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Published Online: 10 November 2014

The Telehealth Satisfaction Scale: Reliability, Validity, and Satisfaction with Telehealth in a Rural Memory Clinic Population

Publication: Telemedicine and e-Health
Volume 20, Issue Number 11


Introduction: Patient satisfaction is a key aspect of quality of care and can inform continuous quality improvement. Of the few studies that have reported on patient satisfaction with telehealth in programs aimed at individuals with memory problems, none has reported on the psychometric properties of the user satisfaction scales used. Materials and Methods: We evaluated the construct validity and internal consistency reliability of the Telehealth Satisfaction Scale (TeSS), a 10-item scale adapted for use in a rural and remote memory clinic (RRMC). The RRMC is a one-stop interprofessional clinic for rural and remote seniors with suspected dementia, located in a tertiary-care hospital. Telehealth videoconferencing is used for preclinic assessment and for follow-up. Patients and caregivers completed the TeSS after each telehealth appointment. With data from 223 patients, exploratory factor analysis was conducted using the principal components analysis extraction method. Results: The eigenvalue for the first factor (5.2) was greater than 1 and much larger than the second eigenvalue (0.92), supporting a one-factor solution that was confirmed by the scree plot. The total variance explained by factor 1 was 52.1%. Factor loadings (range, 0.54–0.84) were above recommended cutoffs. The TeSS items demonstrated high internal consistency reliability (Cronbach's alpha=0.90). Satisfaction scores on the TeSS items ranged from 3.43 to 3.72 on a 4-point Likert scale, indicating high satisfaction with telehealth. Conclusions: The study findings demonstrate high user satisfaction with telehealth in a rural memory clinic and the sound psychometric properties of the TeSS in this population.

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Published In

cover image Telemedicine and e-Health
Telemedicine and e-Health
Volume 20Issue Number 11November 2014
Pages: 997 - 1003
PubMed: 25272141


Published online: 10 November 2014
Published in print: November 2014
Published ahead of print: 1 October 2014
Accepted: 12 March 2014
Revision received: 11 March 2014
Received: 5 January 2014


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Debra G. Morgan, PhD, RN
Canadian Centre for Health & Safety in Agriculture, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
Julie Kosteniuk, PhD
Canadian Centre for Health & Safety in Agriculture, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
Norma Stewart, PhD, RN
College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
Megan E. O'Connell, PhD, RD Psych
College of Arts & Sciences, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
Chandima Karunanayake, PhD
Canadian Centre for Health & Safety in Agriculture, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
Rob Beever, BSc, MEd
Student Enrollment Services, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.


Address correspondence to:Debra G. Morgan, PhD, RNCanadian Centre for Health & Safety in AgricultureCollege of MedicineUniversity of Saskatchewan104 Clinic PlaceP.O. Box 23Saskatoon, SK, S7N 5E5Canada
E-mail: [email protected]

Disclosure Statement

No competing financial interests exist.

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