scholarly journals The Patient Centered Assessment Method (PCAM) for Action-Based Biopsychosocial Evaluation of Patient Needs: Validation and Perceived Value of the Dutch Translation

2021 ◽  
Vol 18 (22) ◽  
pp. 11785
Author(s):  
Rowan G. M. Smeets ◽  
Dorijn F. L. Hertroijs ◽  
Mariëlle E. A. L. Kroese ◽  
Niels Hameleers ◽  
Dirk Ruwaard ◽  
...  
Keyword(s):  
Primary Care ◽  
Assessment Method ◽  
Face Validity ◽  
Patient Needs ◽  
Cronbach’S Alpha ◽  
Dutch Version ◽  
Patient Centered ◽  
Cronbach's Alpha ◽  
Person Centered Care ◽  
Centered Care

The Patient Centered Assessment Method (PCAM) is an action-based tool that supports professionals to engage in a biopsychosocial assessment with patients and measure their needs. It is a promising tool for person-centered care. As the Netherlands lacks such a tool, a Dutch version was developed. Furthermore, we aimed to contribute to the relatively limited insights into the psychometric properties and value of the tool when used as part of a needs assessment in primary care. Confirmatory factor analysis was used to study construct validity and Cronbach’s alpha was computed to assess reliability. Furthermore, we interviewed 15 primary care professionals who used the PCAM. It was confirmed that each PCAM domain measures a separate construct, informed by the biopsychosocial model. The tool showed adequate reliability (Cronbach’s alpha = 0.83). Despite face validity concerns, the tool was mainly valued for measurement of patient needs and to facilitate action planning. Criticism of the PCAM pertained to a limited focus on the patient perspective, which is one of the crucial aspects of person-centered care. These rich, mixed-method insights can help to improve the value of the PCAM, as one of the few multifunctional tools to support professionals in holistic assessments.

scholarly journals Patient-centered care during the last year of life: adaptation and validation of the German PACIC short form for bereaved persons as proxies (PACIC-S9-proxy)

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Vera Vennedey ◽  
Gloria Dust ◽  
Nicolas Schippel ◽  
Arim Shukri ◽  
Julia Strupp ◽  
...  
Keyword(s):  
Chronic Illness ◽  
Short Form ◽  
Treatment Plan ◽  
Patient Centered Care ◽  
Psychological Needs ◽  
Care Organization ◽  
Cronbach’S Alpha ◽  
Patient Centered ◽  
Cronbach's Alpha ◽  
Centered Care

Abstract Background Providing patient-centered care (PCC) during the last year of life (LYOL) can be challenging due to the complexity of the patients’ medical, social and psychological needs, especially in case of chronic illnesses. Assessing PCC can be helpful in identifying areas for improvements. Since not all patients can be surveyed, a questionnaire for proxy informants was developed in order to retrospectively assess patient-centeredness in care during the whole LYOL. This study aimed to evaluate the feasibility and validity of an adapted version of the German Patient Assessment of Chronic Illness Care (PACIC) for surveying bereaved persons in order to assess PCC during the decedents’ LYOL. Methods The German PACIC short form (11 items) was adapted to a nine-item version for surveying bereaved persons on the decedent’s LYOL (PACIC-S9-Proxy). Items were rated on a five-point Likert scale. The PACIC adaptation and validation was part of a cross-sectional survey in the region of Cologne. Participants were recruited through self-selection and active recruitment by practice partners. Sociodemographic characteristics and missing data were analyzed using descriptive statistics. An exploratory factor analysis was conducted in order to assess the structure of the PACIC-S9-Proxy. Internal consistency was estimated using Cronbach’s alpha. Results Of the 351 informants who participated in the survey, 230 (65.52%) considered their decedent to have suffered from chronic illness prior to death. 193 of these informants (83.91%) completed ≥5 items of the questionnaire and were included in the analysis. The least answered item was item (74.09%) was item 4 (encouragement to group & classes for coping). The most frequently answered item (96.89%) was item 2 (satisfaction with care organization). Informants rated the item” Given a copy of their treatment plan” highest (mean 3.96), whereas “encouragement to get to a specific group or class to cope with the condition” (mean 1.74) was rated lowest. Cronbach’s alpha was 0.84. A unidimensional structure of the questionnaire was found (Kaiser-Meyer-Olkin 0.86, Bartlett’s test for sphericity p < 0.001), with items’ factor loadings ranging from 0.46 to 0.82. Conclusions The nine-item questionnaire can be used as efficient tool for assessing PCC during the LYOL retrospectively and by proxies. Trial registration The study was registered in the German Clinical Trials Register (DRKS00011925) on 13 June 2017.

Assessing patient-centered care: Validation of the French Version of the Patient-Practitioner Orientation Scale (PPOS)

2015 ◽  
Vol 3 (3) ◽  
pp. 295 ◽  
Author(s):  
Emilie Paul-Savoie ◽  
Patricia Bourgault ◽  
Emillie Gosselin ◽  
Stephane Potvin ◽  
Sylvie Lafrenaye
Keyword(s):  
Chronic Pain ◽  
Internal Consistency ◽  
Content Validity ◽  
Patient Centered Care ◽  
Cronbach’S Alpha ◽  
Patient Centered ◽  
French Version ◽  
Cronbach's Alpha ◽  
Centered Care ◽  
Nurses And Physicians

Rationale, aims and objectives: Patient-centered care (PCC) is widely acknowledged as a central component of high-quality health care and it has been associated with many positive outcomes for patients. Although many studies support the benefits of PCC, the style of practice may vary from a caregiver to another. To measure PCC and investigate the factors that may be related to this concept, it is necessary to have rigorous instruments. Thus, the aim of this study was to adapt and validate a French version of the PPOS (F-PPOS) for the assessment of PCC in both nurses and physicians who work with chronic pain patients.Method: The PPOS was translated and validated in a French population of nurses and physicians according to the Hébert methodological recommendations for translation and validation. The final version of the F-PPOS was distributed to 21 nurses and 21 physicians working with chronic pain patients. The content validity and the internal consistency were assessed. Results: The expert panel was satisfied with the content validity of this instrument. The internal consistency was acceptable for the total score for all participants (Cronbach’s alpha = 0.60), for nurses (Cronbach’s alpha = 0.62) and for physicians (Cronbach’s alpha = 0.54). The F-PPOS showed good content validity and acceptable internal consistency.Conclusions: The F-PPOS could be used in future studies in French populations, in both nurses and physicians. This instrument can also be used to compare the type of approach between caregivers in worldwide since it is available in several languages.

The Person-Centered Care Assessment Tool (P-CAT) in Nursing Home: Psychometric Evaluation of the Italian Version

2020 ◽  
pp. JNM-D-18-00090
Author(s):  
Martina Debiasi ◽  
Alessandra Zenere ◽  
Marianna Baggia ◽  
Maria Elisabetta Zanolin ◽  
Anna Brugnolli
Keyword(s):  
Factor Analysis ◽  
Construct Validity ◽  
Assessment Tool ◽  
Italian Version ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Person Centered Care ◽  
Care Assessment ◽  
Centered Care ◽  
Test Retest Reliability

Background:The Person-centered Care Assessment Tool (P-CAT) was developed as a self-reporting assessment scale for the healthcare staff ratings of the person-centeredness of their nursing practice.Aim:This study investigates the psychometric proprieties of P-CAT tool in a sample of staff working in residential units for older people, in the North of Italy.Methods:Internal consistency and reliability were examined using the Cronbach’s alpha coefficient. Exploratory factor analysis was used to evaluate construct validity, homogeneity analysis performed to evaluate internal homogeneity of the items and equidistance of item options, test–retest reliability examined by the Pearson correlation coefficient and the intraclass correlation (ICC) coefficient. The P-CAT score was standardized to a 100-point scale, the score differences among groups were compared with one-way ANOVA.Results:The exploratory factor analysis supported the construct validity of a two-factor solution. The mean standardized score of P-CAT was 67.3 (SD 12.8) and Cronbach’s alpha was .79 for subscale 1 and .75 for subscale 2. The ICC coefficient was .87.Conclusion:Reliability and homogeneity were satisfactory for the whole P-CAT tool (Cronbach’s alpha ≥ .70). Test–retest reliability showed temporal stability of the scale (r Pearson .86, ICC .86). The Italian version of the P-CAT was found to be valid, reliable, and applicable for further research. Two subscales are recommended for the Italian version.

Development and pilot of brief surveys to evaluate the quality of patient-centered cancer care.

2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 202-202
Author(s):  
Marcy Winget ◽  
Farnoosh Haji-Sheikhi ◽  
Steve Asch
Keyword(s):  
Response Scale ◽  
Cronbach’S Alpha ◽  
Patient Centered ◽  
Cronbach's Alpha ◽  
Patient Feedback ◽  
Score Analysis ◽  
Centered Care ◽  
Communication And Coordination ◽  
Final Question

202 Background: Oncology practices have increasingly engaged in patient-centered systematic quality improvement efforts. One test of their effectiveness is patient feedback, yet many existing instruments are unwieldy or insensitive to change. Here we describe the development and pilot testing of short patient surveys used to assess change in patient experience of the key domains of access, communication, and coordination. Methods: Domains and corresponding questions of patient-centered care were informed by existing literature and tools available online, with a focus on domains relevant to cancer patients. Questions were modified from validated or semi-validated instruments to have a consistent 4 or 5-category Likert response scale, put into four unique short instruments that included at most ten questions each and piloted in cancer clinic waiting rooms. Input from patients was sought to assess: 1) relevance and clarity of questions; 2) whether important concepts were missing; 3) acceptability to patients regarding place and timing of surveys and; 4) estimate top box scores. Internal consistency of the final question sets for each domain was examined using Cronbach’s alpha. Results: Patient feedback from the pilot was positive with respect to all above categories. The following modifications were made based on top box score analysis: 1) created a common 5-point Likert scale for all questions and 2) excluded questions with a top box score higher than 80%. An open comment field was also added to complement the quantitative responses. Cronbach’s alpha for all domains was ≥ 0.80 expect for the access domain which was 0.51. The final 4 complementary instruments have 7-8 questions each and take only a few minutes for patients to complete. Each return patient receives one of the instruments randomly at clinic visits so information on all domains is continuously collected and a given patient has the opportunity to provide feedback on all domains over time; response rates are approximately 60%. Conclusions: The short surveys are being used to assess the effectiveness of interventions. Other cancer centers and their patients may find similar short surveys an improvement over general patient satisfaction surveys e.g., Press-Ganey.

scholarly journals The Patient Centered Assessment Method (PCAM): Integrating the Social Dimensions of Health into Primary Care

2015 ◽  
Vol 5 (1) ◽  
pp. 110-119 ◽  
Author(s):  
Rebekah Pratt ◽  
Carina Hibberd ◽  
Isobel M. Cameron ◽  
Margaret Maxwell
Keyword(s):  
Primary Care ◽  
Patient Population ◽  
Assessment Method ◽  
Patient Needs ◽  
Social Dimensions ◽  
Patient Centered ◽  
Complex Patient ◽  
The Social ◽  
Patient Complexity ◽  
The Impact

Background Social dimensions of health are known to contribute to what is often termed “patient complexity,” which is particularly common among patients with multimorbidity. Health-care professionals require tools to help them identify and manage these aspects of patient needs. Objectives To examine: (i) the Patient Centered Assessment Method (PCAM), a tool for assessing patient complexity in ways that are sensitive to the biopsychosocial dimensions of health, in primary care settings in Scotland; (ii) the impact of the PCAM on referral patterns and its perceived value; and (iii) the PCAM's perceived applicability for use in a complex patient population. Design Two studies are described: (i) a mixed-methods prospective cohort study of the implementation of the PCAM in primary care clinics; and (ii) a qualitative exploratory study that evaluated the value of the PCAM in a complex patient population. Results Use of the PCAM did not impact patient satisfaction or perception of practitioners’ empathy, but it did increase both the number of onward referrals per referred patient (9–12%) and the proportion of referrals to non-medical services addressing psychological, social, and lifestyle needs. Nurses valued the PCAM, particularly its ability to help them address psychological and social domains of patients’ lives, and found it to be highly relevant for use in populations with known high complexity. Conclusions The PCAM represents a feasible approach for assessing patient needs with consideration to the social dimensions of health, and allows practitioners to refer patients to a broader range of services to address patient complexity.

PRELIMINARY ASSESSMENT OF GPS' KNOWLEDGE AND ATTITUDE ABOUT PERSON CENTRED CARE

2018 ◽  
Vol 28 (2) ◽  
pp. 567-570
Author(s):  
Radost Assenova ◽  
Levena Kireva ◽  
Gergana Foreva
Keyword(s):  
General Practice ◽  
Patient Empowerment ◽  
Patient Relationship ◽  
Preliminary Assessment ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Term Care ◽  
Family Doctors ◽  
Person Centered Care ◽  
Centered Care

Introduction: The European definition of WONCA of general practice introduces the determinant elements of person-centered care regarding four important, interrelated characteristics: continuity of care, patient "empowerment", patient-centred approach, and doctor-patient relationship. The application of person-centred care in general practice refers to the GP's ability to master the patient-centered approach when working with patients and their problems in the respective context; use the general practice consultation to develop an effective doctor–patient relationship, with respect to patient’s autonomy; communicate, set priorities and establish a partnership when solving health problems; provide long-lasting care tailored to the needs of the patient and coordinate overall patient care. This means that GPs are expected to develop their knowledge and skills to use this key competence. Aim: The aim of this study is to make a preliminary assessment of the knowledge and attitudes of general practitioners regarding person-centered care. Material and methods: The opinion of 54 GPs was investigated through an original questionnaire, including closed questions, with more than one answer. The study involved each GP who has agreed to take part in organised training in person-centered care. The results were processed through the SPSS 17.0 version using descriptive statistics. Results: The distribution of respondents according to their sex is predominantly female - 34 (62.9%). It was found that GPs investigated by us highly appreciate the patient's ability to take responsibility, noting that it is important for them to communicate and establish a partnership with the patient - 37 (68.5%). One third of the respondents 34 (62.9%) stated the need to use the GP consultation to establish an effective doctor-patient relationship. The adoption of the patient-centered approach at work is important to 24 (44.4%) GPs. Provision of long-term care has been considered by 19 (35,2%). From the possible benefits of implementing person-centered care, GPs have indicated achieving more effective health outcomes in the first place - 46 (85.2%). Conclusion: Family doctors are aware of the elements of person-centered care, but in order to validate and fully implement this competence model, targeted GP training is required.

scholarly journals Development and Validation of the Smartphone Addiction Scale for Children- Parent Version (SASC-P)

2021 ◽  
Author(s):  
Gopi Rajendhiran ◽  
Vikhram Ramasubramanian ◽  
P Bijulakshmi ◽  
S Mathumathi ◽  
M Kannan
Keyword(s):  
Children And Adolescents ◽  
Reliability And Validity ◽  
Small Sample ◽  
Face Validity ◽  
Smartphone Addiction ◽  
Cronbach’S Alpha ◽  
Good Reliability ◽  
Children And Adolescent ◽  
Cronbach's Alpha ◽  
Smartphone Use

Introduction: The use of smartphone among children and adolescents has been increasing steadily over the past decade and is becoming a cause of concern for parents and healthcare professionals alike. Excessive use of smartphone could make a child vulnerable to develop addictive behaviour leading to decrease in academic performance and impairments in social and personal environment. Early identification is key to addressing this issue and although there are scales to measure smartphone addiction in adults, there are no scales to measure smartphone use in children objectively. Aim: To construct a smartphone addiction scale for children that can be administered to parents. Materials and Methods: A set of statements were created to assess smartphone addiction in children. Initially, 43 statements were selected after identifying its content validity and face validity and the scale was administered to parents of children in the age group of 3-17 years after obtaining informed consent from the parents. The construct validity was examined by the exploratory factor analysis. The screen plot of ordered eigen values of a correlation matrix was used to decide the appropriate number of factors extracted. A factor loading of >0.30 was used to determine the items for each factor. Intra-class correlations were calculated for the test-retest reliability, and Cronbach's alpha was calculated for the internal consistency. The final questionnaire contained 24 statements across six subdomains of smartphone addiction and it was administered to a small sample group of 65 parents of children aged 3-17 years and the data was used to test for reliability and validity of the scale. Results: Alpha correlation for the Smartphone Addiction Scale for Children-Parent (SASC-P) ranged from 0.670 to 0.823. The intrinsic validity for the domains was calculated using Cronbach’s alpha and it ranged from 0.819 to 0.907 for the domains and was 0.972 for the whole questionnaire. Thus the scale was found to be reliable and valid for use in children and adolescents. Conclusion: The SASC-P has good reliability and validity and can be used to measure smartphone use in children and adolescent.

scholarly journals The University Medical Centre: A student’s perspective

2021 ◽  
Author(s):  
Gabrielle Hubert ◽  
Cameron Pow ◽  
Sandra Tullio-Pow
Keyword(s):  
Primary Care ◽  
Healthcare Professionals ◽  
Care Physician ◽  
Medical Centre ◽  
First Year ◽  
Patient Centered ◽  
First Year Students ◽  
Centered Care ◽  
The University ◽  
University Setting

Over 515,000 students attended Ontario Universities in 2015/16, including 60,000 international students from abroad (https://ontario universityes.ca/resources/data/numbers). First-year students who are away from home find themselves needing a new primary care physician. While a few researchers have examined student health care within the university setting in regard to mental health (Evans, 1999), sexual health (Habel et al., 2018)., and health promotion (Griebler et al., 2017), there has been little research focused on the first-year student experience in finding primary care. Our study examined communication pathways, wayfinding and misconceptions students have related to the university medical centre. Patient centered care involves a partnership between a healthcare provider and their patient. In this partnership healthcare professionals must consider the patient experience and be more informative, mindful, empathic and collaborative to provide the best possible care (Epstein & Street, 2011).

scholarly journals Deriving and validating a brief measure of treatment burden to assess person-centered healthcare quality in primary care: a multi-method study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
David T. Eton ◽  
Mark Linzer ◽  
Deborah H. Boehm ◽  
Catherine E. Vanderboom ◽  
Elizabeth A. Rogers ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Status ◽  
Medication Adherence ◽  
Care Quality ◽  
Community Dwelling ◽  
Self Management ◽  
Treatment Burden ◽  
Person Centered Care ◽  
Centered Care

Abstract Background In primary care there is a need for more quality measures of person-centered outcomes, especially ones applicable to patients with multiple chronic conditions (MCCs). The aim of this study was to derive and validate a short-form version of the Patient Experience with Treatment and Self-management (PETS), an established measure of treatment burden, to help fill the gap in quality measurement. Methods Patient interviews (30) and provider surveys (30) were used to winnow items from the PETS (60 items) to a subset targeting person-centered care quality. Results were reviewed by a panel of healthcare providers and health-services researchers who finalized a pilot version. The Brief PETS was tested in surveys of 200 clinic and 200 community-dwelling MCC patients. Surveys containing the Brief PETS and additional measures (e.g., health status, medication adherence, quality of care, demographics) were administered at baseline and follow-up. Correlations and t-tests were used to assess validity, including responsiveness to change of the Brief PETS. Effect sizes (ES) were calculated on mean differences. Results Winnowing and panel review resulted in a 34-item Brief PETS pilot measure that was tested in the combined sample of 400 (mean age = 57.9 years, 50% female, 48% white, median number of conditions = 5). Reliability of most scales was acceptable (alpha > 0.70). Brief PETS scores were associated with age, income, health status, and quality of chronic illness care at baseline (P < .05; rho magnitude range: 0.16–0.66). Furthermore, Brief PETS scores differentiated groups based on marital and education status, presence/absence of a self-management routine, and optimal/suboptimal medication adherence (P < .05; ES range: 0.25–1.00). Declines in patient-reported physical or mental health status over time were associated with worsening PETS burden scores, while improvements were associated with improving PETS burden scores (P < .05; ES range: 0.04–0.44). Among clinic patients, 91% were willing to complete the Brief PETS as part of their clinic visits. Conclusions The Brief PETS (final version: 32 items) is a reliable and valid tool for assessing person-centered care quality related to treatment burden. It holds promise as a means of giving voice to patient concerns about the complexity of disease management.

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