Examining the theoretical relationships between constructs in the person-centred practice framework: a structural equation model.
Abstract Background Research relating to Person-centred practice continues to expand and currently there is a dearth of statistical evidence that tests the validity of an accepted model of person-centred practice. The Person-centred Practice Framework is a leading model of practice and this study aims to examine it statistically.Methods A cross sectional survey design using a standardized tool was used to assess a purposive sample (n=1283, 31.8%) of multi-disciplinary health professionals across both Northern and Southern Ireland. Survey items scores were summed to provide construct scores and included in a structural model to examine the theoretical model of person-centred practice. Full ethical approval was gained. Results The results were drawn from a multi-disciplinary sample, and representing a broad range of clinical settings. The model explains 60.5% of the total variance. Factor loadings on to the second order latent construct, and fit statistics confirm the acceptability of the measurement model. Statistically significant factor loadings were acceptable. A positive and statistically significant relationship was observed between prerequisites and care environment as well as care processes.Conclusions The study provides statistical evidence to support the Person-centred Practice Framework, with a multidisciplinary sample. The findings help confirm the effectiveness of the PCPI-S and an instrument to measure an internationally renowned model of Person-centred practice.