Key result
Participants with top-box responses on the Child HCAHPS Discharge Composite had 7.5-point higher P-TEM total scores compared to those with lower scores, establishing the measure's convergent validity.
Why the study?
The goal was to examine the convergent validity of the Pediatric Transition Experience Measure (P-TEM) with existing, validated process and outcome measures of pediatric hospital-to-home transitions.
Cohort (n=459)
No
The Pediatric Transition Experience Measure (P-TEM) demonstrated convergent validity with existing hospital-to-home process and outcome measures, providing a global assessment of transition quality.
Supports P-TEM convergent validity for pediatric transitions; leaves open predictive value for reuse and need for prospective validation before adoption.
OBJECTIVES: The Pediatric Transition Experience Measure (P-TEM) is an 8-item, parent-reported measure that globally assesses hospital-to-home transition quality from discharge through follow-up. Our goal was to examine the convergent validity of the P-TEM with existing, validated process and outcome measures of pediatric hospital-to-home transitions. METHODS: This was a prospective, cohort study of English-speaking parents and legal guardians who completed the P-TEM after their children's discharge from a tertiary children's hospital between January 2016 and October 2016. By using data from 3 surveys, we assessed convergent validity by examining associations between total and domain-specific P-TEM scores (0-100 scale) and 4 pediatric hospital-to-home transition validation measures: (1) Child Hospital Consumer Assessment of Healthcare Providers and Systems Discharge Composite, (2) Center of Excellence on Quality of Care Measures for Children With Complex Needs parent-reported transition measures, (3) change in health-related quality of life from admission to postdischarge, and (4) 30-day emergency department revisits or readmissions. RESULTS: P-TEM total scores were 7.5 points (95% confidence interval: 4.6 to 10.4) higher for participants with top-box responses on the Child Hospital Consumer Assessment of Healthcare Providers and Systems Discharge Composite compared with those of participants with lower Discharge Composite scores. Participants with highet P-TEM scores (ie, top-box responses) had 6.3-points-greater improvement (95% confidence interval: 2.8 to 9.8) in health-related quality of life compared with participants who reported lower P-TEM scores. P-TEM scores were not significantly associated with 7- or 30-day reuse. CONCLUSIONS: The P-TEM demonstrated convergent validity with existing hospital-to-home process and outcome validation measures in a population of hospitalized children.
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Desai et al. (2020) conducted a cohort in Hospitalized pediatric patients (n=459). Pediatric Transition Experience Measure (P-TEM) vs. Lower validation measure scores was evaluated on Difference in P-TEM total score between respondents with and without top-box responses on the Child HCAHPS Discharge Composite (β 7.5, 95% CI 4.6 to 10.4, p=<0.001). Participants with top-box responses on the Child HCAHPS Discharge Composite had 7.5-point higher P-TEM total scores compared to those with lower scores, establishing the measure's convergent validity.
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