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3. Italian version of the physical therapy patient satisfaction questionnaire: cross-cultural adaptation and psychometric properties

Author

Vanti, Carla, Monticone, Marco, Ceron, Daniele, Bonetti, Francesca, Piccarreta, Raffaella, Guccione, Andrew A., and Pillastrini, Paolo

Subjects
Therapeutics, Physiological -- Surveys -- Analysis -- Health aspects, Patient satisfaction -- Surveys -- Analysis -- Psychological aspects, Physical therapy -- Surveys -- Analysis -- Health aspects, Health
Abstract

Background. Patient satisfaction is an important measure for evaluating interventions in health care. No patient satisfaction questionnaire for physical therapy treatment has been validated to date for use in an Italian outpatient population. Objective. The aim of this study was to translate, culturally adapt, and validate the Italian version of the Physical Therapy Patient Satisfaction Questionnaire (PTPSQ-I). Design. A measurement study was conducted. Methods. The PTPSQ-I was developed through forward-backward translation, final review, and pre-final version. An acceptability analysis was first conducted. Reliability was measured by internal consistency (Cronbach α), and a factor analysis was applied to investigate the internal structure. Divergent validity was measured by comparing the PTPSQ-I with a visual analog scale (VAS) and with a 5-point Likert-type scale evaluating the global perceived effect (GPE) for the physical therapy treatment. Results. The process for developing the PTPSQ-I required 3 months using data on 315 outpatients. Based on our initial analyses, 5 items were deleted from the PTPSQ-I, which was renamed the PTPSQ-I(15). The PTPSQ-I(15) showed high internal consistency (α=.905). Divergent validity was moderate for the GPE (r=.33) but not significant for the VAS (r=-.07). A factor analysis revealed evidence for a 2-factor structure related to perceived 'Overall Experience' and 'Professional Impression' that explained 62% of the total variance. A third factor, 'Efficiency and Convenience,' brought explained total variance to near 70%. Limitations. It may be necessary to add items to the PTPSQ-I(15) to assess other dimensions not currently represented by these 15 items. Conclusion. The PTPSQ-I(15) showed good psychometric properties, and its use can be recommended with Italian-speaking outpatient populations., A patient's perceptions regarding the process, outcome, and quality of health care services are increasingly recognized as relevant to the evaluation of health care outcomes. (1) This recognition has led [...]

Published
2013
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4. Differential diagnosis of endometriosis in patient with nonspecific low back pain: A case report.

Author

Cricco, Chiara, Daugenti, Antonella, Angilecchia, Domenico, and Ceron, Daniele

Abstract

Endometriosis is one of the most widespread gynecological disorders and a very common condition amongst fertile women, thus it has to be considered one of the possible sources of lumbopelvic pain. Endometriosis is commonly related to low back pain (LBP) and therefore often mistaken for a musculoskeletal disorder. The purpose of this case report is to underline the primary role of clinical reasoning and assessment process, which led the physiotherapist to the differential diagnosis, considering endometriosis among the possible causes of low back pain. S.C, 45 years old, complained to physiotherapist of lumbar spine and left buttock pain, spreading to the hypogastric, inguinal and left pubic areas. The patient's past medical history included gynecological visceral disorders, regularly monitored. Functional evaluation and clinical tests revealed a disorder referred to the lumbar spine and sacroiliac region. Initial physical therapy management included education, manual therapy and therapeutic exercise. Nevertheless, after five treatment sessions, the symptoms remained unchanged, and therefore the patient was referred to a gynecologist for a consultation. The patient underwent a laparoscopy for endometriosis eradication and the intervention resulted in complete abolition of symptoms, enabling the patient to return to work and to do physical activities. this case report highlights the importance of a thorough clinical assessment and the identification of relevant findings from patient's medical history to be carried out by the physiotherapist. Those are of crucial importance to make an appropriate differential diagnosis and to screen amongst the possible causes of lumbopelvic pain also visceral ones as endometriosis, which often manifests with associated symptoms such as nonspecific LBP. [ABSTRACT FROM AUTHOR]

Published
2021
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