Evaluation of Psychometric Properties of Thai Version Telehealth Usability Questionnaire (T-TUQ)
DOI:
https://doi.org/10.5195/ijt.2023.6577Keywords:
Questionnaire, Telehealth, Telehealth Usability Questionnaire (TUQ), Thai, Translation, Usability, ValidationAbstract
This cross-sectional validation study aimed to translate, cross-culturally adapt, and investigate the psychometric properties of a Thai version of the Telehealth Usability Questionnaire (T-TUQ). Two hundred and ten Thai participants, mean age of 61.2±15.2 years, were recruited from three specialty clinics: 50 (23.8%) hematology, 70 (33.3%) movement disorders, and 90 (42.9%) general neurology. The T-TUQ was translated from the original English version to produce a Thai language version. Back translation and pilot cognitive interviews were completed. All five subscales (usefulness, ease of use, effectiveness, reliability, and satisfaction) showed excellent internal consistency (alpha >0.80), displayed by Cronbach's alpha coefficient of 0.83, 0.94, 0.86, 0.83, and 0.92, respectively. For construct validity, exploratory factor analysis revealed two dimensions from eigenvalues and scree plot, defined as utility and accessibility subscales. In conclusion, the T-TUQ could be a reliable and valid instrument to evaluate the usability of telehealth with a Thai population.
References
Awais-e-yazdan, M., Birau, R., Spulbar, C., & Florescu, I. (2022). Urdu version of the telemedicine satisfaction questionnaire and telehealth usability questionnaire: An introductory investigation among pakistani transgender individuals. Research and Science Today, 24(2), 133–151. https://doi.org/10.38173/RST.2022.24.2.10:133-151
Barsom, E. Z., van Hees, E., Bemelman, W. A., & Schijven, M. P. (2020). Measuring patient satisfaction with video consultation: A systematic review of assessment tools and their measurement properties. International Journal of Technology Assessment in Health Care, 36(4), 356–362. https://doi.org/10.1017/S0266462320000367
Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186–3191. https://doi.org/10.1097/00007632-200012150-00014
Bender, C., Nielsen, M. G., Hejlesen, O., & Hangaard, S. (2022). Assessing the use of telemedicine among people with diabetes: A Danish translation and cross-cultural adaptation of the Telemedicine Usability Questionnaire. In Proceedings of the 18th Scandinavian Conference on Health Informatics (pp. 14-20). Linköping University Electronic Press. https://doi.org/10.3384/ecp187003
Bibiloni, N., Torre, A., Angles, M., Terrasa, S., Peña, F., Sommer, J., Plazzotta, F., Luna, D., & Mazzuoccolo, L. (2020). Validation of a Spanish questionnaire on telemedicine usability. Medicina, 80(6), 649–653. https://www.medicinabuenosaires.com/PMID/33254109.pdf
Comrey, A. L. (1988). Factor-analytic methods of scale development in personality and clinical psychology. Journal of Consulting and Clinical Psychology, 56(5), 754–761. https://doi.org/10.1037/0022-006X.56.5.754
Finn, M. T. M., Brown, H. R., Friedman, E. R., Kelly, A. G., & Hansen, K. (2021). Preference for telehealth sustained over three months at an outpatient center for integrative medicine. Global Advances in Health and Medicine, 10, 1–9. https://doi.org/10.1177/2164956121997361
Grossman, S. N., Han, S. C., Balcer, L. J., Kurzweil, A., Weinberg, H., Galetta, S. L., & Busis, N. A. (2020). Rapid implementation of virtual neurology in response to the COVID-19 pandemic. Neurology, 94(24), 1077–1087. https://doi.org/10.1212/WNL.0000000000009677
Guadagnoli, E., & Velicer, W. (1988). Relation of sample size to the stability of component patterns. Psychological Bulletin, 103, 265–275. https://doi.org/10.1037//0033-2909.103.2.265
Hajesmaeel-Gohari, S., & Bahaadinbeigy, K. (2021). The most used questionnaires for evaluating telemedicine services. BMC Medical Informatics and Decision Making, 21(36), 2–11. https://doi.org/10.1186/s12911-021-01407-y
Hvalič Touzery, S., Dolnicar, V., Prevodnik, K., Škafar, M., & Petrovčič, A. (2020). The importance of patients’ user experience with a telehealth system for their evaluation of its psychosocial impacts. Smart Living Form 2019, 19–25.
Kaiser, H. F. (1974). An index of factorial simplicity. Psychometrika, 39(1), 31–36. https://doi.org/10.1007/BF02291575
Kruse, C. S., Krowski, N., Rodriguez, B., Tran, L., Vela, J., & Brooks, M. (2017). Telehealth and patient satisfaction: A systematic review and narrative analysis. BMJ Open, 7(e016242), 1–12. https://doi.org/10.1136/bmjopen-2017-016242
Lai, K. E., Ko, M. W., Rucker, J. C., Odel, J. G., Sun, L. D., Winges, K. M., Ghosh, A., Bindiganavile, S. H., Bhat, N., Wendt, S. P., Scharf, J. M. M., Dinkin, M. J., Rasool, N., Galetta, S. L., & Lee, A. G. (2020). Tele-Neuro-Ophthalmology during the age of COVID-19. Journal of Neuro-Ophthalmology, 40(3), 292–304. https://doi.org/10.1097/WNO.0000000000001024
Langbecker, D., Caffery, L. J., Gillespie, N., & Smith, A. C. (2017). Using survey methods in telehealth research: A practical guide. Journal of Telemedicine and Telecare, 23(9), 770–779. https://doi.org/10.1177/1357633X17721814
Nunnally, J. D. (1978). Psychometric theory (2nd ed), New York: McGraw-Hill.
Özkeskin M, Özden F, Ekmekçi Ö, & Yüceyar N. (2022). The reliability and validity of the Turkish version of the Telemedicine Satisfaction and Usefulness Questionnaire (TSUQ) and Telemedicine Patient Questionnaire (TPQ) in individuals with multiple sclerosis. Neurological Science, 43(3), 1921-1927. https://doi.org/10.1007/s10072-021-05519-1.
Park, H.-Y., Kwon, Y.-M., Jun, H.-R., Jung, S.-E., & Kwon, S.-Y. (2021). Satisfaction survey of patients and medical staff for telephone-based telemedicine during hospital closing due to COVID-19 transmission. Telemedicine and E-Health, 27(7), 724–732. https://doi.org/10.1089/tmj.2020.0369
Parmanto, B., Lewis, Jr., A. N., Graham, K. M., & Bertolet, M. H. (2016). Development of the Telehealth Usability Questionnaire (TUQ). International Journal of Telerehabilitation, 8(1), 3–10. https://doi.org/10.5195/ijt.2016.6196
Portney, L. G., & Watkins, M. P. (2009). Foundations of clinical research: Applications to practice. 3rd edition (Vol. 3). Pearson Education, Inc.
Santos MR, Malaguti C, Cabral LA, Soares AL, Neves LHG, Sena LDA, Parmanto B, Sauers AL, José A, Oliveira CC. (2023). The Brazilian version of the telehealth usability questionnaire (telehealth usability questionnaire Brazil): Translation, cross-cultural adaptation, and psychometric properties. Revista da Associação Médica Brasileira, 69(12), e20230228. https://doi.org/10.1590/1806-9282.20230228.
Schutte, J. L., Gales, S., Filipponi, A., Saptono, A., Bambang, P., & McCue, M. (2012). Evaluation of a telerehabilitation system for community-based rehabilitation. International Journal of Telerehabilitation, 4(1), 15–24. https://doi.org/10.5195/ijt.2012.6092
Weaver, M. S., Lukowski, J., Wichman, B., Navaneethan, H., Fisher, A. L., & Neumann, M. L. (2021). Human connection and technology connectivity: A systematic review of available telehealth survey instruments. Journal of Pain and Symptom Management, 61(5), 1042–1051. https://doi.org/10.1016/j.jpainsymman.2020.10.010
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Copyright (c) 2023 Parima Hirunwiwatkul, Punnaka Pongpanich, Wasee Tulvatana, Supharat Jariyakosol, Warongporn Phuenpathom, Supaporn Krittanupong, Ruttanabhorn Chonramak, Tidarat Pichedvanichok, Roongroj Bhidayasiri, Chaichana Nimnuan
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