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  • Measure Summary
  • NQMC:005035
  • Jan 2006

"Global Satisfaction" scale of the Treatment Satisfaction Questionnaire for Medication (TSQM): the mean scale score for the "Global Satisfaction" items on the TSQM (version II).

Treatment Satisfaction Questionnaire for Medication (TSQM) (Version II). Quintiles Transnational Corp.; 2006. 3 p.

View the original measure documentation External Web Site Policy

This is the current release of the measure.

The measure developer reaffirmed the currency of this measure in March 2016.

Primary Measure Domain

Clinical Quality Measures: Patient Experience

Secondary Measure Domain

Does not apply to this measure

Description

The "Global Satisfaction" scale* of the Treatment Satisfaction Questionnaire for Medication (TSQM) is used to assess the overall level of satisfaction or dissatisfaction with medication patients are taking. This composite scale is comprised of two items on the TSQM survey:

  • How satisfied are you that good things about this medication outweigh the bad things?
  • Taking all things into account, how satisfied or dissatisfied are you with this medication?

*Note: The validity of this scale is influenced by the degree to which patients can; a) use personal experience to assess the effectiveness of their medication, b) has information on the clinical effectiveness of their medication (e.g., clinician appraisal, lab results etc.) and c) has formulated perceptions/beliefs about its effectiveness. Moreover, the Global Satisfaction scale will be affected by the relative importance that patients place on the (perceived) effectiveness, side effects and convenience of their medication. In order to help assure correct performance of this scale, it is typically administered after the administration of the three specific TSQM scales (Efficacy, Side Effects and Convenience).

Note: The "Global Satisfaction" scale is a component of a composite measure. It cannot be used on its own and must be used with the following scales:

Rationale

Patients' global rating of dissatisfaction with treatment is the strongest predictor of non-adherence and non-persistence with medication use, thereby affecting the clinical effectiveness and efficiency of medical care. Patients who perceive their medication to be ineffective (see the related National Quality Measures Clearinghouse [NQMC] summary, "Effectiveness" scale of the Treatment Satisfaction Questionnaire for Medication (TSQM): the mean scale score for the "Effectiveness" items on the TSQM (version II)), laden with side effects (see the related NQMC summary, "Side Effects" scale of the Treatment Satisfaction Questionnaire for Medication (TSQM): the mean scale score for the "Side Effects" items on the TSQM (version II)), very inconvenient (see the related NQMC summary, "Convenience" scale of the Treatment Satisfaction Questionnaire for Medication (TSQM): the mean scale score for the "Convenience" items on the TSQM (version II)), or as having more negative than positive characteristics are less likely to fill prescriptions or take their medications as prescribed. This in turn can impact the effectiveness of treatment and may result in service inefficiencies associated with treatment failure.

Treatment Satisfaction Questionnaire for Medication (TSQM) provides a unique opportunity to compare various medications used to treat a particular illness on the three primary dimensions of treatment satisfaction (Effectiveness, Side Effects, Convenience), as well as patients’ overall rating of Global Satisfaction based on the relative importance of these primary dimensions to patients. Routine assessment of patients' level of TS-M provides a way for clinicians to screen individuals whose current medication experiences may increase the risk of poor medication adherence and persistence. If collected from many patients, such information could foster a deeper consideration of patients' perspectives when evaluating the merits and drawbacks of various treatment alternatives.

Evidence for Rationale

Atkinson MJ, Sinha A, Hass SL, Colman SS, Kumar RN, Brod M, Rowland CR. Validation of a general measure of treatment satisfaction, the Treatment Satisfaction Questionnaire for Medication (TSQM), using a national panel study of chronic disease. Health Qual Life Outcomes. 2004 Feb 26;2:12. [77 references] PubMed External Web Site Policy

Primary Health Components

Medication satisfaction; overall rating

Denominator Description

Patients who completed the "Global Satisfaction" items on the Treatment Satisfaction Questionnaire for Medication (TSQM)

Numerator Description

The number of "Extremely Dissatisfied," "Very Dissatisfied," "Dissatisfied," "Somewhat Satisfied," "Satisfied," "Very Satisfied," and "Extremely Satisfied" responses for the "Global Satisfaction" items on the Treatment Satisfaction Questionnaire for Medication (TSQM). From the responses, a scale score is calculated with a higher score indicating greater satisfaction.

Type of Evidence Supporting the Criterion of Quality for the Measure

  • Focus groups
  • One or more research studies published in a National Library of Medicine (NLM) indexed, peer-reviewed journal

Additional Information Supporting Need for the Measure

Unspecified

Extent of Measure Testing

A multi-step exploratory factor analysis (EFA) was employed to investigate the construct validity of the Treatment Satisfaction Questionnaire for Medication (TSQM). The TSQM v. II was tested for model fit against an established theoretical model (the Decisional Balance Model of Treatment Satisfaction) using hierarchical confirmatory factor analysis (HCFA).

Evidence for Extent of Measure Testing

Atkinson MJ, Kumar R, Cappelleri JC, Hass SL. Hierarchical construct validity of the treatment satisfaction questionnaire for medication (TSQM version II) among outpatient pharmacy consumers. Value Health. 2005 Nov-Dec;8 Suppl 1:S9-S24. PubMed External Web Site Policy

Atkinson MJ, Sinha A, Hass SL, Colman SS, Kumar RN, Brod M, Rowland CR. Validation of a general measure of treatment satisfaction, the Treatment Satisfaction Questionnaire for Medication (TSQM), using a national panel study of chronic disease. Health Qual Life Outcomes. 2004 Feb 26;2:12. [77 references] PubMed External Web Site Policy

Bharmal M, Payne K, Atkinson MJ, Desrosiers MP, Morisky DE, Gemmen E. Validation of an abbreviated Treatment Satisfaction Questionnaire for Medication (TSQM-9) among patients on antihypertensive medications. Health Qual Life Outcomes. 2009;7:36. PubMed External Web Site Policy

State of Use

Current routine use

Current Use

Internal quality improvement

Quality of care research

Measurement Setting

Ambulatory/Office-based Care

Professionals Involved in Delivery of Health Services

Nurses

Pharmacists

Physician Assistants

Physicians

Psychologists/Non-physician Behavioral Health Clinicians

Least Aggregated Level of Services Delivery Addressed

Individual Clinicians or Public Health Professionals

Statement of Acceptable Minimum Sample Size

Unspecified

Target Population Age

Age greater than or equal to 18 years

Target Population Gender

Either male or female

National Quality Strategy Aim

Better Care

National Quality Strategy Priority

Health and Well-being of Communities
Person- and Family-centered Care

IOM Care Need

Getting Better

Living with Illness

Staying Healthy

IOM Domain

Patient-centeredness

Case Finding Period

Unspecified

Denominator Sampling Frame

Patients associated with provider

Denominator (Index) Event or Characteristic

Encounter

Denominator Time Window

Does not apply to this measure

Denominator Inclusions/Exclusions

Inclusions
Patients who completed the "Global Satisfaction" items on the Treatment Satisfaction Questionnaire for Medication (TSQM)

Exclusions
None

Exclusions/Exceptions

Does not apply to this measure

Numerator Inclusions/Exclusions

Inclusions
The number of "Extremely Dissatisfied," "Very Dissatisfied," "Dissatisfied," "Somewhat Satisfied," "Satisfied," "Very Satisfied," and "Extremely Satisfied" responses for the "Global Satisfaction" items on the Treatment Satisfaction Questionnaire for Medication (TSQM). From the responses, a scale score is calculated with a higher score indicating greater satisfaction.

Exclusions
None

Numerator Search Strategy

Fixed time period or point in time

Data Source

Patient/Individual survey

Instruments Used and/or Associated with the Measure

Treatment Satisfaction Questionnaire for Medication (TSQM)

Measure Specifies Disaggregation

Does not apply to this measure

Scoring

Composite/Scale

Interpretation of Score

Desired value is a higher score

Allowance for Patient or Population Factors

Unspecified

Standard of Comparison

External comparison at a point in, or interval of, time

External comparison of time trends

Internal time comparison

Original Title

Global Satisfaction.

Composite Measure Name

Treatment Satisfaction Questionnaire for Medication (TSQM) Version II

Submitter

Atkinson, Mark J., PhD

Developer

Atkinson, Mark J., PhD; Hass, Steven L., PhD

Funding Source(s)

Pharmacia, Pfizer Inc.

Composition of the Group that Developed the Measure

Atkinson, Mark J, Ph.D.; Hass, Steven L, Ph.D.; Kumar, Ritesh, Ph.D.; Colman, Shoshana, Ph.D.; Sinha, Anusha, M.P.H.; Brod, Meryl, Ph.D.; Roland, Clayton, Ph.D.

Financial Disclosures/Other Potential Conflicts of Interest

Unspecified

Adaptation

This measure was not adapted from another source.

Date of Most Current Version in NQMC

2006 Jan

Measure Maintenance

Unspecified

Date of Next Anticipated Revision

Unspecified

Measure Status

This is the current release of the measure.

The measure developer reaffirmed the currency of this measure in March 2016.

Source(s)

Treatment Satisfaction Questionnaire for Medication (TSQM) (Version II). Quintiles Transnational Corp.; 2006. 3 p.

Measure Availability

Source available for purchase from the Quintiles Web site External Web Site Policy.

For more information, contact Quintiles, Inc. at 3130 Fairview Park Drive, Suite #501, Falls Church, VA 22042; Telephone: 703-269-5857; Fax: 703-269-5802; Web site: www.quintiles.com External Web Site Policy.

NQMC Status

This NQMC summary was completed by ECRI Institute on September 8, 2009. The information was verified by the measure developer on October 15, 2009.

This NQMC summary was retrofitted into the new template on May 23, 2011.

The information was reaffirmed by the measure developer on March 16, 2016.

Copyright Statement

Quintiles, Inc. holds the copyright for the Treatment Satisfaction Questionnaire for Medication (TSQM). Any uses of the TSQM must obtain permission for use from Quintiles. There is a per-use fee associated with the TSQM. Special arrangements for use are available for academics and non-industry research activities. If you are interested in using the TSQM, please contact TSQM@quintiles.com.

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