Psychometric evaluation of the patient satisfaction with logistical aspects of navigation (PSN-L) scale using item response theory.


Journal Article

BACKGROUND: Patient navigation--the provision of logistical, educational, and emotional support needed to help patients "navigate around" barriers to high-quality cancer treatment offers promise. No patient-reported outcome measures currently exist that assess patient navigation from the patient's perspective. We use a partial independence item response theory model to report on the psychometric properties of the Patient Satisfaction with Navigation, Logistical measure developed for this purpose. METHODS: We used data from an ethnically diverse sample (n = 1873) from the National Cancer Institute Patient Navigation Research Program. We included individuals with the presence of an abnormal breast, cervical, colorectal, or prostate cancer finding. RESULTS: The partial independence item response theory model fit well. Results indicated that scores derived from responses provide extremely precise and reliable measurement between -2.5 SD below and 2 SD above the mean and acceptably precise and reliable measurement across nearly the entire range. CONCLUSIONS: Our findings provide evidence in support of the Patient Satisfaction with Navigation, Logistical. Scale users should utilize 1 of the 2 described methods to create scores.

Full Text

Duke Authors

Cited Authors

  • Carle, AC; Jean-Pierre, P; Winters, P; Valverde, P; Wells, K; Simon, M; Raich, P; Patierno, S; Katz, M; Freund, KM; Dudley, D; Fiscella, K

Published Date

  • April 2014

Published In

Volume / Issue

  • 52 / 4

Start / End Page

  • 354 - 361

PubMed ID

  • 24848207

Pubmed Central ID

  • 24848207

Electronic International Standard Serial Number (EISSN)

  • 1537-1948

Digital Object Identifier (DOI)

  • 10.1097/MLR.0000000000000089


  • eng

Conference Location

  • United States