Questionnaire measuring patient participation in health care: Scale development and psychometric evaluation
Questionnaire measuring patient participation in health care: Scale development and psychometric evaluation
复制标题
DOI：
10.1177/1474515120913809
复制
发表时间：
2020-04-23
影响因子：
2.9
通讯作者：
Christensen, Anne Vinggaard
中科院分区：
文献类型：
--
作者：
Berg, Selina Kikkenborg;Faerch, Jane;Christensen, Anne Vinggaard
背景：患者参与治疗和护理通常是鼓励的，也是可取的，因为它被证明对治疗、护理质量和患者安全有积极影响。目的：研制一种测量医疗保健患者参与程度的仪器，探讨患者参与问卷（PPQ）的测量特性。方法：通过文献回顾，建立患者参与的模型。PPQ由17个条目组成，分为4个分量表。对住院的心脏病、肺病和癌症混合组（N=378例）的数据进行因素结构的心理测量评价、假设检验的收敛结构效度和Cronbach's alpha内部一致性分析。结果：验证性因子分析没有显示出明确的模型拟合，因此我们进行了探索性因子分析，提出了不同的四个子量表结构，共包含16个项目。四个子量表分别为共享决策权、适应和个性化知识、协作和人性化方法。所有项目都有很强的天花板效应。聚合结构效度分析显示PPQ与另一个测量患者参与的工具之间存在中度相关（0.59）。PPQ总分的内部一致性较高：0.89。结论：在心脏病、肺病和癌症患者混合组中，PPQ量表在因子结构、收敛构式效度和内部一致性方面表现出良好的心理测量特性。PPQ可用于阐明患者参与的经验并指导质量改进。
Background:Patient participation in treatment and care is often encouraged and is desirable because of its proven positive impact on treatment, quality of care and patient safety.Aims:To develop an instrument to measure patient participation in health care and to investigate the measurement properties of the Patient Participation Questionnaire (PPQ).Methods:A literature review was conducted to develop a model of patient participation. The PPQ was constructed consisting of 17 items organized into four subscales. Psychometric evaluation of factor structure, convergent construct validity by hypothesis testing and analyses of internal consistency using Cronbach's alpha were performed on data from a hospitalised mixed group of patients with cardiac disease, pulmonary disease and cancer (N=378 patients).Results:Confirmatory factor analysis did not show a clear model fit, which is why an exploratory factor analysis was performed, suggesting a different four subscale structure consisting of a total of 16 items. The four subscales were labelled Shared decision power, Adapted and individualized knowledge, Collaboration and Human approach. There were strong ceiling effects on all items. Analysis of convergent construct validity showed a moderate correlation (0.59) between the PPQ and another instrument measuring patient participation. Internal consistency for the total PPQ score was high: 0.89.Conclusion:In a mixed group of patients with cardiac disease, pulmonary disease and cancer, the PPQ showed promising psychometric properties in terms of factor structure, convergent construct validity and internal consistency. The PPQ may be used to shed light on the experience of patient participation and guide quality improvements.