Feasibility and psychometric properties of the Finnish version of the measure of processes of care for adults

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Objective:To assess the psychometric properties and feasibility of the Finnish translation of the measure of processes of care for adults (MPOC-A) when used in an inpatient rehabilitation setting.Design:A feasibility study.Settings:Inpatient rehabilitation settings.Subjects:A total of 858 people with severe neurological disabilities, musculoskeletal problems, and mental disorders were recruited to the study.Methods:The MPOC-A questionnaire is a self-administered questionnaire consisting of 34 items in five-factorial domains. The construct validity of the translated questionnaire was evaluated using confirmatory factor analysis. To compare the fit of the model to the fit of the independent null-model Comparative Fit Index was used. Internal consistency for the total scale and subscales was calculated using Cronbach’s alpha reliability coefficient.Results:A total of 554 people, mean age 52 years (SD = 9), participated in the study. Most of the responders had musculoskeletal problems (n = 328, 57%). The respondents rated the client-centeredness in rehabilitation service as moderate (m = 5.40, SD = 0.81). The five-factor and the one-factor model fitted the data well according to all three indices. Internal consistency showed high reliability between the one-factor and five-factor models for all except one domain (0.49–0.93). The mean for Person Infit for the people with neurological disabilities was higher than for the other two groups (m = 1.77, SD = 1.32) indicating less predictable response patterns in this group.Conclusion:The results confirm the appropriate psychometric properties of the Finnish version of the MPOC-A, especially for people with musculoskeletal problems and those with mental health disorders.

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