A cross-national validation of the client satisfaction questionnaire: the Dutch experience

De Brey, Henk

doi:10.1016/0149-7189(83)90018-6

Cited by 109Psychotherapy Techniques and ApplicationsPatient Satisfaction in HealthcarePsychometric Methodologies and Testing

A cross-national validation of the client satisfaction questionnaire: the Dutch experience

De Brey, Henk·1983·Evaluation and Program Planning

DOI 10.1016/0149-7189(83)90018-6

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Abstract

A Dutch translation of the eight-term version of the Client Satisfaction Questionnaire (CSQ-8) was administered to community mental health outpatients in the Netherlands (n = 110). Data analyses indicate that the Dutch CSQ-8 has highly similar operating characteristics and psychometric properties compared with the English language version. Results also indicate that one general satisfaction factor was found in the Dutch CSQ-8 data. All eight of the scale items loaded heavily on this general factor, strong inter-item correlations were found, and the scale demonstrated high internal consistency. On these grounds, we can conclude that the Dutch CSQ-8 has the same properties as the original questionnaire and can be used as such in Holland. It was also found that those clients who decided to stop therapy on their own were less satisfied than other clients. Clients who made a common decision with their therapist or let him/her make that decision were more satisfied than clients who stopped by themselves. Additional research is planned to investigate whether clients who complete treatment goals are indeed more satisfied and whether this line of research could be a means of studying the external validity of the scale.

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The CSQ-8 has been used to evaluate self-administered treatments before and showed a high degree of internal consistency.
“This 8-item scale measures the level of satisfaction with the treatment and has been used to evaluate self-administered treatments before and showed a high degree of internal consistency (De Brey, 1983; Roberts and Attkisson, 1983).”
From Internet-based self-administered intervention to reduce anxiety and depression symptomatology and improve well-being in 7 countries: protocol of a randomized control trial (2024) · cites this paper as De Brey, 1983
The CSQ-8 is an 8-item self-report questionnaire that assesses treatment satisfaction.
“The CSQ-8 [86–88] is an 8-item self-report questionnaire to assess treatment satisfaction on a 4-point Likert scale (1 = totally disagree, 4 = totally agree).”
From Eye movement desensitization and reprocessing (EMDR) therapy or supportive counseling prior to exposure therapy in patients with panic disorder: study protocol for a multicenter randomized controlled trial (IMPROVE) (2023) · cites this paper as [87]
The Dutch translated version of the CSQ-8 shows high internal consistency (.91).
“The Dutch translated version of the questionnaire shows high internal consistency (.91) [61].”
From A blended psychosocial support program for partners of patients with amyotrophic lateral sclerosis and progressive muscular atrophy: Protocol of a randomized controlled trial (2018) · cites this paper as [61]
The psychometric qualities of the Dutch translation of the CSQ are adequate.
“The psychometric qualities of the Dutch translation of the CSQ are adequate [84, 85].”
From An Internet-based Acceptance and Commitment Therapy intervention for older adults with anxiety complaints: study protocol for a cluster randomized controlled trial. (2018) · cites this paper as [84]
The Client Satisfaction Questionnaire (CSQ-8) has been validated for use in a Dutch population.
“which has been validated for use in a Dutch population [51].”
From Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. (2014) · cites this paper as [51]

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Authors: De Brey, H.
Venue: Evaluation and Program Planning
Publisher: Elsevier BV
Published: 1983-01
Volume: 6
Issue: 3-4
Pages: 395-400
ISSN: 0149-7189 (ISSN-L)
DOI: 10.1016/0149-7189(83)90018-6
OpenAlex: W2052460221
Cited by: 109
References: 5
Citations by year: 2026: 4 · 2025: 5 · 2024: 7 · 2023: 8 · 2022: 8 · 2021: 8 · 2020: 2 · 2019: 2 · 2018: 10 · 2017: 1 · 2016: 4 · 2015: 8 · 2014: 6 · 2013: 3 · 2012: 6
FWCI: 0.00
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Evaluation and Program Planning (publishedVersion)
PubMed (publishedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Keywords: Client Satisfaction Questionnaire, cross-cultural validation, Dutch translation, psychometric properties, client satisfaction, treatment discontinuation, treatment goals, generalizability
MeSH terms: Analysis of Variance, Community Mental Health Services, Consumer Behavior, Health Services Research, Netherlands, Surveys and Questionnaires

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A cross-national validation of the client satisfaction questionnaire: the Dutch experience

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