals and 0.52-0.84 for clients) supported internal reliability of the tools. Exploratory factor analysis of the MPOC-SP(A) responses supported the multidimensionality of the questionnaire.
  
  
  CONCLUSIONS
  MPOC-A and MPOC-SP(A) are valid and reliable tools to assess patient and service-provider accounts, respectively, of the extent to which they experience, or are able to provide, client-centered service. Research should now be undertaken to explore in more detail the relationships between client experience and provider reports of their own behavior.
authors.affiliation: School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
authors.forename: Elena L
authors.initials: EL
authors.lastname: Bamm
authors.affiliation: School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada ; CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON, Canada.
authors.forename: Peter
authors.initials: P
authors.lastname: Rosenbaum
authors.affiliation: School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
authors.forename: Seanne
authors.initials: S
authors.lastname: Wilkins
authors.affiliation: School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
authors.forename: Paul
authors.initials: P
authors.lastname: Stratford
keywords: MPOC; client-centered care; models of care; service evaluation