Abstract Background and aims Dignity preservation is essential for quality care, yet few tools systematically assess it in stroke settings, where cognitive and functional impairments uniquely affect patient experiences. The Spanish-adapted Inpatient Dignity Scale (IPDS), validated with four dimensions (human respect, emotional/time respect, privacy respect, autonomy respect), offers a reliable measure for hospitalized patients but lacks stroke-specific evaluation. This study aims to assess perceived dignity among patients admitted to a stroke unit and to examine the psychometric properties of the Spanish version of the IPDS scale Methods A two-phase methodological study was conducted, including translation and cross-cultural adaptation following international standards and psychometric validation based on confirmatory factor analysis and internal consistency using Cronbach’s alpha Results The sample comprised 129 patients (62% men, mean age was 67.2 years) diagnosed with stroke. Expectations and satisfaction levels were assessed across each subscale, with consistently high scores observed in all dimensions. Mean scores were 68.34/80 for expectations and 79.26/90 for satisfaction. Variability was moderate, suggesting homogeneous responses and a generally positive perception of dignity during hospitalization. The results showed that the confirmatory factor analysis indices were not adequate across all metrics, indicating that the theoretical four-factor model did not provide a satisfactory fit in this population. However, internal consistency was excellent for both the satisfaction and expectations subscales Conclusions The Spanish version of the Inpatient Dignity Scale demonstrated high reliability in stroke patients. Further studies including exploratory factor analysis are recommended to examine the instrument's structure and establish a more suitable model for this population Conflict of interest Lucia Muñoz-Narbona: nothing to disclose
Muñoz-Narbona et al. (2026) studied this question.