Abstract
BACKGROUND: Patient-centered communication is a core competency in modern health care which has been found associated with higher levels of patient satisfaction and improved health outcomes as well as with greater professional satisfaction and lower risk of burnout among physicians. The aim was to develop a questionnaire to assess medical student and physician patient-centeredness self-efficacy (PCSEQ) and explore its reliability and validity.
METHODS: A preliminary 88-item version, based on a review of the literature on patient centeredness and student portfolios on patient communication experiences, was completed by 448 medical graduate student interns. Exploratory analyses resulted in a 27-item version (PCSEQ-27) with three underlying factors: Confidence in: a) Exploring the patient perspective, b) Sharing information and power, and c) Dealing with communicative challenges. Psychometric properties, including gender-related differential item function (DIF), were examined. The PCSEQ-27 was then completed by 291 medical students from two medical schools and 101 hospital physicians. The fit of the factor structure was examined with confirmatory factor analysis (CFA), and construct validity was explored by examining sensitivity to change (after a course in communication) and correlations with age, course-related motivation to learn (CRML), and course-related self-efficacy (CRSE) in students, and years of clinical experience in physicians.
RESULTS: Internal consistencies of the final PCSEQ-27 subscales were acceptable (alpha: 0.74-0.95) in all groups. There were no overall indications of DIF, and CFA indicated good fit (CFI=0.98; NNFI=0.98; RMSEA=0.05; SRMR=0.07). Sensitivity was demonstrated by increased PCSEQ scores after a course in patient communication and peer-supervision. Validity was supported by positive associations between PCSEQ and course-related motivation to learn, older age, years of clinical experience, and previous communication training.
CONCLUSION: The final PCSEQ-27 generally showed satisfactory psychometric properties, and preliminary support was found for its construct validity. The PCSEQ-27 may be a valuable measure in future patient-centered communication, teaching, and research
METHODS: A preliminary 88-item version, based on a review of the literature on patient centeredness and student portfolios on patient communication experiences, was completed by 448 medical graduate student interns. Exploratory analyses resulted in a 27-item version (PCSEQ-27) with three underlying factors: Confidence in: a) Exploring the patient perspective, b) Sharing information and power, and c) Dealing with communicative challenges. Psychometric properties, including gender-related differential item function (DIF), were examined. The PCSEQ-27 was then completed by 291 medical students from two medical schools and 101 hospital physicians. The fit of the factor structure was examined with confirmatory factor analysis (CFA), and construct validity was explored by examining sensitivity to change (after a course in communication) and correlations with age, course-related motivation to learn (CRML), and course-related self-efficacy (CRSE) in students, and years of clinical experience in physicians.
RESULTS: Internal consistencies of the final PCSEQ-27 subscales were acceptable (alpha: 0.74-0.95) in all groups. There were no overall indications of DIF, and CFA indicated good fit (CFI=0.98; NNFI=0.98; RMSEA=0.05; SRMR=0.07). Sensitivity was demonstrated by increased PCSEQ scores after a course in patient communication and peer-supervision. Validity was supported by positive associations between PCSEQ and course-related motivation to learn, older age, years of clinical experience, and previous communication training.
CONCLUSION: The final PCSEQ-27 generally showed satisfactory psychometric properties, and preliminary support was found for its construct validity. The PCSEQ-27 may be a valuable measure in future patient-centered communication, teaching, and research
| Originalsprog | Engelsk |
|---|---|
| Publikationsdato | 2014 |
| Antal sider | 2 |
| Status | Udgivet - 2014 |
| Udgivet eksternt | Ja |