Development the Questionnaire for the Miss Appoinment Factors in Adult Psychiatric Patients

Main Article Content

Karan Wongprakarnsanti

Abstract

ABSTRACT
Objective : To develop a questionnaire for “factors causing psychiatric patient aged 18-70 years old to miss the appointment at Siriraj Hospital.
Methods : Investigator developed a questionnaire using conceptualize relating to factors causing patient to miss an appointment from the study of Alex. J. Mitchell and Thomas Selmes (2007) “Advance in Psychiatric Treatment: Why don’t patients attend their appointment? Maintaining engagement with psychiatric services.” It was submitted to the Language Institute of Mahidol University Salaya Campus to translate into Thai and re-translate into English. This revision had been done for a certain period of time before the original meaning was achieved. Such translated data was then used for developing a questionnaire which was scored for item objective congruency index (IOC) by 3 persons who were 2 psychiatrists and 1 psychologist. The complete questionnaire was tried out with patients in adult psychiatric department, Siriraj Hospital. Patients were divided into 2 groups with 15 subjects each. The first group had adhering to the appointment for at least 3 months and another group included those with history of failure to keep an appointment at least 6 months. Patients in both groups were allowed to complete the questionnaire and data from such questionnaire was differentiated using Cronbach’s alpha coefficient and chi square test
Results : Demographic characteristics of patients in both group showed no significant difference in terms of age, gender, marital status, career, income and domicile. The average age of patients in the group of those keeping an appointment was 44.3 years old while for those belonging to the group with history of failure to keep an appointment was 37.9 years old. Regarding internal consistency of the questionnaire from the total 20 questions, Cronbach’s alpha was 0.80. For the questionnaire about factor causing psychiatric patient miss the appointment which found that patients in the first group differ another one with statistically significance (p=0.009).When questions were classified in group which has same factor and the answer is classified in 3 group (pleased, moderate, offensive). It appeared first group has pleased in doctor-patient relationship which differs from another were those showing no significance difference (p=0.06).
Conclusions : Questionare for the miss appoinment factors in adult psychiatric patients has high internal consistency which significantly differs between 2 groups about supporting system. Therefore, this questionnaire will be further study with increasing sample size.

Article Details

How to Cite
Wongprakarnsanti, K. (2013). Development the Questionnaire for the Miss Appoinment Factors in Adult Psychiatric Patients. Journal of the Psychiatric Association of Thailand, 58(1), 111–132. Retrieved from https://he01.tci-thaijo.org/index.php/JPAT/article/view/8265
Section
Original Articles
Author Biography

Karan Wongprakarnsanti, 3rd year of psychiatric resident of faculty of medicine, Siriraj hospital, Mahidol university