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A family-specific use of the Measure of Processes of Care for Service Providers (MPOC-SP)

Department of General and Special Education, Utrecht University, Utrecht, R.Siebes{at}fss.uu.nl

BJG Nijhuis

Center for Rehabilitation and Northern Center for Health Care Research, University Medical Center Groningen, University of Groningen, Groningen

AM Boonstra

Rehabilitation Centre 'Revalidatie Friesland', Beetsterzwaag,

M. Ketelaar

Rehabilitation Centre and University Medical Centre, Department of Rehabilitation, Rudolf Magnus Institute of Neuroscience, Utrecht

L. Wijnroks

Department of General and Special Education, Utrecht University, Utrecht

HA Reinders-Messelink

Rehabilitation Centre 'Revalidatie Friesland', Beetsterzwaag

K. Postema

Center for Rehabilitation and Northern Center for Health Care Research, University Medical Center Groningen, University of Groningen, Groningen

A. Vermeer

Department of General and Special Education, Utrecht University, Utrecht, The Netherlands

Objective: To examine the validity and utility of the Dutch Measure of Processes of Care for Service Providers (MPOC-SP) as a family-specific measure.

Design: A validation study.

Setting: Five paediatric rehabilitation settings in the Netherlands.

Main measures: The MPOC-SP was utilized in a general (reflecting on services provided for all clients and clients' families) and family-specific way (filled out in reference to a particular child and his or her family).

Subjects: Professionals providing rehabilitation and educational services to children with cerebral palsy.

Methods: For construct validity, Pearson's product-moment correlation coefficients (r ) between the scales were calculated. The ability of service providers to discriminate between general and family-specific ratings was examined by exploration of absolute difference scores.

Results: One hundred and sixteen service professionals filled out 240 family-specific MPOC-SPs. In addition, a subgroup of 81 professionals filled out a general MPOC-SP. For each professional, family-specific and general scores were paired, resulting in 151 general—family-specific MPOC-SP pairs. The construct validity analyses confirmed the scale structure: 21 items (77.8%) loaded highest in the original MPOC-SP factors, and all items correlated best and significantly with their own scale score (r 0.565 to 0.897; P<0.001). Intercorrelations between the scales ranged from r = 0.159 to r = 0.522. In total, 94.4% of the mean absolute difference scores between general and family-specific scale scores were larger than the expected difference.

Conclusion: Service providers were able to discriminate between general and family-specific MPOC-SP item ratings. The family-specific MPOC-SP is a valid measure that can be used for individual evaluation of family-centred services and can be the impetus for family-related quality improvement.

This version was published on March 1, 2008

Clinical Rehabilitation, Vol. 22, No. 3, 242-251 (2008)
DOI: 10.1177/0269215507081568


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