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Enhancing dysphonia clinic consultations through a focus on patients’ expectations: streamlining and validation of a new tool (‘ACaPELa-R’ questionnaire)

Published online by Cambridge University Press:  26 February 2019

T Tikka ,
S Corson ,
K Kavanagh ,
A Lowit  and
K MacKenzie
T Tikka*
Affiliation:
ENT Department, Queen Elizabeth University Hospital, Glasgow, Scotland, UK School of Psychological Sciences and Health, University of Strathclyde, Glasgow, Scotland, UK
S Corson
Affiliation:
Department of Mathematics and Statistics, University of Strathclyde, Glasgow, Scotland, UK
K Kavanagh
Affiliation:
Department of Mathematics and Statistics, University of Strathclyde, Glasgow, Scotland, UK
A Lowit
Affiliation:
School of Psychological Sciences and Health, University of Strathclyde, Glasgow, Scotland, UK
K MacKenzie
Affiliation:
ENT Department, Queen Elizabeth University Hospital, Glasgow, Scotland, UK School of Psychological Sciences and Health, University of Strathclyde, Glasgow, Scotland, UK
*
Author for correspondence: Miss Theofano Tikka, ENT Department, Queen Elizabeth University Hospital, Glasgow G51 4TF, Scotland, UK E-mail: Theofano.tikka@nhs.net
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Abstract

Objective

The Assessing and Caring for Patients’ Expectations in Laryngology (‘ACaPELa’) questionnaire was developed to guide laryngology clinic consultations. This study aimed to audit its use, revise it depending on outcomes and validate it.

Methods

The questionnaire was completed by all new patients attending a laryngology clinic over one year. The questionnaire was refined and validated in a new cohort of patients over a six-month period.

Results

Thirty-seven of 242 patients (15.3 per cent) incorrectly gave the same ranking to more than one question. Questions with similar content were collapsed to cover broader themes, and an outcome question was added, resulting in the five-item Assessing and Caring for Patients’ Expectations in Laryngology – Revised (‘ACaPELa-R’) questionnaire. Using this revised questionnaire, there was a significant reduction in the number of same-ranked questions (4.4 vs 15.3 per cent; p = 0.003) and high patient satisfaction post-consultation (95.7 per cent).

Conclusion

The Assessing and Caring for Patients' Expectations in Laryngology – Revised questionnaire makes patients’ rank ordering of questions easier. It can be used to inform how different topics should be approached during the consultation and utilised for clinician self-audit.

Keywords

LaryngologyQuestionnairesPatient SatisfactionFeedback

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 3 , March 2019 , pp. 236 - 240
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Miss T Tikka takes responsibility for the integrity of the content of the paper

References

1Koenraads, SP, Aarts, MC, van der Veen, EL, Grolman, W, Stegeman, I. Quality of life questionnaires in otorhinolaryngology: a systematic overview. Clin Otolaryngol 2016;41:681–8Google Scholar
2Naunheim, MR, Wittenberg, E, Shrime, MG. Patient preference research in otolaryngology: what do patients want? JAMA Otolaryngol Head Neck Surg 2017;143:971–2Google Scholar
3Cheraghi-Sohi, S, Hole, AR, Mead, N, McDonald, R, Whalley, D, Bower, P et al. What patients want from primary care consultations: a discrete choice experiment to identify patients' priorities. Ann Fam Med 2008;6:107–15Google Scholar
4Naunheim, MR, Rathi, VK, Naunheim, ML, Alkire, BC, Lam, AC, Song, PC et al. What do patients want from otolaryngologists? A discrete choice experiment. JAMA Otolaryngol Head Neck Surg 2017;157:618–24Google Scholar
5Chen, C, Boss, EF. Patient satisfaction as a component of health care quality in otolaryngology. Curr Otorhinolaryngol Rep 2014;2:8–12Google Scholar
6Kenten, C, Bowling, A, Lambert, N, Howe, A, Rowe, G. A study of patient expectations in a Norfolk general practice. Health Expect 2010;13:273–84Google Scholar
7Kamper, SJ, Haanstra, TM, Simmons, K, Kay, M, Ingram, TGJ, Byrne, J et al. What do patients with chronic spinal pain expect from their physiotherapist? Physiother Can 2018;70:36–41Google Scholar
8Virk, JS, Awad, Z, Singh, A, Khali, S. Patients expectations in day surgery unit: our experience. Clin Otolaryngol 2014;39:379–84Google Scholar
9Awad, Z, Virk, JS, Singh, A. Patient expectations in outpatient care. Clin Otolaryngol 2014;39:74–5Google Scholar
10Mastwyk, M, Dow, B, Ellis, KA, Ames, D. Why attend a memory clinic? What do patients and their families want and/or expect? Australas J Ageing 2016;35:220–4Google Scholar
11Crosbie, R, McKendrick, M, Corson, S, Lowit, A, MacKenzie, K. Patient expectation of a voice clinic consultation: development of the ACaPELa questionnaire by assessment of four hundred and fifty-five patients. Clin Otolaryngol 2017;42:185–8Google Scholar
12Rosendal, M, Carlsen, AH, Rask, MT. Symptoms as the main problem: a cross-sectional study of patient experience in primary care. BMC Fam Pract 2016;17:29Google Scholar
13National Institute for Health and Care Excellence. Suspected Cancer: Recognition and Referral. NICE Guideline [NG12]. London: National Institute for Health and Care Excellence, 2015Google Scholar
14Schmidt, K, Meyer, J, Jahnke, I, Wollenberg, B, Schmidt, C. Patient satisfaction in the outpatient department--a pilot study for customer satisfaction in ENT [in German]. HNO 2009;57:251–6Google Scholar
15ENT UK Outpatients review and recommendations. In: https://www.entuk.org/sites/default/files/files/ENT%20UK%20outpatients%20review%20and%20recommendations%20%20FINAL%20July%20%202017.pdf [4 August 2018]Google Scholar