ArticleBMC health services research2017
Developing a measure of mental health service satisfaction for use in low income countries: a mixed methods study.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Efficacy and cost-effectiveness of task-shared care for people with severe mental disorders in Ethiopia (TaSCS): a single-blind, randomised, controlled, phase 3 non-inferiority trial.The lancet. Psychiatry · 2022Trial
- Patient-centred care measurement in sub-Saharan Africa: a scoping review of the evidence (1990-2024).International health · 2026Article
- Towards person-centred maternal and newborn care in Ethiopia: a mixed method study of satisfaction and experiences of care.BMC pregnancy and childbirth · 2025Article
- Magnitude and correlates of internalised stigma among outpatient psychiatric service users in southeast central Ethiopia.BMC psychiatry · 2025Article
- Article
- Mental healthcare services satisfaction and its associated factors among patients with mental disorders on follow-up in the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia.Frontiers in psychiatry · 2023Article
- HeAlth System StrEngThening in four sub-Saharan African countries (ASSET) to achieve high-quality, evidence-informed surgical, maternal and newborn, and primary care: protocol for pre-implementation phase studies.Global health action · 2022Review
- Article
- A Mixed-Methods Study to Develop a Resilience Scale for Thai Elderly with Chronic Diseases and Depression.Depression research and treatment · 2022Article
- Article
- Measuring the Patient Experience of Mental Health Care: A Systematic and Critical Review of Patient-Reported Experience Measures.Patient preference and adherence · 2020Review
- Perceived Patient Satisfaction and Associated Factors among Psychiatric Patients Who Attend Their Treatment at Outpatient Psychiatry Clinic, Jimma University Medical Center, Southwest Ethiopia, Jimma, 2019.Psychiatry journal · 2020Article
- Patient satisfaction and associated factors among psychiatry outpatients of St Paulo's Hospital, Ethiopia.General psychiatry · 2020Article
- The Patient-Reported Experience Measure for Improving qUality of care in Mental health (PREMIUM) project in France: study protocol for the development and implementation strategy.Patient preference and adherence · 2019Article
- Patient Satisfaction with Psychiatric Outpatient Care at University of Gondar Specialized Hospital: A Cross-Sectional Survey.Psychiatry journal · 2019Article
- Implementing integrated services for people with epilepsy in primary care in Ethiopia: a qualitative study.BMC health services research · 2018Article
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8 authors.
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Abstract
backgroundService satisfaction is integral to quality of care and measures are therefore considered important indicators of quality. Patient's responses to their experiences of using services are under-researched in the context of mental healthcare in low income countries. Our aim was to use mixed methods to develop a new measure of satisfaction for use among consumers of the new models of mental healthcare which are currently being scaled-up.
methodsWe used qualitative methods to explore the concept of service satisfaction. On the basis of these findings, we developed a new 'Mental health service satisfaction scale' (MHSSS v0.0) by adapting existing measures of service satisfaction. We evaluated psychometric properties of the new measure, among a sample of service users with severe mental disorder (SMD) (n = 200) and caregivers (n = 200). Following expert review, a modified version of the measure was developed (MHSSS v1.0) and psychometric properties were examined with data from a second independent sample (n = 150 service users with SMD and n = 150 caregivers).
resultsFactors identified in analysis of the first quantitative sample coincide with core concepts of service satisfaction as reported in the literature and were reflected in the key themes which emerged from our qualitative study: interpersonal factors, efficacy, communication, technical competency and adequacy of facilities. There was generally consensus among caregivers and service users regarding dimensions of satisfaction. However there was evidence of some differences in prioritization. Revisions made to version 0.0 of the Mental Health Service Satisfaction Scale (MHSSS) led to an improved instrument, with excellent internal consistency, convergent validity and factor loadings indicative of a uni-dimensional construct.
conclusionsOur findings suggest that conceptions of service satisfaction among people accessing a service for SMD are broadly similar with those established in the literature. Our findings indicate that the MHSSS might be a useful candidate for inclusion in the new toolkit of measures needed to facilitate monitoring of service satisfaction which will be crucial to quality improvement.
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