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. 2024 Dec 18;24(1):1575.
doi: 10.1186/s12913-024-11973-2.

Norwegian adaptation of the Quality in Psychiatric Care - In-Patient instrument: psychometric properties and factor structure

Siri Ødegaard Fossum  1 , Marianne Thorsen Gonzalez  2   3 , Lars-Olov Lundqvist  4 , Øyfrid Larsen Moen  2 , Agneta Schröder  2   4 , Hege Skundberg-Kletthagen  2
Affiliations

Norwegian adaptation of the Quality in Psychiatric Care - In-Patient instrument: psychometric properties and factor structure

Siri Ødegaard Fossum et al. BMC Health Serv Res. .

Abstract

Background: Validated instruments measuring the quality of mental healthcare from patients' perspectives are scarce, and available instruments have been requested. One of the few instruments measuring the quality of care from a patient's perspective is the Swedish Quality in Psychiatric Care-In-Patient (QPC-IP). This cross-sectional study aimed to translate and adapt the QPC-IP instrument for a Norwegian context and assess its psychometric properties.

Methods: The QPC-IP was translated and adapted to a Norwegian context using a translation back-translation process model. A total of 169 inpatients from specialised mental health services responded to the questionnaire. The QPC-IP comprises six dimensions: Encounter (eight items), Participation (eight items), Discharge (four items), Support (four items), Secluded Environment (three items), and Secure Environment (three items), totalling 30 items. Confirmatory factor analysis was conducted to assess the instrument's factor structure. Additionally, Cronbach's alpha was used to establish the instrument's internal consistency.

Results: The results indicated that the Norwegian adaptation of the QPC-IP possesses good psychometric properties, including internal consistency, content, and construct validity, as confirmed by the confirmatory factor analysis results. The confirmatory factor analysis demonstrated an adequate fit for the six-factor structure, consistent with the original Swedish instrument.

Conclusions: The QPC-IP is a user-friendly and easily implementable tool that assesses various dimensions of the quality of inpatient mental healthcare from a patient's perspective. Moreover, the Norwegian QPC-IP holds potential for use in comparative, cross-cultural studies within mental healthcare services to monitor the quality of the provided services.

Keywords: Confirmatory factor analysis; Inpatient mental healthcare; Instrument; Patient perspectives; Psychometric properties; Quality of care.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: This study was approved by the Norwegian Regional Ethical Committee (Ref. 113987). The principles of the Helsinki Declaration were followed regarding integrity, confidentiality, and the voluntary nature of participation [35]. The participants received an envelope containing an invitation letter with information about the study, confidentiality procedures, and the procedure for withdrawing their consent. This information was also provided orally. Participants’ informed consent was implied when questionnaires were completed and submitted. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Mean ratings of the Norwegian version of the QPC-IP dimensions. Error bars represent a 95% Confidence interval
See this image and copyright information in PMC

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