{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T16:35:51Z","timestamp":1785774951890,"version":"3.56.0"},"reference-count":62,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Background\/Objectives: Chronic dermatological conditions increasingly require complex and patient-centered therapeutic management, including biologic therapies, injectable treatments, and multidisciplinary care. In this context, patient-reported experience measures (PREMs) may provide valuable insight into the quality and effectiveness of pharmacist-delivered care. This study aims to translate, culturally adapt, and evaluate the psychometric performance of the Patient Satisfaction with Pharmacist Services Questionnaire (PSPSQ 2.0) as a patient-reported experience measure in Romanian patients with chronic dermatological conditions. Methods: A cross-sectional validation study was conducted in community pharmacies across Romania (N = 220). The questionnaire was translated using a structured forward-translation and expert review process, in accordance with ISPOR and COSMIN recommendations. Internal consistency was assessed using Cronbach\u2019s alpha and item-level statistics. Construct validity was examined using exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and bifactor modeling. Known-groups validity and floor and ceiling effects were also evaluated. Results: The Romanian PSPSQ 2.0 demonstrated excellent internal consistency (\u03b1 = 0.978; subscales \u03b1 = 0.961\u20130.969). EFA indicated a dominant single-factor structure, explaining 84.0% of the variance. In CFA, the original three-factor model showed excellent relative fit (CFI = 0.999, TLI = 0.999), although RMSEA indicated some model misfit (0.109). Bifactor analysis revealed a strong general satisfaction factor, with consistently high loadings (0.80\u20130.99), suggesting that most item variance is attributable to a global patient satisfaction construct. These findings support the use of the instrument as a global measure of patient experience within contemporary dermatologic care pathways. Conclusions: The Romanian version of the PSPSQ 2.0 demonstrates excellent reliability and acceptable construct validity as a PREM for assessing patient satisfaction with pharmacist services. The findings support the use of total scores as a robust indicator of patient experience, while domain-level interpretation should be approached with caution due to substantial overlap between dimensions. This instrument may support the integration of patient-reported measures into routine evaluation of pharmaceutical care.<\/jats:p>","DOI":"10.3390\/diagnostics16132112","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T08:05:38Z","timestamp":1783325138000},"page":"2112","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Patient-Reported Experiences in Chronic Dermatological Conditions: Validation of the Romanian PSPSQ 2.0 Within Contemporary Dermatologic Care Pathways"],"prefix":"10.3390","volume":"16","author":[{"given":"Nicoleta","family":"Cirstea","sequence":"first","affiliation":[{"name":"Doctoral School of Biomedical Sciences, Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0296-6592","authenticated-orcid":false,"given":"Delia Mirela","family":"Tit","sequence":"additional","affiliation":[{"name":"Doctoral School of Biomedical Sciences, Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania"},{"name":"Department of Pharmacy, Faculty of Medicine and Pharmacy, University of Oradea, 410028 Oradea, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirela Marioara","family":"Toma","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Faculty of Medicine and Pharmacy, University of Oradea, 410028 Oradea, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anamaria Lavinia","family":"Purza","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Faculty of Medicine and Pharmacy, University of Oradea, 410028 Oradea, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ada","family":"Radu","sequence":"additional","affiliation":[{"name":"Doctoral School of Biomedical Sciences, Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania"},{"name":"Department of Pharmacy, Faculty of Medicine and Pharmacy, University of Oradea, 410028 Oradea, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela S.","family":"Bungau","sequence":"additional","affiliation":[{"name":"Doctoral School of Biomedical Sciences, Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania"},{"name":"Department of Pharmacy, Faculty of Medicine and Pharmacy, University of Oradea, 410028 Oradea, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3182-1683","authenticated-orcid":false,"given":"Ruxandra-Cristina","family":"Marin","sequence":"additional","affiliation":[{"name":"Doctoral School of Biomedical Sciences, Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania"},{"name":"Department of Pharmacology, Clinical Pharmacology and Pharmacotherapy, Faculty of Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0497-0405","authenticated-orcid":false,"given":"C\u0103lin","family":"Muntean","sequence":"additional","affiliation":[{"name":"Department III, Functional Science, Discipline of Medical Informatics and Biostatistics, \u201cVictor Babes\u201d University of Medicine and Pharmacy, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgiana Iris","family":"Tit","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Education Sciences, University Babes-Bolyai, 400001 Cluj Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radu Dumitru","family":"Moleriu","sequence":"additional","affiliation":[{"name":"Department III, Functional Science, Discipline of Medical Informatics and Biostatistics, \u201cVictor Babes\u201d University of Medicine and Pharmacy, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"623","DOI":"10.2147\/CCID.S315846","article-title":"The Impact of Acne, Atopic Dermatitis, Skin Toxicities and Scars on Quality of Life and the Importance of a Holistic Treatment Approach","volume":"14","author":"Dreno","year":"2021","journal-title":"Clin. 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