Validation of PET Questionnaire for Experience and Sustainability in Telemedicine. PET(Patient Experience in Telehealth)

Официальное название

Assessment of Patient Experience in Telemedicine: Validation of the Co-designed "Patient Experience in Telehealth (PET)" Questionnaire to Measure Experience and Assess Environmental, Economic and Organizational Impact.

Обзор

Background: Telemedicine adoption has expanded rapidly in recent years, creating new opportunities for access to care, particularly for frail patients or those with mobility limitations. However, the large-scale deployment of remote healthcare services has highlighted the lack of validated instruments to systematically and multidimensionally assess patients' subjective experience. Patient experience is recognized as a key indicator of quality of care, with direct implications for treatment adherence, appropriate use of digital health technologies, and the effectiveness of organizational care models. Rationale: No instruments have been specifically validated in Italy to measure patient experience in telemedicine. In response, the Fondazione Policlinico Universitario A. Gemelli - Istituto di Ricovero e Cura a Carattere Scientifico (FPG IRCCS) developed, through a co-design process involving expert patients and healthcare professionals, the Patient Experience in Telehealth questionnaire (PET). The tool was designed to capture not only overall satisfaction, but also relational, informational, and organizational domains, as well as perceived economic and environmental impact. Objectives: The primary objective is psychometric validation of PET, assessing reliability and validity (construct, convergent, and discriminant). Secondary objectives include evaluating the perceived impact of telemedicine on care organization, patient-borne costs, and the environment, and exploring differences according to sociodemographic variables. Methods: This cross-sectional observational study will administer PET to at least 200 adult patients who received one or more telemedicine services at FPG IRCCS within the preceding three months. Content validity will be assessed by an expert panel. Descriptive analyses, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability testing will be performed. A subgroup will complete a test-retest assessment after 7-14 days. Hypothesis: PET is expected to demonstrate satisfactory psychometric properties, discriminate across different levels of patient experience, and capture the perceived organizational, economic, and environmental impacts of telemedicine in healthcare delivery.

Вмешательства

• Другое Patient Experience in Telehealth (PET) - questionnaire
  The Patient Experience in Telehealth (PET) questionnaire was developed through a co-design process involving patients and healthcare professionals. The questionnaire includes a sociodemographic and telemedicine profile, followed by five Likert-scale sections covering access and technology use (6 items), communication with healthcare staff (5 items), privacy and safety (3 items), comfort, organization and integration of care (5 items), and economic and environmental impact (5 items). A general sa

Первичные конечные точки

• Construct validity of the Patient Experience in Telehealth (PET) questionnaire [Срок оценки: 1 month]
• Internal consistency and test-retest reliability of the Patient Experience in Telehealth (PET) questionnaire [Срок оценки: 1 month]

Вторичные конечные точки (8)

• Overall satisfaction score measured by the Patient Experience in Telehealth (PET) questionnaire [Срок оценки: 1 month]
• Accessibility score measured by the Patient Experience in Telehealth (PET) questionnaire [Срок оценки: 1 month]
• Usability score measured by the Patient Experience in Telehealth (PET) questionnaire [Срок оценки: 1 month]
• Perceived effectiveness score measured by the Patient Experience in Telehealth (PET) questionnaire [Срок оценки: 1 month]
• Organizational impact score measured by the Patient Experience in Telehealth (PET) questionnaire [Срок оценки: 1 month]
• Patient-reported economic impact measured by the Patient Experience in Telehealth (PET) questionnaire [Срок оценки: 1 month]
• Patient-reported environmental impact measured by the Patient Experience in Telehealth (PET) questionnaire. [Срок оценки: 1 month]
• Association between PET domain scores and sociodemographic and clinical variables [Срок оценки: 1 month]

Критерии участия

Критерии включения

• Age ≥18 years
• Receipt of at least one telemedicine service at FPG IRCCS
• Provision of informed consent to participate in the study.

Критерии исключения

• Cognitive or linguistic difficulties preventing comprehension of the questionnaire, in the absence of an available caregiver to provide assistance.
• Exclusive use of telemonitoring services or asynchronous reporting, as the survey focuses on synchronous interactions (e.g., video consultation).

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения

Когортное

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07392606 · 8198

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗