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Validity and Reliability of Patient Perception of Patient Centeredness Scale in Turkish

Year 2022, Volume: 16 Issue: 2, 286 - 293, 20.06.2022
https://doi.org/10.21763/tjfmpc.987732

Abstract

Background: Patient-centeredness is one of the components of high-quality care and accepted as one of the core competencies of family medicine. The positive effect of patient-centered care on health outcomes reveals itself mainly through the patient's perception of patient-centeredness, which can be measured by the Patient Perception of Patient-Centeredness (PPPC) scale. Aims: To evaluate Turkish validity and reliability of the 18-item 'patient perception of patient-centeredness' scale (PPPC-R) developed by Stewart et al. Study Design: Methodological study. Methods: The translation of the scale was performed by three researchers with the help of 10 family medicine academicians as well as the main developers of the original scale. The Turkish form of the scale, along with the Patient-Physician Relationship summary dimension of the Primary Care Assessment Scale (PCAS) and the Patient-Doctor Relationship Questionnaire (PDRQ), was applied to 339 primary care patients. Results: The original 3-factor model of the revised Patient Perception of Patient-Centeredness (PPPC-R) questionnaire was tested with a Confirmatory Factor Analysis (CFA) to determine if the factor structure of the PPPC-R cross-validates in a Turkish patient population. The fit indices regarding the three-dimensional structure of PPPC-R are within the good or acceptable limits. The standardized factor loadings of the PPPC-R scale items ranged from 0.52 to 0.81 and t values were significant. Cronbach alpha of the scale was 0.903. With respect to criterion, the validity scale showed a negative correlation with both PCAS and PDRQ as expected. Conclusion: The three-dimensional structure of the scale was confirmed with CFA. During this verification, one item did not work and the factor load was considered to be low and removed from the scale. Turkish version of PPPC-R is a scale that can be used to evaluate patients' perception of patient-centeredness.

References

  • 1. Freeman T. McWhinney’s Textbook of Family Medicine 4th ed. Oxford University Press; 2016 p.108-21
  • 2. Stewart M, The patient-centered clinical method: a family medicine perspective. Turkish Journal of Family Practice. 2013;17(2):73-85
  • 3. Bertakis, KD, Azari, R. Determinants and outcomes of patient-centered care. Patient Education and Counseling. 2011;85(1):46-52.
  • 4. European Academy of Teachers in General Practice (EURACT), EURACT Educational Agenda. Leuven 2005.https://euract.woncaeurope.org/sites/euractdev/files/documents/publications/official-documents/euract-educationalagenda.pdf Accessible as the date of 29.10.2021
  • 5. Epstein RM, Street RL. The values and value of patient-centered care. Annals of Family Medicine 2011;9(2):100–3
  • 6. Rathert C, Wyrwich MD, Boren SA. Patient-centered care and outcomes: a systematic review of the literature. Medical Care Research and Review. 2013;70(4):351-79.
  • 7. Oates J, Weston W, Jordan J. The impact of patient-centered care on outcomes. Family Practice. 2000;49(9):796-804.
  • 8. de Boer D, Delnoij D, Rademakers J. The importance of patient-centered care for various patient groups. Patient Education and Counseling. 2013;90(3):405-10.
  • 9. Hudon C, Fortin M, Haggerty JL, Lambert M, Poitras ME. Measuring patients' perceptions of patient-centered care: a systematic review of tools for family medicine. Annals of Family Medicine. 2011;9(2):155-164.
  • 10. Stewart M, Brown JB, Weston WW, McWhinney IR, McWilliam CL, Freeman TR. Patient-Centered Medicine: Transforming the Clinical Method. 2nd ed. Oxford, UK: Radcliffe Medical Press; 2003. p.284-93
  • 11. Ryan BL, Brown JB, Tremblay PF, Stewart M. Measuring Patients' Perceptions of Health Care Encounters: Examining the Factor Structure of the Revised Patient Perception of Patient-Centeredness (PPPC-R) Questionnaire. Journal of Patient Centered Research and Review. 2019;6(3):192-202.
  • 12. Safran DG, Kosinski M, Tarlov AR, Rogers WH, Taira DA, Lieberman N, Ware JE. The Primary Care Assessment Survey: Tests of Data Quality and Measurement Performance. Medical Care 1998; 36(5), 728–739
  • 13. Lagarli T, Eser E, Baydur H. Psychometric properties of the Turkish adult consumer version of the Primary Care Assessment Tool (PCAT-TR). Turkish Journal of Public Health 2014; 12(3).
  • 14. Van der Feltz-Cornelis CM, Van Oppen P, Van Marwijk HW, De Beurs E, Van Dyck R. A patient-doctor relationship questionnaire (PDRQ-9) in primary care: development and psychometric evaluation. Gen Hosp Psychiatry. 2004;26(2):115-120. doi:10.1016/j.genhosppsych.2003.08.010
  • 15. Mergen H, Feltz-Cornelis CM, Karaoğlu N, Erdoğmuş B, Ongel K. Validity of the Turkish patient-doctor relationship questionnaire (PDRQ-Turkish) in comparison with the Europe instrument in a family medicine center. Healthmed. 2012; (6). 1763-1770.
  • 16. Schermelleh-Engel K, Moosbrugger H, Müller H. Evaluating the Fit of Structural Equation Models: Tests of Significance and Descriptive Goodness-of-Fit Measures. Methods of Psychological Research Online. 2003;8(2):23–74.
  • 17. Çelik H.E., Yılmaz V. Structural equality modeling. Ankara:Anı Publishing. 2013:132-173
  • 18. Nguyen, TN, Ngangue, PA, Ryan, BL, et al. The revised Patient Perception of Patient-Centeredness Questionnaire: Exploring the factor structure in French-speaking patients with multimorbidity. Health Expect. 2020; 23: 904– 909. https://doi.org/10.1111/hex.13068

Hastanın Hasta Merkezlilik Algısı Ölçeği Türkçe Geçerlik Güvenilirlik Çalışması

Year 2022, Volume: 16 Issue: 2, 286 - 293, 20.06.2022
https://doi.org/10.21763/tjfmpc.987732

Abstract

Giriş: Nitelikli sağlık hizmetinin bileşenlerinden biri olan hasta merkezlilik aile hekimliğinin de temel yeterliliklerinden biri olarak kabul edilmektedir. Hasta merkezli hizmetin sağlık çıktıları üzerindeki olumlu etkisi hastanın kendisine verilen hizmeti ne ölçüde hasta merkezli olarak algıladığı ile ilişkilidir. Bu da Hastanın Hasta Merkezlilik Algısı Ölçeği ile ölçülebilir. Bu çalışmanın amacı Stewart ve ark. tarafından geliştirilen 18 maddelik Hastanın Hasta Merkezlilik Algısı Ölçeği'nin (PPPC-R) Türkçe geçerlik ve güvenilirliğini saptamaktır. Yöntem: Ölçek üç araştırmacı tarafından Türkçeye çevrilmiş, bu sürece 10 aile hekimliği akademisyeni ve orijinal ölçeğin geliştiricileri katkıda bulunmuştur. Oluşturulan Türkçe form birinci basamağa herhangi bir yakınma ile başvuran 339 hastaya Birinci Basamak Değerlendirme Ölçeği’nin (BBDÖ) Hasta - Hekim İlişkisi Özet Boyutu ve Hasta - Hekim İlişkisi Ölçeği (PDRQ) ile birlikte uygulanmıştır. Bulgular: PPPC-R’nin orijinal üç-boyutlu yapısının Türkçe versiyonu için de geçerli olup olmadığı Doğrulayıcı Faktör Analizi (DFA) ile sınanmıştır. Üç-boyutlu yapı için uyum indeksleri iyi ve kabul edilebilir sınırlarda bulunmuştur. Standardize faktör yükleri 0.52 ile 0.81 arasında olup t değerleri anlamlıdır. Ölçeğin Cronbach alfa değeri 0.903’tür. Ölçüt geçerliliği açısından ölçek puanları, beklendiği gibi, BBDÖ ve PDRQ ile negatif yönde bir korelasyon göstermiştir. Sonuç: Ölçeğin üç-boyutlu yapısı DFA ile doğrulanmıştır. Bu doğrulama sürecinde bir madde çalışmadığı gözlenen ve düşük faktör yükü saptanan bir madde ölçekten çıkartılmıştır. Hastanın Hasta Merkezlilik Algısı Ölçeği Türkçe dilinde kullanılabilir bir ölçektir.

References

  • 1. Freeman T. McWhinney’s Textbook of Family Medicine 4th ed. Oxford University Press; 2016 p.108-21
  • 2. Stewart M, The patient-centered clinical method: a family medicine perspective. Turkish Journal of Family Practice. 2013;17(2):73-85
  • 3. Bertakis, KD, Azari, R. Determinants and outcomes of patient-centered care. Patient Education and Counseling. 2011;85(1):46-52.
  • 4. European Academy of Teachers in General Practice (EURACT), EURACT Educational Agenda. Leuven 2005.https://euract.woncaeurope.org/sites/euractdev/files/documents/publications/official-documents/euract-educationalagenda.pdf Accessible as the date of 29.10.2021
  • 5. Epstein RM, Street RL. The values and value of patient-centered care. Annals of Family Medicine 2011;9(2):100–3
  • 6. Rathert C, Wyrwich MD, Boren SA. Patient-centered care and outcomes: a systematic review of the literature. Medical Care Research and Review. 2013;70(4):351-79.
  • 7. Oates J, Weston W, Jordan J. The impact of patient-centered care on outcomes. Family Practice. 2000;49(9):796-804.
  • 8. de Boer D, Delnoij D, Rademakers J. The importance of patient-centered care for various patient groups. Patient Education and Counseling. 2013;90(3):405-10.
  • 9. Hudon C, Fortin M, Haggerty JL, Lambert M, Poitras ME. Measuring patients' perceptions of patient-centered care: a systematic review of tools for family medicine. Annals of Family Medicine. 2011;9(2):155-164.
  • 10. Stewart M, Brown JB, Weston WW, McWhinney IR, McWilliam CL, Freeman TR. Patient-Centered Medicine: Transforming the Clinical Method. 2nd ed. Oxford, UK: Radcliffe Medical Press; 2003. p.284-93
  • 11. Ryan BL, Brown JB, Tremblay PF, Stewart M. Measuring Patients' Perceptions of Health Care Encounters: Examining the Factor Structure of the Revised Patient Perception of Patient-Centeredness (PPPC-R) Questionnaire. Journal of Patient Centered Research and Review. 2019;6(3):192-202.
  • 12. Safran DG, Kosinski M, Tarlov AR, Rogers WH, Taira DA, Lieberman N, Ware JE. The Primary Care Assessment Survey: Tests of Data Quality and Measurement Performance. Medical Care 1998; 36(5), 728–739
  • 13. Lagarli T, Eser E, Baydur H. Psychometric properties of the Turkish adult consumer version of the Primary Care Assessment Tool (PCAT-TR). Turkish Journal of Public Health 2014; 12(3).
  • 14. Van der Feltz-Cornelis CM, Van Oppen P, Van Marwijk HW, De Beurs E, Van Dyck R. A patient-doctor relationship questionnaire (PDRQ-9) in primary care: development and psychometric evaluation. Gen Hosp Psychiatry. 2004;26(2):115-120. doi:10.1016/j.genhosppsych.2003.08.010
  • 15. Mergen H, Feltz-Cornelis CM, Karaoğlu N, Erdoğmuş B, Ongel K. Validity of the Turkish patient-doctor relationship questionnaire (PDRQ-Turkish) in comparison with the Europe instrument in a family medicine center. Healthmed. 2012; (6). 1763-1770.
  • 16. Schermelleh-Engel K, Moosbrugger H, Müller H. Evaluating the Fit of Structural Equation Models: Tests of Significance and Descriptive Goodness-of-Fit Measures. Methods of Psychological Research Online. 2003;8(2):23–74.
  • 17. Çelik H.E., Yılmaz V. Structural equality modeling. Ankara:Anı Publishing. 2013:132-173
  • 18. Nguyen, TN, Ngangue, PA, Ryan, BL, et al. The revised Patient Perception of Patient-Centeredness Questionnaire: Exploring the factor structure in French-speaking patients with multimorbidity. Health Expect. 2020; 23: 904– 909. https://doi.org/10.1111/hex.13068
There are 18 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Orijinal Articles
Authors

Tolga Günvar 0000-0001-6700-3175

Okay Başak 0000-0003-4669-3976

Gizem Limnili This is me 0000-0002-2321-9182

İrfan Yurdabakan 0000-0003-2758-2162

Dilek Güldal 0000-0002-7344-9349

Publication Date June 20, 2022
Submission Date August 27, 2021
Published in Issue Year 2022 Volume: 16 Issue: 2

Cite

Vancouver Günvar T, Başak O, Limnili G, Yurdabakan İ, Güldal D. Validity and Reliability of Patient Perception of Patient Centeredness Scale in Turkish. TJFMPC. 2022;16(2):286-93.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.