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Salisbury C, Foster NE, Hopper C, et al. A pragmatic randomised controlled trial of the effectiveness and cost-effectiveness of ‘PhysioDirect’ telephone assessment and advice services for physiotherapy. Southampton (UK): NIHR Journals Library; 2013 Jan. (Health Technology Assessment, No. 17.2.)

Cover of A pragmatic randomised controlled trial of the effectiveness and cost-effectiveness of ‘PhysioDirect’ telephone assessment and advice services for physiotherapy

A pragmatic randomised controlled trial of the effectiveness and cost-effectiveness of ‘PhysioDirect’ telephone assessment and advice services for physiotherapy.

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Appendix 2Development of patient satisfaction measure

The measures of satisfaction reported in Table 23 were derived from sets of questions given to patients at 6 weeks and 6 months. The questions items included:

  • six questions about satisfaction with the consultation, based on questions used in the doctor and nurse versions of the General Practice Assessment Questionnaire
  • three items about satisfaction with access (the hours the service was open, the length of time to wait for an appointment, and convenience of the service), which were issues identified through interviews with patients conducted for the pilot study for this trial, with the wording of the items also tested in that pilot study
  • a single question about overall satisfaction with the physiotherapy service.

The first two sets of question items had response options on a Likert scale with values of 1–6, with a higher value indicating greater satisfaction. The overall satisfaction question had response options from 1–5, with a lower value being higher satisfaction. The direction of this question was reversed in reported results for consistency.

Excluding the overall satisfaction question item, the remaining nine questions were analysed by factor analysis to ensure that they formed coherent and distinct components of satisfaction in the study population. As the responses were on an ordinal scale, the analysis was conducted on the polychoric correlation matrix estimated on the response values. As shown in Table 65, the first two factors appeared to account for all of the variance.

TABLE 65

TABLE 65

Factors from satisfaction questionnaire with estimates of their contributions to the total variance

Table 66 shows how the questions of the second set can be grouped, with the first six associated with one factor relating to the consultation and the remaining three with another factor linked to satisfaction with access to the service.

TABLE 66

TABLE 66

Rotated factor loadings for the first two factors associated with satisfaction responses

For each of the two identified factors, consultation and access satisfaction, a mean score was recalculated on a scale from 0 to 100, as a percentage of the maximum possible score (i.e. a score of ‘0’ represents extreme dissatisfaction on all question items and ‘100’ represents extreme satisfaction on all items). The overall satisfaction score was transformed to the same scale.

Copyright © Queen's Printer and Controller of HMSO 2013. This work was produced by Salisbury et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK260285

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