title: Psychometric properties of the Norwegian version of the Care Process Self-Evaluation Tool.
abstract: The Care Process Self-Evaluation Tool (CPSET) assesses key characteristics of well-organised care processes in hospitals from an interprofessional team perspective. The present study investigated the psychometric properties of the CPSET in terms of factor structure, convergent and discriminant validity, and reliability in Norwegian language and context. After a pilot test, the Norwegian version of the questionnaire was administered as a web form to 501 health professionals in public general hospitals and mental health specialist services; 301 completed forms (response rate 60%) were returned, and 268 (54%) forms representing 27 care processes (19 from somatic care and 8 from mental healthcare) were included in the valid sample. A confirmatory factor analysis (CFA) confirmed the original five-factor structure. All model fit indices, including the standardised root mean square residual (SRMR), which is independent of the χ2-test, met the criteria for an acceptable model fit. Internal consistencies within sub-scales as measured by Cronbach's alpha were high (range 0.83-0.94). As expected, some redundancy between factors existed (in particular among the PO (Patient-focused organisation), COR (Coordination of the care process), COM (Communication with patient and family), and PO (Follow-up of the care process) factors). In conclusion, the Norwegian CPSET scale showed acceptable psychometric properties in terms of convergent validity and reliability, and fit indices from the CFA confirmed the original factor structure. Based on these findings, we recommend the Norwegian version of the CPSET for use in the assessment of interprofessional teamwork in care processes in specialist healthcare.
authors.affiliation: a Helse Vest IKT , Haugesund , Norway.|b Research Network on Integrated Health Care , Helse Fonna Local Health Authority , Haugesund , Norway.
authors.forename: Sverre
authors.initials: S
authors.lastname: Størkson
authors.affiliation: b Research Network on Integrated Health Care , Helse Fonna Local Health Authority , Haugesund , Norway.|c Section of Research and Innovation , Helse Fonna Local Health Authority , Haugesund , Norway.
authors.forename: Eva
authors.initials: E
authors.lastname: Biringer
authors.affiliation: b Research Network on Integrated Health Care , Helse Fonna Local Health Authority , Haugesund , Norway.|c Section of Research and Innovation , Helse Fonna Local Health Authority , Haugesund , Norway.
authors.forename: Miriam
authors.initials: M
authors.lastname: Hartveit
authors.affiliation: d Centre for Clinical Research , Haukeland University Hospital , Bergen , Norway.
authors.forename: Jörg
authors.initials: J
authors.lastname: Aßmus
authors.affiliation: e Leuven Institute for Healthcare Policy , KU Leuven, University of Leuven , Leuven , Belgium.|f Department of Quality Management , University Hospitals Leuven , Leuven , Belgium.
authors.forename: Kris
authors.initials: K
authors.lastname: Vanhaecht
mesh_terms: D059026:Diagnostic Self Evaluation; D006801:Humans; D009664:Norway; D000071066:Patient Reported Outcome Measures; D011594:Psychometrics; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires
keywords: Care pathway; care process; health services research; interprofessional collaboration; process assessment; psychometric properties; teamwork; validation