Validating Psychometric Properties of a Revised Patient Version of the Combined Assessment of Psychiatric Environments (CAPE).

Abstract

BACKGROUND\nMeasuring patient experience is an essential challenge in the inpatient behavioral health population.\n\n\nPURPOSE\nThis initiative analyzed the psychometric properties of a revised version of the patient Combined Assessment of Psychiatric Environments (p-CAPE-R) survey.\n\n\nMETHODS\nThe p-CAPE was revised to encompass the interdisciplinary treatment team and implemented on five inpatient psychiatric units at an academic medical center. A psychometric analysis was performed on the p-CAPE-R.\n\n\nRESULTS\nAnalysis of factor loadings with a large sample (n = 786) revealed a more coherent item structure under the staff competency and engagement and treatment effectiveness domains than presented in the original instrument development research.\n\n\nCONCLUSIONS\nAlthough the p-CAPE-R reflects a more useful and psychometrically sound instrument than the original p-CAPE, further analysis and revision to reflect the entire interdisciplinary team is warranted.