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Client-Centred Rehabilitation - Arthritis Community Research ...

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among different sub-populations (children, chronically ill adults)<br />

different parts of the U.S. (California, Washington D.C., Connecticut, Kansas, Michigan, New jersey,<br />

North Carolina, Oklahoma, Oregon, Washington State)<br />

Survey packages have been specifically designed for adult and children who are in privately<br />

insured care, medicaid managed care, medicaid fee-for-service and adult version of Medicare<br />

managed care (Crofton et al 1999)<br />

Psychometric properties – Validity and Reliability<br />

Cognitive testing of the questionnaire was conducted with parents of children, adults with<br />

chronic diseases, Medicare recipients 65 or older, adult medicaid recipients and with adults with<br />

low literacy skills to find out how well the survey was understood, and what options for question<br />

design were better.<br />

Among other things they found that for their purposes ratings were better than reports,<br />

numeric ratings were better than adjectival (particularly for translation into Spanish), that<br />

participants preferred to be asked abut a longer referent period (in CAHPS 1.0 6 months, in<br />

CAHPS 2.0 12 months) than their last visit to a health professional because they felt it to be<br />

more reflective of their experiences with the health plan. (Harris-Kojetin et al, 1999)<br />

Validity<br />

(Hays et al, 1999)<br />

<br />

<br />

validity of the global rating of the health plan based on its correlation with the consumer's willingness to<br />

recommend it to family or friends (r=0.75, p

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