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. 2025 Oct;34(10):e70292.
doi: 10.1002/pon.70292.

Using consideRATE to Evaluate Patient Experience in a Cancer Center: Psychometric and Healthcare Assessments

Joseph P Nano  1   2 , Gabrielle Stevens  1 , Glyn Elwyn  1 , Leeza Petrov  1 , Saahithya Gowrishankar  1 , Shaday Robitaille  1 , Aricca D Van Citters  1 , Eugene C Nelson  1 , Garrett T Wasp  1   2 , Kathryn B Kirkland  2 , Meredith A MacMartin  1   2 , Catherine H Saunders  1   2
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Using consideRATE to Evaluate Patient Experience in a Cancer Center: Psychometric and Healthcare Assessments

Joseph P Nano et al. Psychooncology. 2025 Oct.

Abstract

Background: consideRATE is a patient- and care-partner-reported measure of care experience during serious illness. We used consideRATE with patients and care partners at the Dartmouth Cancer Center to assess patient experience, evaluate psychometric properties, and explore scoring approaches.

Methods: Patients and care partners who are aged 18+ and English proficient participated in a cross-sectional survey. Participants completed consideRATE (8 items), CANHELP Lite (21 items), and demographic questions. Reliability was assessed using Cronbach's α, and validity was evaluated with Pearson's correlations. Continuous and top-box scoring approaches were used. Psychometric properties were analyzed for patients, care partners, and subgroups with lower educational attainment or income.

Results: 244 participants (114 patients, 128 care-partners, 2 unspecified) completed the survey. consideRATE has internal reliability (α = 0.86); the correlation (r) between consideRATE continuous scoring and CANHELP Lite scores for all participants was 0.5; p < 0.001, for patients 0.5; p < 0.001, for care-partners 0.5; p < 0.001, for patients (n = 71) with lower educational attainment 0.5, p < 0.001, and for patients (n = 50) with lower income 0.7, p < 0.001. We also found correlations between consideRATE top-box scoring and CANHELP Lite scores for all participants (rpb = 0.4, p < 0.001), with stronger associations among the patient (rpb = 0.5, p < 0.001) and lower income (rpb = 0.6, p = 0.005) subgroups. We found discriminant validity between consideRATE and Single-item Health Literacy (SIL) measures for continuous scoring (r = -0.05 to 0.09, p > 0.05) and top-box scoring (r = -0.02 to 0.09, p > 0.05). We found no significant difference in overall experience between patients with solid and hematologic malignancy cancer categories.

Conclusion: We demonstrated in this sample of patients attending a cancer center that consideRATE has good internal reliability and is well correlated with CANHELP Lite.

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References

    1. E. A. Laugsand, T. Fladvad, F. Skorpen, et al., “Clinical and Genetic Factors Associated With Nausea and Vomiting in Cancer Patients Receiving Opioids,” European Journal of Cancer 47, no. 11 (2011): 1682–1691, https://doi.org/10.1016/j.ejca.2011.04.014.
    1. L. A. Henson, M. Maddocks, C. Evans, M. Davidson, S. Hicks, and I. J. Higginson, “Palliative Care and the Management of Common Distressing Symptoms in Advanced Cancer: Pain, Breathlessness, Nausea and Vomiting, and Fatigue,” Journal of Clinical Oncology 38, no. 9 (2020): 905–914, https://doi.org/10.1200/JCO.19.00470.
    1. K. Mooney, D. L. Berry, M. Whisenant, and D. Sjoberg, “Improving Cancer Care Through the Patient Experience: How to Use Patient‐Reported Outcomes in Clinical Practice,” American Society of Clinical Oncology Educational Book 37 (2017): 695–704, https://doi.org/10.1200/EDBK_175418.
    1. T. A. D’Amico, L. A. M. Bandini, A. Balch, et al., “Quality Measurement in Cancer Care: A Review and Endorsement of High‐Impact Measures and Concepts,” Journal of the National Comprehensive Cancer Network 18, no. 3 (2020): 250–259, https://doi.org/10.6004/jnccn.2020.7536.
    1. C. H. Saunders, M. A. Durand, P. Scalia, et al., “User‐Centered Design of the consideRATE Questions, a Measure of People’s Experiences when they Are Seriously Ill,” Journal of Pain and Symptom Management 61, no. 3 (2021): 555–565.e5, https://doi.org/10.1016/j.jpainsymman.2020.08.002.

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