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Completing self-administered patient experience surveys is challenging for many patients. We randomized adult patients receiving care from an urban safety net provider to complete the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey 3.1 (CG-CAHPS 3.1), or an "EZ" survey created using plain language principles. We compared response rates, item missingness, item-scale correlations, and reliability of patient experience scores based on 264 completed surveys (64% female, 66% Hispanic, 33% high school education or less). The CG-CAHPS 3.1 survey response rate was higher (20% vs 16%), and failure to follow skip instructions was more common for the EZ survey. Internal consistency reliability for multi-item scales was similar, but provider-level reliability was higher for the EZ than for the CG-CAHPS 3.1 survey measures. Cognitive interviews with patients are needed to assess whether the wording of the EZ survey is responsible for the lower response rates and more skip pattern errors. Future studies are also required to provide additional information about the psychometric properties of the CG-CAHPS 3.1 and EZ surveys.
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http://dx.doi.org/10.1177/23743735241297622 | DOI Listing |
J Dairy Sci
September 2025
Royal GD, 7418 EZ Deventer, the Netherlands; Department Population Health Sciences, Faculty of Veterinary Medicine, Utrecht University, 3584 CM Utrecht, the Netherlands; Department of Animal Sciences, Wageningen University and Research, 6708 PB Wageningen, the Netherlands.
Respiratory tract infections remain a major challenge in cattle production, particularly in calves, but increasingly in adult dairy cows. Over the past decade, outbreaks of fatal Mannheimia haemolytica fibrinous pleuropneumonia (FPP) emerged in dairy herds in the Netherlands, with similar occurrences reported in other countries. The objective of this case-referent study was to describe the characteristics of these outbreaks and the circumstances under which they occur.
View Article and Find Full Text PDFFertil Steril
June 2025
Department of Obstetrics and Gynecology, University of Iowa, Iowa City, Iowa.
Objective: To prospectively compare methods of education and counseling on preimplantation genetic testing for aneuploidy.
Design: Randomized controlled trial.
Subjects: Single and partnered patients undergoing their first in vitro fertilization treatment cycle who were able to understand and communicate in English and had not been counseled previously on preimplantation genetic testing for aneuploidy.
Nutrients
May 2025
Primary and Community Care, Radboud University Medical Center, Geert Grooteplein 21, 6525 EZ Nijmegen, The Netherlands.
Introduction: The food environment is an important determinant of children's eating behavior. Improving the environment to encourage healthier choices is crucial to prevent obesity, especially in restaurants where the majority of kids' menus are unhealthy. This study explored the perceptions, attitudes, motivations, influencing factors, and opportunities of restaurant owners, managers, and chefs for implementing healthier kids' menus in Dutch restaurants.
View Article and Find Full Text PDFJ Med Internet Res
May 2025
Department of Systems and Enterprises, Schaefer School of Engineering & Science, Stevens Institute of Technology, Hoboken, NJ, United States.
Background: For patients with drug-resistant focal epilepsy, surgical resection of the epileptogenic zone (EZ) is an effective treatment to control seizures. Accurate localization of the EZ is crucial and is typically achieved through comprehensive presurgical approaches such as seizure semiology interpretation, electroencephalography (EEG), magnetic resonance imaging (MRI), and intracranial EEG (iEEG). However, interpreting seizure semiology is challenging because it heavily relies on expert knowledge.
View Article and Find Full Text PDFJ Cyst Fibros
July 2025
The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, Level 5 WTRB, One Medical Center Drive, Lebanon, NH, USA.
Background: Despite widespread availability of modulator therapies and improved lung function in many people with cystic fibrosis (CF), physical symptoms may remain burdensome for some people with CF (PwCF). This study identifies the impact of ivacaftor (IVA) and elexacaftor/tezacaftor/ivacaftor (ETI) on self-reported physical well-being and burden of care among adults with CF.
Methods: We conducted a secondary analysis of data from the Well-ME Survey.