Maastricht Instrument for Satisfaction with Terminal Care [MMTTZ]

Instrument Description

The Maastricht Instrument for Satisfaction with Terminal Care (MMTTZ) is a questionnaire designed to assess satisfaction with the care provided to individuals in the terminal stage of illness.

The instrument enables both the person with a terminal illness and their relatives or significant others to describe their level of satisfaction with the care received and to identify specific aspects of care that could be improved.

This approach allows terminal care to be evaluated from two complementary perspectives: that of the patient receiving care and that of the individuals close to them.

Objective

The primary objective of the MMTTZ is the systematic assessment of satisfaction with terminal care.

Through its administration, patients and their relatives can report their perceptions of the care provided and identify potential areas for improvement.

The instrument can also be used by researchers as an outcome measure, allowing satisfaction with terminal care to be examined systematically within research studies.

Versions of the Instrument

An important feature of the MMTTZ is that it is available in two versions:

Patient Version: intended for the individual with a terminal-stage illness and designed to capture their personal satisfaction with the care provided.

Relative/Significant Other Version: intended for a relative or another person close to the patient and designed to record their perspective on the care provided.

The availability of these two versions makes it possible to examine satisfaction with terminal care from both the patient’s and the relative’s perspective.

Target Population

The source document identifies adults as the target population for the MMTTZ.

More specifically, its clinical-use description refers to individuals with terminal-stage illness and their relatives or significant others.

Administration

The MMTTZ is classified in the provided material as a questionnaire.

Its administration enables patients or their relatives to report their satisfaction with the care received and to indicate areas in which improvements may be required.

The available source does not provide detailed information concerning the number of items, response options, administration time, or specific dimensions/subscales. Therefore, these characteristics cannot be reliably specified solely on the basis of the provided document.

Scoring

The source document does not describe a specific scoring procedure for the MMTTZ.

No numerical response values, minimum or maximum scores, subscale scoring procedures, or interpretation thresholds are provided.

Consequently, scoring should follow the instructions accompanying the specific version of the instrument being administered rather than applying scoring criteria that are not documented in the available source.

Data Analysis

The source explicitly states that the MMTTZ can be used by researchers as an outcome measure.

The resulting data can therefore be used to investigate satisfaction with terminal care and identify aspects of care that may require improvement.

However, the available document does not specify particular statistical procedures or methods for calculating total or domain-specific scores. The analytical approach should therefore be determined by the structure of the complete instrument and the objectives of the individual study.

Clinical and Research Applications

In clinical settings, the MMTTZ can be used to document patients’ and relatives’ experiences of care during the terminal stage of illness.

A particularly important feature is its capacity to identify potential areas for improvement. The instrument is therefore intended not only to document satisfaction but also to help highlight aspects of terminal care that may warrant further attention.

In research settings, its use as an outcome measure allows satisfaction with terminal care to be systematically evaluated.

Author

The source document identifies Proot IM (2004) as the author associated with the instrument.

References

Proot, I. M. (2004). Maastrichts Meetinstrument Tevredenheid Terminale Zorg (MMTTZ).

Note: The available source provides only the attribution “Proot IM (2004)” and does not include complete bibliographic information such as a publication title, journal, volume, or page numbers. Therefore, additional bibliographic details have not been added beyond what is supported by the source.