Adaptation and Validation of a Treatment Expectations Scale for Hospitalized Patients-Spanish Patient Version

Background: Hospitalized patients’ expectations about their treatment play a key role in therapeutic adherence, satisfaction with care, and clinical outcomes. However, there is a lack of brief, psychometrically validated instruments in Spanish-speaking contexts that adequately assess this construct....

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Autores principales: Gonzales Valdivia, Karol Josephine, Ñaupa Tito, Katherine Yessenia, Morales Garcia, Wilter Charming
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Lenguaje:inglés
Publicado: Multidisciplinary Digital Publishing Institute (MDPI) 2025
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author Gonzales Valdivia, Karol Josephine
Ñaupa Tito, Katherine Yessenia
Morales Garcia, Wilter Charming
author_browse Gonzales Valdivia, Karol Josephine
Morales Garcia, Wilter Charming
Ñaupa Tito, Katherine Yessenia
author_facet Gonzales Valdivia, Karol Josephine
Ñaupa Tito, Katherine Yessenia
Morales Garcia, Wilter Charming
author_sort Gonzales Valdivia, Karol Josephine
collection Producción científica
description Background: Hospitalized patients’ expectations about their treatment play a key role in therapeutic adherence, satisfaction with care, and clinical outcomes. However, there is a lack of brief, psychometrically validated instruments in Spanish-speaking contexts that adequately assess this construct. Objective: The objective of this study is to culturally adapt and validate the Hospitalized Patients’ Expectations for Treatment Scale-Patient Version (HOPE-P) in a Peruvian population. Methods: A methodological, cross-sectional study was conducted with 277 hospitalized patients aged 18 to 85 years (M = 45.87; SD = 17.09). The adaptation process included translation, back-translation, expert review, and pilot testing. Confirmatory factor analysis (CFA) was performed to assess the factor structure, and reliability and validity indices were calculated. Results: The bifactorial model showed good fit (CFI = 0.97, TLI = 0.94, RMSEA = 0.06). One item with a low factor loading was removed to improve the model. Convergent and discriminant validity were confirmed through acceptable values of Average Variance Extracted (0.60 and 0.55) and inter-factor correlation (φ2 = 0.23). Internal consistency was strong for both dimensions (α = 0.76–0.77; ω = 0.76–0.77). Conclusions: The Spanish version of the HOPE-P is a valid, reliable, and culturally appropriate instrument for evaluating treatment expectations in hospitalized Peruvian patients. Its implementation in clinical settings could enhance physician–patient communication, support shared decision-making, and contribute to better therapeutic outcomes, especially in high-demand healthcare environments.
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spelling oai:cris.upeu.edu.pe:20.500.15037/28502026-10-30T17:03:23ZAdaptation and Validation of a Treatment Expectations Scale for Hospitalized Patients-Spanish Patient VersionGonzales Valdivia, Karol JosephineÑaupa Tito, Katherine YesseniaMorales Garcia, Wilter CharmingPatientHospitalizationExpectationsQuality Of HealthcarePhysician–patient RelationshipsBackground: Hospitalized patients’ expectations about their treatment play a key role in therapeutic adherence, satisfaction with care, and clinical outcomes. However, there is a lack of brief, psychometrically validated instruments in Spanish-speaking contexts that adequately assess this construct. Objective: The objective of this study is to culturally adapt and validate the Hospitalized Patients’ Expectations for Treatment Scale-Patient Version (HOPE-P) in a Peruvian population. Methods: A methodological, cross-sectional study was conducted with 277 hospitalized patients aged 18 to 85 years (M = 45.87; SD = 17.09). The adaptation process included translation, back-translation, expert review, and pilot testing. Confirmatory factor analysis (CFA) was performed to assess the factor structure, and reliability and validity indices were calculated. Results: The bifactorial model showed good fit (CFI = 0.97, TLI = 0.94, RMSEA = 0.06). One item with a low factor loading was removed to improve the model. Convergent and discriminant validity were confirmed through acceptable values of Average Variance Extracted (0.60 and 0.55) and inter-factor correlation (φ2 = 0.23). Internal consistency was strong for both dimensions (α = 0.76–0.77; ω = 0.76–0.77). Conclusions: The Spanish version of the HOPE-P is a valid, reliable, and culturally appropriate instrument for evaluating treatment expectations in hospitalized Peruvian patients. Its implementation in clinical settings could enhance physician–patient communication, support shared decision-making, and contribute to better therapeutic outcomes, especially in high-demand healthcare environments.Article10.3390/healthcare131620672-s2.0-105014346731https://hdl.handle.net/20.500.15037/2850enHealthcareHealthcare (Switzerland)2227-9032Multidisciplinary Digital Publishing Institute (MDPI)2025-08-212026-06-27T02:34:17Z2026-06-27T02:34:17Z
spellingShingle Patient
Hospitalization
Expectations
Quality Of Healthcare
Physician–patient Relationships
Gonzales Valdivia, Karol Josephine
Ñaupa Tito, Katherine Yessenia
Morales Garcia, Wilter Charming
Adaptation and Validation of a Treatment Expectations Scale for Hospitalized Patients-Spanish Patient Version
title Adaptation and Validation of a Treatment Expectations Scale for Hospitalized Patients-Spanish Patient Version
title_full Adaptation and Validation of a Treatment Expectations Scale for Hospitalized Patients-Spanish Patient Version
title_fullStr Adaptation and Validation of a Treatment Expectations Scale for Hospitalized Patients-Spanish Patient Version
title_full_unstemmed Adaptation and Validation of a Treatment Expectations Scale for Hospitalized Patients-Spanish Patient Version
title_short Adaptation and Validation of a Treatment Expectations Scale for Hospitalized Patients-Spanish Patient Version
title_sort adaptation and validation of a treatment expectations scale for hospitalized patients spanish patient version
topic Patient
Hospitalization
Expectations
Quality Of Healthcare
Physician–patient Relationships
topic_facet Patient
Hospitalization
Expectations
Quality Of Healthcare
Physician–patient Relationships
url https://hdl.handle.net/20.500.15037/2850
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AT naupatitokatherineyessenia adaptationandvalidationofatreatmentexpectationsscaleforhospitalizedpatientsspanishpatientversion
AT moralesgarciawiltercharming adaptationandvalidationofatreatmentexpectationsscaleforhospitalizedpatientsspanishpatientversion