{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T12:38:31Z","timestamp":1786451911060,"version":"build-2736575974"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":68,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Nephrol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patient-reported experience measures (PREMs) are important tools for evaluating the quality of care from patients\u2019 perspectives. Nevertheless, no validated PREMs exist for maintenance hemodialysis (MHD) patients in Thailand. This study aimed to develop a Thai version of the Consumer Assessment of Healthcare Providers and System In-center Hemodialysis (CAHPS-ICH) survey and assess its psychometric properties, specifically its validity and reliability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      We conducted the cross-sectional study, using Total Population Sampling among adult patients (\u2265\u200918 years) receiving MHD at the Chiang Mai University Hospital hemodialysis center. The original English version CAHPS-ICH\n                      <jats:sup>\u00ae<\/jats:sup>\n                      survey was translated into Thai using the forward-backward translation method and cognitive debriefing. Confirmatory Factor Analysis (CFA) was employed to evaluate construct validity. Correlation analysis (using Pearson\u2019s and Spearman\u2019s coefficients) was used to assess the relationship between each domain (Nephrologists\u2019 communication and caring [NCC], quality of dialysis center cares and operation [QoC], and providing information to patients [PI]) and the global rating scales. Internal consistency and test-retest reliability were assessed using Cronbach\u2019s alpha coefficient (\u03b1) and intraclass correlation coefficient (ICC), respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 189 patients were recruited. The NCC domain CFA model showed a mixed fit (RMSEA\u2009=\u20090.137; CFI\u2009=\u20090.945; SRMR\u2009=\u20090.041). In contrast, the QoC and PI domain CFA models demonstrated an acceptable fit (RMSEA\u2009=\u20090.098; CFI\u2009=\u20090.844; SRMR\u2009=\u20090.071 and RMSEA\u2009=\u20090.066; CFI\u2009=\u20090.843; SRMR\u2009=\u20090.070, respectively). The NCC domain exhibited the strongest correlation with the doctor global rating scale (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.60) and displayed good internal consistency (\u03b1\u2009=\u20090.86). The QoC domain indicated positive correlations with the staff and center rating scales (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.65 and 0.58, respectively) and demonstrated acceptable internal consistency (\u03b1\u2009=\u20090.78). The PI domain showed a moderate association with the center global rating scales (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.31), but its internal consistency was not demonstrated (\u03b1\u2009=\u20090.53). Most multi-item scale questions showed satisfactory test-retest reliability (ICC\u2009=\u20090.50\u20130.85).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite the mixed fit observed in the NCC domain CFA, the overall \u201cThai CAHPS-ICH\u201d survey demonstrates acceptable reliability and concurrent validity among MHD patients at Chiang Mai University Hospital. This validation is a crucial first step toward establishing a patient-centered quality metric for hemodialysis centers in Thailand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>This study was reviewed and approved by the Ethics Committee of Chiang Mai University (Ethical approval number: MED-2565-09133).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12882-026-05042-5","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:44:07Z","timestamp":1780580647000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Validity and reliability of the Thai version Consumer Assessment of Healthcare Providers and Systems In-Centre Hemodialysis (Thai CAHPS-ICH) survey for maintenance hemodialysis patients"],"prefix":"10.1186","volume":"27","author":[{"given":"Jirawat","family":"Phuphanitcharoenkun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phoom","family":"Narongkiatikhun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vuddhidej","family":"Ophascharoensuk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"issue":"7","key":"5042_CR1","first-page":"671","volume":"1","author":"T Kanjanabuch","year":"2020","unstructured":"Kanjanabuch T, Takkavatakarn K, Global. 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All procedures performed in this study were in accordance with the ethical standards of the institutional and\/or national research committee and the institution\u2019s Standard Operating Procedures (SOPs). These SOPs are aligned with the principles of the Declaration of Helsinki (1964) and its later amendments, the Belmont Report, and the WHO operational guidelines for ethics committees that review biomedical research.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was obtained from all participants prior to data collection. Potential participants were approached by research assistants and hemodialysis nurses, and the study procedures were fully explained before they provided consent.","order":3,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All authors declare that they have no conflicts of interest.","order":4,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"465"}}