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Quality of paediatric rehabilitation from the parent perspective: validation of the short Measure of Processes of Care (MPOC-20) in the Netherlands

Utrecht University, Langeveld Institute for the Study of Education and Development in Childhood and Adolescence, The Netherlands

Gerard H Maassen

Utrecht University, Department of Methodology and Statistics, The Netherlands

Lex Wijnroks

Utrecht University, Langeveld Institute for the Study of Education and Development in Childhood and Adolescence, The Netherlands

Marjolijn Ketelaar

De Hoogstraat Rehabilitation Centre and University Medical Centre, Rudolf Magnus Institute of Neuroscience, Utrecht, The Netherlands

Petra Em van Schie

VU University Medical Center, Department of Rehabilitation Medicine, Amsterdam, The Netherlands

Jan Willem Gorter

De Hoogstraat Rehabilitation Centre and University Medical Centre, Rudolf Magnus Institute of Neuroscience, Utrecht, The Netherlands

Adri Vermeer

Utrecht University, Langeveld Institute for the Study of Education and Development in Childhood and Adolescence, Utrecht, The Netherlands

Objective: In the present study we aim to assess the reliability and validity of the 20-item version of the Dutch Measure of Processes of Care (MPOC).

Design: The reliability, concurrent validity, predictive validity and construct validity of the Dutch MPOC-20 were determined. A subset of MPOC-20 data was extracted from a large Dutch MPOC (56-item version) database.

Subjects: Participants were 405 mothers and 22 fathers of children aged 1-18 years recruited through nine paediatric rehabilitation centres in the Netherlands.

Main measures: The participants filled out the MPOC-20 items, the Client Satisfaction Questionnaire (CSQ), and two additional questions about satisfaction with services and the amount of stress they experienced.

Results: The internal consistency analyses (alphas 0.75-0.87) and the test-retest analyses (intraclass correlation coefficients (ICCs) 0.78-0.91) showed that the Dutch MPOC-20 is a reliable tool. The concurrent validity of the Dutch MPOC-20 was confirmed by positive correlations between MPOC-20 scale scores and the CSQ (r 0.39-0.69), and between MPOC-20 scale scores and an overall satisfaction variable (r 0.37-0.66). The predictive validity of the Dutch MPOC-20 was supported by moderately negative correlations between MPOC-20 scores and a stress variable (r -0.27 to -0.44). The construct validity of the Dutch MPOC-20 was confirmed by significant scale intercorrelations (r 0.41-0.84) and a factor analysis.

Conclusions: The 20-item version of the MPOC (Dutch MPOC-20) is a reliable and valid measure of the family-centredness of paediatric rehabilitation.

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				R. Siebes, B. Nijhuis, A. Boonstra, M. Ketelaar, L. Wijnroks, H. Reinders-Messelink, K. Postema, and A. Vermeer A family-specific use of the Measure of Processes of Care for Service Providers (MPOC-SP) Clinical Rehabilitation, March 1, 2008; 22(3): 242 - 251. [Abstract] [PDF]