• David A Harrison, Paloma Ferrando-Vivas, Stephen E Wright, Elaine McColl, Daren K Heyland, Kathryn M Rowan, and Family-Reported Experiences Evaluation Study Investigators.
• Clinical Trials Unit, Intensive Care National Audit and Research Centre, London, United Kingdom. Electronic address: david.harrison@icnarc.org.
• J Crit Care. 2017 Apr 1; 38: 346-350.

PurposeTo establish the psychometric properties of the Family Satisfaction in the Intensive Care Unit 24-item (FS-ICU-24) questionnaire in the United Kingdom.Materials And MethodsThe Family-Reported Experiences Evaluation study recruited family members of patients staying at least 24 hours in 20 participating intensive care units. Questionnaires were evaluated for nonresponse, floor/ceiling effects, redundancy, and construct validity. Internal consistency was evaluated with item-to-own scale correlations and Cronbach α. Confirmatory and exploratory factor analyses were used to explore the underlying structure.ResultsTwelve thousand three hundred forty-six family members of 6380 patients were recruited and 7173 (58%) family members of 4615 patients returned a completed questionnaire. One family member per patient was included in the psychometric assessment. Six items had greater than 10% nonresponse; 1 item had a ceiling effect; and 11 items had potential redundancy. Internal consistency was high (Cronbach α, overall .96; satisfaction with care, .94; satisfaction with decision making, .93). The 2-factor solution was not a good fit. Exploratory factor analysis indicated that satisfaction with decision making encompassed 2 constructs-satisfaction with information and satisfaction with the decision-making process.ConclusionsThe Family Satisfaction in the Intensive Care Unit 24-item questionnaire demonstrated good psychometric properties in the United Kingdom setting. Construct validity could be improved by use of 3 domains and some scope for further improvement was identified.Copyright © 2016 Elsevier Inc. All rights reserved.

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