Using consideRATE to Evaluate Patient Experience in a Cancer Center: Psychometric and Healthcare Assessments

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Background conside RATE is a patient- and care-partner-reported measure of care experience during serious illness. We used conside RATE with patients and care partners at the Dartmouth Cancer Center to assess patient experience, evaluate psychometric properties, and explore scoring approaches. Methods Patients and care partners aged 18+ and English proficient participated in a cross-sectional survey. Participants completed conside RATE (8 items), CANHELP-Lite (21 items), and demographic questions. Reliability was assessed using Cronbach’s α, and validity was evaluated with Pearson’s correlations. Continuous and top-box scoring approaches were used. Psychometric properties were analyzed for patients, care partners, and subgroups with lower educational attainment or income. Results 244 participants (114 patients,128 care-partners, 2 unspecified) completed the survey. conside RATE has internal reliability (α = 0.86); the correlation (r) between conside RATE continuous scoring and CANHELP Lite scores for all participants was 0.5; p<0.001, for patients 0.5; p<0.001, for care-partners 0.5; p<0.001, for patients (n=71) with lower educational attainment 0.5, p<0.001, and for patients (n=50) with lower income 0.7, p<0.001. We also found correlations between conside RATE top-box scoring and CANHELP Lite scores for all participants (rpb=0.4, p<0.001), with stronger associations among the patient (rpb=0.5, p<0.001) and lower income (rpb=0.4, p=0.005) subgroups. We found discriminant validity between conside RATE and Single-item Health Literacy (SILs) measures for continuous scoring (r = -0.05 to 0.09, p>0.05) and top-box scoring (r = -0.02 to 0.09, p>0.05). We found no significant difference in overall experience between patients with breast and blood cancer. Conclusion We demonstrated in this sample of patients attending a cancer center that conside RATE has good internal reliability and is well correlated with CANHELP-Lite.

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