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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 |
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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 |
format | article |
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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.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1111/epi.16709</identifier><identifier>PMID: 33063891</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>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</subject><ispartof>Epilepsia (Copenhagen), 2020-12, Vol.61 (12), p.2729-2738</ispartof><rights>2020 International League Against Epilepsy</rights><rights>2020 International League Against Epilepsy.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2689-ba5bcde4ec6f780bd6bac9007c637489f1172b82aabb6fb7830486374e440aab3</citedby><cites>FETCH-LOGICAL-c2689-ba5bcde4ec6f780bd6bac9007c637489f1172b82aabb6fb7830486374e440aab3</cites><orcidid>0000-0002-3607-834X ; 0000-0002-1061-9099 ; 0000-0002-2807-7347 ; 0000-0002-6701-4445 ; 0000-0003-1711-7873 ; 0000-0001-7052-1651 ; 0000-0001-9131-8724</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33063891$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wiebe, Samuel</creatorcontrib><creatorcontrib>Wahby, Sandra</creatorcontrib><creatorcontrib>Lawal, Oluwaseyi A.</creatorcontrib><creatorcontrib>Sajobi, Tolulope T.</creatorcontrib><creatorcontrib>Keezer, Mark R.</creatorcontrib><creatorcontrib>Nguyen, Dang K.</creatorcontrib><creatorcontrib>Malmgren, Kristina</creatorcontrib><creatorcontrib>Tellez‐Zenteno, Jose</creatorcontrib><creatorcontrib>Atkinson, Mark J.</creatorcontrib><creatorcontrib>Hader, Walter J.</creatorcontrib><creatorcontrib>Josephson, Colin B.</creatorcontrib><creatorcontrib>Macrodimitris, Sophia</creatorcontrib><creatorcontrib>Patten, Scott B.</creatorcontrib><creatorcontrib>Pillay, Neelan</creatorcontrib><creatorcontrib>Sharma, Ruby</creatorcontrib><creatorcontrib>Singh, Shaily</creatorcontrib><creatorcontrib>Starreveld, Yves</creatorcontrib><title>Development and validation of the Epilepsy Surgery Satisfaction Questionnaire (ESSQ‐19)</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><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.</description><subject>Adult</subject><subject>Epilepsy</subject><subject>Epilepsy - surgery</subject><subject>Factor analysis</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Humans</subject><subject>Literature reviews</subject><subject>Male</subject><subject>Patient satisfaction</subject><subject>Patient Satisfaction - statistics & numerical data</subject><subject>Patients</subject><subject>patient‐reported outcomes</subject><subject>questionnaire</subject><subject>Questionnaires</subject><subject>Reproducibility of Results</subject><subject>Seizures</subject><subject>Social interactions</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Surveys and Questionnaires</subject><subject>Validation studies</subject><subject>Validity</subject><issn>0013-9580</issn><issn>1528-1167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp1kMtOwzAQRS0EoqWw4AdQJDbtIq2dhx9LVApUqgRVYcEqspMJpMoLuynqjk_gG_kS3KawQGI2M-M5urq-CJ0TPCS2RlBnQ0IZFgeoS0KPu8Ruh6iLMfFdEXLcQSfGLDHGjDL_GHV8H1OfC9JFz9ewhryqCyhXjiwTZy3zLJGrrCqdKnVWr-BM6iyH2mycRaNfQNtuzyaV8Q6aN2C2QykzDU5_sljMvz4-iRicoqNU5gbO9r2Hnm4mj-M7d3Z_Ox1fzdzYo1y4SoYqTiCAmKaMY5VQJWNhncbUZwEXKSHMU9yTUimaKsZ9HPDtCYIA20e_h_qtbq2rt62ZqMhMDHkuS6gaE3lBSHgoAvvzHrr8gy6rRpfWnaUo44wwLiw1aKlYV8ZoSKNaZ4XUm4jgaJt3ZPOOdnlb9mKv2KgCkl_yJ2ALjFrg3Ya4-V8pmjxMW8lvMTaJ2g</recordid><startdate>202012</startdate><enddate>202012</enddate><creator>Wiebe, Samuel</creator><creator>Wahby, Sandra</creator><creator>Lawal, Oluwaseyi A.</creator><creator>Sajobi, Tolulope T.</creator><creator>Keezer, Mark R.</creator><creator>Nguyen, Dang K.</creator><creator>Malmgren, Kristina</creator><creator>Tellez‐Zenteno, Jose</creator><creator>Atkinson, Mark J.</creator><creator>Hader, Walter J.</creator><creator>Josephson, Colin B.</creator><creator>Macrodimitris, Sophia</creator><creator>Patten, Scott B.</creator><creator>Pillay, Neelan</creator><creator>Sharma, Ruby</creator><creator>Singh, Shaily</creator><creator>Starreveld, Yves</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope><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></search><sort><creationdate>202012</creationdate><title>Development and validation of the Epilepsy Surgery Satisfaction Questionnaire (ESSQ‐19)</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2689-ba5bcde4ec6f780bd6bac9007c637489f1172b82aabb6fb7830486374e440aab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Epilepsy</topic><topic>Epilepsy - surgery</topic><topic>Factor analysis</topic><topic>Factor Analysis, Statistical</topic><topic>Female</topic><topic>Humans</topic><topic>Literature reviews</topic><topic>Male</topic><topic>Patient satisfaction</topic><topic>Patient Satisfaction - statistics & numerical data</topic><topic>Patients</topic><topic>patient‐reported outcomes</topic><topic>questionnaire</topic><topic>Questionnaires</topic><topic>Reproducibility of Results</topic><topic>Seizures</topic><topic>Social interactions</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Surveys and Questionnaires</topic><topic>Validation studies</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wiebe, Samuel</creatorcontrib><creatorcontrib>Wahby, Sandra</creatorcontrib><creatorcontrib>Lawal, Oluwaseyi A.</creatorcontrib><creatorcontrib>Sajobi, Tolulope T.</creatorcontrib><creatorcontrib>Keezer, Mark R.</creatorcontrib><creatorcontrib>Nguyen, Dang K.</creatorcontrib><creatorcontrib>Malmgren, Kristina</creatorcontrib><creatorcontrib>Tellez‐Zenteno, Jose</creatorcontrib><creatorcontrib>Atkinson, Mark J.</creatorcontrib><creatorcontrib>Hader, Walter J.</creatorcontrib><creatorcontrib>Josephson, Colin B.</creatorcontrib><creatorcontrib>Macrodimitris, Sophia</creatorcontrib><creatorcontrib>Patten, Scott B.</creatorcontrib><creatorcontrib>Pillay, Neelan</creatorcontrib><creatorcontrib>Sharma, Ruby</creatorcontrib><creatorcontrib>Singh, Shaily</creatorcontrib><creatorcontrib>Starreveld, Yves</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wiebe, Samuel</au><au>Wahby, Sandra</au><au>Lawal, Oluwaseyi A.</au><au>Sajobi, Tolulope T.</au><au>Keezer, Mark R.</au><au>Nguyen, Dang K.</au><au>Malmgren, Kristina</au><au>Tellez‐Zenteno, Jose</au><au>Atkinson, Mark J.</au><au>Hader, Walter J.</au><au>Josephson, Colin B.</au><au>Macrodimitris, Sophia</au><au>Patten, Scott B.</au><au>Pillay, Neelan</au><au>Sharma, Ruby</au><au>Singh, Shaily</au><au>Starreveld, Yves</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development and validation of the Epilepsy Surgery Satisfaction Questionnaire (ESSQ‐19)</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2020-12</date><risdate>2020</risdate><volume>61</volume><issue>12</issue><spage>2729</spage><epage>2738</epage><pages>2729-2738</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><abstract>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.</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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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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