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Psychometric Evaluation of a Modified Version of the Family Satisfaction in the ICU Survey in Parents/Caregivers of Critically Ill Children*

Epstein, David MD1; Unger, Jennifer B. PhD2; Ornelas, Beatriz MA1; Chang, Jennifer C. MA1; Markovitz, Barry P. MD, MPH1; Moromisato, David Y. MD1; Dodek, Peter M. MD, MHSc3; Heyland, Daren K. MD, MSc4; Gold, Jeffrey I. PhD5

Pediatric Critical Care Medicine: October 2013 - Volume 14 - Issue 8 - p e350–e356
doi: 10.1097/PCC.0b013e3182917705
Online Clinical Investigations

Objectives: The Family Satisfaction in the Intensive Care Unit 24 (FS-ICU 24) survey consists of two domains (overall care and medical decision-making) and was validated only for family members of adult patients in the ICU. The purpose of this study was to evaluate the internal consistency and construct validity of the FS-ICU 24 survey modified for parents/caregivers of pediatric patients (Pediatric Family Satisfaction in the Intensive Care Unit 24 [pFS-ICU 24]) by comparing it to McPherson’s PICU satisfaction survey, in a similar racial/ethnic population as the original Family Satisfaction in the Intensive Care Unit validation studies (English-speaking Caucasian adults). We hypothesized that the pFS-ICU 24 would be psychometrically sound to assess satisfaction of parents/caregivers with critically ill children.

Design: A prospective survey examination of the pFS-ICU 24 was performed (1/2011–12/2011). Participants completed the pFS-ICU 24 and McPherson’s survey with the order of administration alternated with each consecutive participant to control for order effects (nonrandomized). Cronbach’s alphas (α) were calculated to examine internal consistency reliability, and Pearson correlations were calculated to examine construct validity.

Setting: University-affiliated, children’s hospital, cardiothoracic ICU.

Subjects: English-speaking Caucasian parents/caregivers of children less than 18 years old admitted to the ICU (on hospital day 3 or 4) were approached to participate if they were at the bedside for greater than or equal to 2 days.

Measurements and Main Results: Fifty parents/caregivers completed the surveys (mean age ± SD = 36.2±9.6 yr; 56% mothers). The α for the pFS-ICU 24 was 0.95 and 0.92 for McPherson’s survey. Overall, responses for the pFS-ICU 24 and McPherson’s survey were significantly correlated (r = 0.73; p < 0.01). The average overall pFS-ICU 24 satisfaction score was 92.6 ± 8.3. The average pFS-ICU 24 satisfaction with care domain and medical decision-making domain scores were 93.3 ± 8.8 and 91.2 ± 8.9, respectively.

Conclusions: The pFS-ICU 24 is a psychometrically sound measure of satisfaction with care and medical decision-making of parents/caregivers with children in the ICU.

Supplemental Digital Content is available in the text.

1Department of Anesthesiology Critical Care Medicine, Children’s Hospital Los Angeles, Keck School of Medicine at University of Southern California, Los Angeles, CA.

2Department of Preventive Medicine, Keck School of Medicine at University of Southern California, Los Angeles, CA.

3Center for Health Evaluation and Outcome Sciences and Division of Critical Care Medicine, St. Paul’s Hospital and University of British Columbia, Vancouver, BC, Canada.

4Department of Medicine, Kingston General Hospital and Queen’s University, Kingston, ON, Canada.

5Departments of Anesthesiology and Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA.

* See also p. 826.

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The authors have disclosed that they do not have any potential conflicts of interest.

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©2013The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies