Cultural and Organizational Adaptation of the QUOTE Breast Cancer Questionnaire for Italian Breast Units
| Author | Elisa Fabbro | en |
| Author | Luca Seriau | en |
| Author | Pietro Del Giudice | en |
| Author | Giulia Bravo | en |
| Author | Giovanni Guarrera | en |
| Author | Mariaadalgisa Gentilini | en |
| Author | William Mantovani | en |
| Author | Andrea Risaliti | en |
| Author | Paolo Burelli | en |
| Author | Carla Cedolini | en |
| Orcid | Elisa Fabbro [0000-0001-6930-4297] | en |
| Issued Date | 2019-09-30 | en |
| Abstract | Background: Quality of care in breast cancer is a widely researched topic, with many objectively measurable indicators of quality in healthcare. However, while there is a large consensus on the importance of patient’s perspective in breast cancer care process, there are only a few tools to measure such subjective indicators, and none of them has been validated for its use in Italy yet. Objectives: The aim of this methodological study was to validate a cultural and organizational adaptation of the quality of care through the patient’s eyes breast cancer (QUOTE-BC) questionnaire for its use in Italian breast units. Methods: The QUOTE-BC questionnaire was translated, adapted for the Italian context and pre-tested on a small sample of breast cancer patients during their hospital stay. The questionnaire was then administered to a large sample of patients from December 2016 to May 2017 in order to further validate it. A visual analogue scale (VAS) was also handed out to assess patients' level of satisfaction. Results: A total of 212 patients filled the questionnaire. Confirmatory factor analysis corroborated the five-factor structure of the original questionnaire explaining 80.2% of the total variance. The Cronbach alpha ranged from 0.69 to 0.84 showed a good level of internal consistency. The VAS difference between the groups of patients giving positive and negative answers showed that, in almost all the items, there was a statistically significant difference in patients’ level of satisfaction between the two groups. Conclusions: In this study, we validated the first Italian adaptation of the QUOTE-BC (IT-QUOTE-BC) questionnaire, which represents a valuable tool for supporting clinical and organizational decisions in Italian breast units. Moreover, the routine use of the IT-QUOTE-BC questionnaire in the same breast unit is a tool to verify the improvement in organizational quality change as perceived by the patients. | en |
| DOI | https://doi.org/10.5812/ijcm.91233 | en |
| Keyword | Breast Cancer | en |
| Keyword | Patients’ Perspective | en |
| Keyword | Questionnaire | en |
| Keyword | Quality | en |
| Publisher | Brieflands | en |
| Title | Cultural and Organizational Adaptation of the QUOTE Breast Cancer Questionnaire for Italian Breast Units | en |
| Type | Research Article | en |
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