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The development and use of the Verona Expectations for Care Scale (VECS) and the Verona Service Satisfaction Scale (VSSS) for measuring expectations and satisfaction with community-based psychiatric services in patients, relatives and professionals

Published online by Cambridge University Press:  09 July 2009

Mirella Ruggeri*
Affiliation:
Servizio di Psicologia Medica, Istituto di Psichiatria, Università di Verona, Verona, Italy
Rosa Dall'Agnola
Affiliation:
Servizio di Psicologia Medica, Istituto di Psichiatria, Università di Verona, Verona, Italy
*
1Address for correspondence: Dr Mirella Ruggeri, Servizio di Psicologia Medica, Istituto di Psichiatria, Ospedale Policlinico, 37134 Verona, Italy.

Synopsis

In this paper the global design of a research project aiming at measuring expectations and satisfaction of patients, relatives, and professionals with community-based psychiatric services (CPS) in a multidimensional, sensitive, valid and reliable way is described. Some psychometric properties of two newly developed instruments, partly adapted from the Service Satisfaction Scale (SSS), the Verona Expectations for Care Scale (VECS) and the Verona Service Satisfaction Scale (VSSS), are discussed. Three groups were selected for inclusion in the study: all patients living with their families who had more than 18 contacts in the last three years, according to the South-Verona Psychiatric Case Register; the relative who had been mainly caring for the patient; and all professionals working in the South-Verona CPS for at least one year. Data on 75 patients and 76 relatives are presented and show that VECS and VSSS have good content validity and test–retest reliability in both groups. Notwithstanding some differences, patients and relatives expressed similar expectations and were mostly satisfied. The current study is the first to provide a parallel measurement of expectations and satisfaction in all three above-mentioned groups; moreover, it is the first to investigate consumers' satisfaction with a CPS organized according to the principles of the Italian Psychiatric Reform.

Type
Preliminary Communication
Copyright
Copyright © Cambridge University Press 1993

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References

Armitage, P. (1971). Statistical Methods in Medical Research. Blackwell Scientific Publications: Oxford.Google Scholar
Bellantuono, C., Fiorio, R., Zanotelli, R. & Tansella, M. (1987). Psychiatric screening in general practice in Italy. A validity study of the GHQ. Social Psychiatry 22, 113117.CrossRefGoogle ScholarPubMed
Bloom, I. J. & Trautt, G. M. (1978). Psychotherapists' perceptions of clients' satisfaction following termination. Perceptual and Motor Skills 48, 11651166.CrossRefGoogle Scholar
Cattel, R. B. (1978). The Scientific Use of Factor Analysis in Behaviour and Life Science. Plenum Press: New York.CrossRefGoogle Scholar
Day, R. L. (1977). Toward a process model of consumer satisfaction. In Conceptualization and Measurement of Consumer Satisfaction and Dissatisfaction (ed. Hunt, H. K.), pp. 118147. Marketing Science Institute: Cambridge, MA.Google Scholar
Distefano, M., Pryer, M. & Garrison, J. (1980). Psychiatric patients' and staff's perceptions of client satisfaction with hospital services. Psychological Reports 46, 13431344.CrossRefGoogle Scholar
Dowds, B. & Fontana, A. (1977). Patients' and therapists' expectations and evaluations of hospital treatment. Comprehensive Psychiatry 18, 295300.CrossRefGoogle ScholarPubMed
Elbeck, M. & Fecteau, G. (1990). Improving the validity of measures of patient satisfaction with psychiatric care and treatment. Hospital and Community Psychiatry 9, pp. 145157.Google Scholar
Endicott, J. & Spitzer, R. L. (1976). The Global Assessment Scale. A procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry 33, 766771.CrossRefGoogle Scholar
Fleiss, J. L. (1981). Statistical Methods for Rates and Proportions. John Wiley & Sons: New York.Google Scholar
Fontanesi, F., Gobetti, C., Zimmermann-Tansella, Ch. & Tansella, M. (1985). Validation of the Italian version of the GHQ in a general practice setting. Psychological Medicine 15, 411415.CrossRefGoogle Scholar
Greenfield, T. K. & Attkisson, C. C. (1989). Steps toward a multifactorial satisfaction scale for primary care and mental health services. Evaluation and Program Planning 12, 271278.CrossRefGoogle Scholar
Greenfield, T. K. & Attkisson, C. C. (1990). Family satisfaction with services. Report to northwest residential services on consumers' families' evaluation of the community extended residential care program. Unpublished report.Google Scholar
Grella, C. E. & Grusky, O. (1989). Families of the seriously mentally ill and their satisfaction with services. Hospital and Community Psychiatry 40, 831835.Google ScholarPubMed
Hall, J. A. & Dornan, M. (1988). What patients like about their medical care and how often they are asked: a meta-analysis of the satisfaction literature. Social Science and Medicine 9, 935942.CrossRefGoogle Scholar
Hunt, K. K. (1977). Overview and future research direction. In Conceptualization and Measurement of Consumer Satisfaction and Dissatisfaction (ed. Hunt, H. K.), pp. 350387. Marketing Science Institute: Cambridge, MA.Google Scholar
Keppler-Seid, H., Windle, C. & Woy, J. (1980). Performance measures for mental health programs. Community Mental Health Journal 16, 217234.CrossRefGoogle ScholarPubMed
Larsen, D., Attkisson, C. C., Hargreaves, W. & Nguyen, T. (1979). Assessment of client/patient satisfaction: development of a general scale. Evaluation and Program Planning 2, 197207.CrossRefGoogle ScholarPubMed
Lebow, J. L. (1983). Research assessing consumer satisfaction with mental health treatment: a review of findings. Evaluation and Program Planning 6, 211236.CrossRefGoogle ScholarPubMed
Linder-Pelz, S. (1982 a). Toward a theory of patient satisfaction. Social Science and Medicine 16, 577589.CrossRefGoogle Scholar
Linder-Pelz, S. (1982 b). Social psychological determinants of patient satisfaction: a test of five hypotheses. Social Science and Medicine 16, 583595.CrossRefGoogle Scholar
Miller, F. (1981). Mental health center versus community perceptions of mental health services. Journal of Community Psychology 9, 204209.3.0.CO;2-6>CrossRefGoogle ScholarPubMed
Pascoe, G. C. (1983). Patient satisfaction in primary health care: a literature review and analysis. Evaluation and Program Planning 6, 185210.CrossRefGoogle Scholar
Pascoe, G. C. & Attkinson, C. C. (1983). The evaluation ranking scale: a new methodology for assessing satisfaction. Evaluation and Program Planning 6, 335347.CrossRefGoogle Scholar
Pendleton, D. (1983). Doctor patient communication: a review. In Doctor Patient Communication (ed. Pendleton, D. and Hasler, J.), pp. 533. Academic Press: London.Google Scholar
Prager, E. & Tonaka, H. (1980). Self-assessment: the client's perspective. Social Work 25, 3234.Google Scholar
Ruggeri, M. (1991). Le ricerche sulla soddisfazione dei pazienti e dei loro familiari nei confronti dei Servizi Psichiatrici. Quaderni Italiani di Psichiatria 2, 89124.Google Scholar
Ruggeri, M., Dall'Agnola, R., Agostini, C. & Bisoffi, G. (1992). Acceptability, sensitivity and content validity of VECS and VSSS in measuring expectations and satisfaction with community-based psychiatric services in patients and their relatives. (Submitted for publication.)Google Scholar
Siegel, S. (1956). Non-Parametric Statistics for the Behavioural Sciences. McGraw-Hill Book Company: New York.Google Scholar
SPSS Inc. (1986). SPSS User's Guide (2nd. edn). McGraw-Hill: New York.Google Scholar
Streiner, D. L. (1989). Health Measurements Scales: a Practical Guide to Their Development and Use. Oxford Medical Publications: Oxford.Google Scholar
Sven, H. K. & Ary, D. (1989). Analyzing Quantitative Behavioral Observation Data. Lawrence Erlbann Associates Publishers: Hillsdale, New Jersey.Google Scholar
Tansella, M. (1989). Evaluating community psychiatric services. In The Scope of Epidemiological Psychiatry (ed. Williams, P., Wilkinson, G. and Rawnsley, K.), pp. 386403. Routledge: London.Google Scholar
Tansella, M. (1991). Community-based Psychiatry: Long Term Patterns of Care in South-Verona. Psychological Medicine Monograph Supplement 19, Cambridge University Press: Cambridge.Google Scholar
Ware, J. E. Jnr., Davies Avery, A. & Stewart, A. L. (1978). The measurement and meaning of patient satisfaction: a review of the recent literature. Health and Medical Care Services Review 1, 115.Google Scholar
Weinstein, R. (1979). Patient attitudes toward mental hospitals. Journal of Health and Social Behaviour 20, 237258.CrossRefGoogle Scholar
Westbrook, R. A. & Oliver, R. L. (1981). Developing better measures of consumer satisfaction: some preliminary results. In Advances in Consumer Research (vol. 8), (ed. Munroe, K. B.), pp. 187198. Association for Consumer Research: Ann Arbor, MI.Google Scholar
World Health Organization (1988). International Classification of Impairments, Disabilities, and Handicaps: A Manual of Classification Relating to Consequences of Disease. World Health Organization: Geneva.Google Scholar