The revised Patient Perception of Patient-Centeredness Questionnaire: Exploring the factor structure in French-speaking patients with multimorbidity
The revised Patient Perception of Patient-Centeredness Questionnaire: Exploring the factor structure in French-speaking patients with multimorbidity
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DOI：
10.1111/hex.13068
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发表时间：
2020-04-27
影响因子：
3.2
通讯作者：
Fortin, Martin
中科院分区：
文献类型：
--
作者：
Nguyen Tu Ngoc;Ngangue, Patrice Alain;Fortin, Martin
目的研究法语多发性疾病患者对以患者为中心的认知问卷(PPPC-R)的因素结构。设计以患者为中心的多病患者创新研究(PACEin MM Study)法国分会的基线数据进行二次分析。研究对象和研究对象均为在基层医疗机构就诊的成年多发病患者。结果共调查301人，平均年龄61.0岁，女性占53.2%。PPPC-R表现出非常好的内部一致性，有三个因素：以患者为中心的临床方法(PCCM)组成部分1-探索健康、疾病和疾病体验+PCCM组成部分4-加强患者与临床医生的关系(因素1)；PCCM组成部分2-理解整个人(因素2)；以及PCCM组成部分3-寻找共同点(因素3)。各因子具有较好的内部一致性(因子1中8个条目的Cronbach‘sα=0.87，因子2中5个条目的Cronbach’sα=0.77，因子3中5个条目的Cronbach‘sα=0.87)。需要进一步评估其有效性和可重复性，以允许将其用作患者以患者为中心的感知的衡量标准。
Background The Patient Perception of Patient-Centeredness (PPPC) questionnaire was revised, and there is a need for the questionnaire to be tested in diverse primary care populations.Objectives This study aimed to examine the factor structure of the Revised PPPC questionnaire (PPPC-R) in French-speaking patients with multimorbidity.Design Secondary analysis from baseline data of the French arm of Patient-Centered Innovations for Persons with Multimorbidity Study (PACEinMM Study).Setting and participants Participants were adult patients with multimorbidity attending primary health-care settings.Outcome measures Exploratory factor analyses were applied to examine the factor structure of the PPPC-R. Cronbach's alpha values were calculated to assess the internal consistency of the whole questionnaire and of each factor explored.Results There were 301 participants, mean age 61.0, 53.2% female. The PPPC-R showed very good internal consistency, with three factors: Patient-Centered Clinical Method (PCCM) Component 1-Exploring the health, disease and illness experience + PCCM Component 4-Enhancing the patient-clinician relationship (Factor 1); PCCM Component 2-Understanding the whole person (Factor 2); and PCCM Component 3-Finding common ground (Factor 3). There was a good internal consistency within each factor (Cronbach's alpha = 0.87 for 8 items in Factor 1, 0.77 for 5 items in Factor 2 and 0.87 for 5 items in Factor 3).Discussion and conclusions The French PPPC-R factor structure was in accordance with the underpinning conceptual model and presented with three factors. Further assessment of its validity and reproducibility are needed to allow its use as a measure of patient's perception of patient-centeredness.