Development of the Patient’s Experience and Attitude Colposcopy Eindhoven Questionnaire (PEACE-q)

Victor J. M. Pop, Tirza Wouters*, Ruud L. M. Bekkers, Viola R. M. Spek, Jurgen M. J. Piek

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

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No validated instruments for the evaluation of patient satisfaction in colposcopy do exist. Therefore, this study reports on the development of a Patient’s Experience and Attitude to Colposcopy questionnaire.

Patients who recently received colposcopy participated in a focus group. A panel of experts evaluated the transcriptions and agreed on a 15-item draft questionnaire. The draft questionnaire was completed by 68 women who subsequently came for a colposcopy. For construct validation, Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were performed as well as reliability analysis. Concurrent validity was assessed with the 4-item Patient Health questionnaire (PHQ-4).

Construct validation resulted in an 8-item patient perception scale with good psychometric properties (Cronbach’s alpha: 0.76) and excellent model fit. Two subscales could be discriminated: patient procedure perception scale (alpha: 0.89) and caregiver attitude perception scale (alpha: 0.71). Both subscales intercorrelated moderately (r = 0.28, p = 0.045). The subscale patient perception correlated significantly with the PHQ-4 scale and its anxiety subscale, not with the depression subscale.

We developed a Patient’s Experience and Attitude to Colposcopy questionnaire with adequate psychometric properties. Future application in out-patient clinics should further evaluate its clinical relevance.
Original languageEnglish
Article number589
Number of pages7
JournalBMC Health Services Research
Issue number1
Publication statusPublished - 2019


  • Adult
  • Aged
  • Anxiety/psychology
  • Colposcopy/psychology
  • Factor Analysis, Statistical
  • Female
  • Focus Groups
  • Humans
  • Middle Aged
  • Netherlands
  • Patient Satisfaction
  • Psychometrics
  • Reproducibility of Results
  • Surveys and Questionnaires/standards
  • Colposcopy
  • Satisfaction
  • Patient caregiver attitude
  • CARE
  • patient's experience
  • Anxiety


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