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Development and validation of the Epilepsy Surgery Satisfaction Questionnaire (ESSQ‐19)

Objective No validated tools exist to assess satisfaction with epilepsy surgery. We aimed to develop and validate a new measure of patient satisfaction with epilepsy surgery, the 19‐item Epilepsy Surgery Satisfaction Questionnaire (ESSQ‐19). Methods An initial 31‐item measure was developed based on...

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Published in:Epilepsia (Copenhagen) 2020-12, Vol.61 (12), p.2729-2738
Main Authors: Wiebe, Samuel, Wahby, Sandra, Lawal, Oluwaseyi A., Sajobi, Tolulope T., Keezer, Mark R., Nguyen, Dang K., Malmgren, Kristina, Tellez‐Zenteno, Jose, Atkinson, Mark J., Hader, Walter J., Josephson, Colin B., Macrodimitris, Sophia, Patten, Scott B., Pillay, Neelan, Sharma, Ruby, Singh, Shaily, Starreveld, Yves
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container_issue 12
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container_title Epilepsia (Copenhagen)
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creator Wiebe, Samuel
Wahby, Sandra
Lawal, Oluwaseyi A.
Sajobi, Tolulope T.
Keezer, Mark R.
Nguyen, Dang K.
Malmgren, Kristina
Tellez‐Zenteno, Jose
Atkinson, Mark J.
Hader, Walter J.
Josephson, Colin B.
Macrodimitris, Sophia
Patten, Scott B.
Pillay, Neelan
Sharma, Ruby
Singh, Shaily
Starreveld, Yves
description Objective No validated tools exist to assess satisfaction with epilepsy surgery. We aimed to develop and validate a new measure of patient satisfaction with epilepsy surgery, the 19‐item Epilepsy Surgery Satisfaction Questionnaire (ESSQ‐19). Methods An initial 31‐item measure was developed based on literature review, patient focus groups, thematic analysis, and Delphi panels. The questionnaire was administered twice, 4‐6 weeks apart, to 229 adults (≥18 years old) who underwent epilepsy surgery ≥1 year earlier, at three centers in Canada and one in Sweden. Participants also completed seven validated questionnaires to assess construct validity. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) assessed the factorial structure of the questionnaire. Cronbach alpha and intraclass correlation coefficients (ICCs) assessed the internal consistency and test‐retest reliability of the ESSQ‐19. Spearman and polyserial correlations assessed construct validity. Results Median age of participants and time since surgery were 42 years (interquartile range [IQR] = 32‐54) and 5 years (IQR = 2‐8.75), respectively. EFA and CFA yielded 18 items that segregated into four domains (mean score [SD]), namely, seizure control (76.4 [25]), psychosocial functioning (67.3 [26]), surgical complications (84 [22]), and recovery from surgery (73 [24]), one global satisfaction item, and a summary global score (74 [21]). The domain and summary scores demonstrated good to excellent internal reliability (Cronbach ⍺ range = .84‐.95) and test‐retest reliability (ICC range = 0.71‐0.85). Construct validity was supported by predicted correlations with other instruments. Significance The ESSQ‐19 is a new, valid, and reliable measure of patient satisfaction with epilepsy surgery that can be used in clinical and research settings.
doi_str_mv 10.1111/epi.16709
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We aimed to develop and validate a new measure of patient satisfaction with epilepsy surgery, the 19‐item Epilepsy Surgery Satisfaction Questionnaire (ESSQ‐19). Methods An initial 31‐item measure was developed based on literature review, patient focus groups, thematic analysis, and Delphi panels. The questionnaire was administered twice, 4‐6 weeks apart, to 229 adults (≥18 years old) who underwent epilepsy surgery ≥1 year earlier, at three centers in Canada and one in Sweden. Participants also completed seven validated questionnaires to assess construct validity. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) assessed the factorial structure of the questionnaire. Cronbach alpha and intraclass correlation coefficients (ICCs) assessed the internal consistency and test‐retest reliability of the ESSQ‐19. Spearman and polyserial correlations assessed construct validity. Results Median age of participants and time since surgery were 42 years (interquartile range [IQR] = 32‐54) and 5 years (IQR = 2‐8.75), respectively. EFA and CFA yielded 18 items that segregated into four domains (mean score [SD]), namely, seizure control (76.4 [25]), psychosocial functioning (67.3 [26]), surgical complications (84 [22]), and recovery from surgery (73 [24]), one global satisfaction item, and a summary global score (74 [21]). The domain and summary scores demonstrated good to excellent internal reliability (Cronbach ⍺ range = .84‐.95) and test‐retest reliability (ICC range = 0.71‐0.85). Construct validity was supported by predicted correlations with other instruments. 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Results Median age of participants and time since surgery were 42 years (interquartile range [IQR] = 32‐54) and 5 years (IQR = 2‐8.75), respectively. EFA and CFA yielded 18 items that segregated into four domains (mean score [SD]), namely, seizure control (76.4 [25]), psychosocial functioning (67.3 [26]), surgical complications (84 [22]), and recovery from surgery (73 [24]), one global satisfaction item, and a summary global score (74 [21]). The domain and summary scores demonstrated good to excellent internal reliability (Cronbach ⍺ range = .84‐.95) and test‐retest reliability (ICC range = 0.71‐0.85). Construct validity was supported by predicted correlations with other instruments. 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We aimed to develop and validate a new measure of patient satisfaction with epilepsy surgery, the 19‐item Epilepsy Surgery Satisfaction Questionnaire (ESSQ‐19). Methods An initial 31‐item measure was developed based on literature review, patient focus groups, thematic analysis, and Delphi panels. The questionnaire was administered twice, 4‐6 weeks apart, to 229 adults (≥18 years old) who underwent epilepsy surgery ≥1 year earlier, at three centers in Canada and one in Sweden. Participants also completed seven validated questionnaires to assess construct validity. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) assessed the factorial structure of the questionnaire. Cronbach alpha and intraclass correlation coefficients (ICCs) assessed the internal consistency and test‐retest reliability of the ESSQ‐19. Spearman and polyserial correlations assessed construct validity. Results Median age of participants and time since surgery were 42 years (interquartile range [IQR] = 32‐54) and 5 years (IQR = 2‐8.75), respectively. EFA and CFA yielded 18 items that segregated into four domains (mean score [SD]), namely, seizure control (76.4 [25]), psychosocial functioning (67.3 [26]), surgical complications (84 [22]), and recovery from surgery (73 [24]), one global satisfaction item, and a summary global score (74 [21]). The domain and summary scores demonstrated good to excellent internal reliability (Cronbach ⍺ range = .84‐.95) and test‐retest reliability (ICC range = 0.71‐0.85). Construct validity was supported by predicted correlations with other instruments. Significance The ESSQ‐19 is a new, valid, and reliable measure of patient satisfaction with epilepsy surgery that can be used in clinical and research settings.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33063891</pmid><doi>10.1111/epi.16709</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-3607-834X</orcidid><orcidid>https://orcid.org/0000-0002-1061-9099</orcidid><orcidid>https://orcid.org/0000-0002-2807-7347</orcidid><orcidid>https://orcid.org/0000-0002-6701-4445</orcidid><orcidid>https://orcid.org/0000-0003-1711-7873</orcidid><orcidid>https://orcid.org/0000-0001-7052-1651</orcidid><orcidid>https://orcid.org/0000-0001-9131-8724</orcidid></addata></record>
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source Wiley-Blackwell Read & Publish Collection
subjects Adult
Epilepsy
Epilepsy - surgery
Factor analysis
Factor Analysis, Statistical
Female
Humans
Literature reviews
Male
Patient satisfaction
Patient Satisfaction - statistics & numerical data
Patients
patient‐reported outcomes
questionnaire
Questionnaires
Reproducibility of Results
Seizures
Social interactions
Surgery
Surgical outcomes
Surveys and Questionnaires
Validation studies
Validity
title Development and validation of the Epilepsy Surgery Satisfaction Questionnaire (ESSQ‐19)
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