Validity aspects of the patient feedback questionnaire on consultation skills (PFC), a promising learning instrument in medical education
Validity aspects of the patient feedback questionnaire on consultation skills (PFC), a promising learning instrument in medical education
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DOI：
10.1016/j.pec.2009.02.003
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发表时间：
2009-08-01
影响因子：
3.5
通讯作者：
van Marwijk, Harm W. J.
中科院分区：
文献类型：
--
作者：
Reinders, Marcel E.;Blankenstein, Annette H.;van Marwijk, Harm W. J.
目的：注重沟通能力被认为是帮助医生获得咨询技能的重要要求。反馈问卷，其中患者评估咨询技能可能是一个有用的学习工具。现有的问卷调查病人感知病人为中心（PPPC）进行了调整，以涵盖“沟通者”的能力配置文件中的项目。我们评估了这个新的病人反馈咨询技巧（PFC）questionnaire的表面效度和内容效度，结构效度和内部一致性：我们评估了PFC的表面效度，通过采访病人和全科实习生（GPTs）在发展过程中。内容效度由专家评定（n = 10）。第一年的GPTs（23）收集了222个PFC，其中的数据被用来评估的结构效度（因素分析），内部一致性，响应率和天花板effects.Results：PFC充分涵盖了相应的“沟通者”的能力（表面和内容效度）。因素分析显示，一个一维的结构。内部一致性较高（Cronbach's alpha 0.89）。单个项目的回答率从89.2%到100%不等，最大得分（天花板效应）从45.5%到89.2%不等。结论：PFC似乎是一个有效的，内部一致的工具。(C)2009爱思唯尔爱尔兰有限公司保留所有权利。
Objective: A focus on the communicator competency is considered to be an important requirement to help physicians to acquire consultation skills. A feedback questionnaire, in which patients assess consultation skills might be a useful learning tool. An existing questionnaire on patient perception of patient-centeredness (PPPC) was adapted to cover the 'communicator' items in the competency profile. We assessed the face and content validity, the construct validity and the internal consistency of this new patient feedback on consultation skills (PFC) questionnaire.Methods: We assessed the face validity of the PFC by interviewing patients and general practice trainees (GPTs) during the developmental process. The content validity was determined by experts (n = 10). First-year GPTs (23) collected 222 PFCs, from which the data were used to assess the construct validity (factor analysis), internal consistency, response rates and ceiling effects.Results: The PFC adequately covers the corresponding 'communicator' competency (face and content validity). Factor analysis showed a one-dimensional construct. The internal consistency was high (Cronbach's alpha 0.89). For the single items, the response rate varied from 89.2% to 100%; the maximum score (ceiling effect) varied from 45.5% to 89.2%.Conclusion: The PFC appears to be a valid, internally consistent instrument.Practical implications: The PFC may be a valuable learning tool with which GPTs, other physicians and medical students can acquire feedback from patients regarding their consultation skills. (C) 2009 Elsevier Ireland Ltd. All rights reserved.