{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T08:14:17Z","timestamp":1788682457875,"version":"build-2803163510"},"reference-count":44,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      <jats:italic>conside<\/jats:italic>\n                      RATE is a patient\u2010 and care\u2010partner\u2010reported measure of care experience during serious illness. We used\n                      <jats:italic>conside<\/jats:italic>\n                      RATE with patients and care partners at the Dartmouth Cancer Center to assess patient experience, evaluate psychometric properties, and explore scoring approaches.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients and care partners who are aged 18+ and English proficient participated in a cross\u2010sectional survey. Participants completed\n                      <jats:italic>conside<\/jats:italic>\n                      RATE (8 items), CANHELP Lite (21 items), and demographic questions. Reliability was assessed using Cronbach's\n                      <jats:italic>\u03b1<\/jats:italic>\n                      , and validity was evaluated with Pearson's correlations. Continuous and top\u2010box scoring approaches were used. Psychometric properties were analyzed for patients, care partners, and subgroups with lower educational attainment or income.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      244 participants (114 patients, 128 care\u2010partners, 2 unspecified) completed the survey.\n                      <jats:italic>conside<\/jats:italic>\n                      RATE has internal reliability (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u00a0=\u00a00.86); the correlation (\n                      <jats:italic>r<\/jats:italic>\n                      ) between\n                      <jats:italic>conside<\/jats:italic>\n                      RATE continuous scoring and CANHELP Lite scores for all participants was 0.5;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001, for patients 0.5;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001, for care\u2010partners 0.5;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001, for patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a071) with lower educational attainment 0.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001, and for patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a050) with lower income 0.7,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001. We also found correlations between\n                      <jats:italic>conside<\/jats:italic>\n                      RATE top\u2010box scoring and CANHELP Lite scores for all participants (r\n                      <jats:sup>pb<\/jats:sup>\n                      \u00a0=\u00a00.4,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), with stronger associations among the patient (r\n                      <jats:sup>pb<\/jats:sup>\n                      \u00a0=\u00a00.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and lower income (r\n                      <jats:sup>pb<\/jats:sup>\n                      \u00a0=\u00a00.6,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.005) subgroups. We found discriminant validity between\n                      <jats:italic>conside<\/jats:italic>\n                      RATE and Single\u2010item Health Literacy (SIL) measures for continuous scoring (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a0\u22120.05 to 0.09,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&gt;\u00a00.05) and top\u2010box scoring (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a0\u22120.02 to 0.09,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&gt;\u00a00.05). We found no significant difference in overall experience between patients with solid and hematologic malignancy cancer categories.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      We demonstrated in this sample of patients attending a cancer center that\n                      <jats:italic>conside<\/jats:italic>\n                      RATE has good internal reliability and is well correlated with CANHELP Lite.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70292","type":"journal-article","created":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T04:15:57Z","timestamp":1760760957000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Using consideRATE to Evaluate Patient Experience in a Cancer Center: Psychometric and Healthcare Assessments"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2201-0819","authenticated-orcid":false,"given":"Joseph P.","family":"Nano","sequence":"first","affiliation":[{"name":"The Dartmouth Institute for Health Policy &amp; 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