1. The revised Patient Perception of Patient‐Centeredness Questionnaire: Exploring the factor structure in French‐speaking patients with multimorbidity
- Author
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Judith Belle Brown, Bridget L. Ryan, Martin Fortin, Tarek Bouhali, Tu Ngoc Nguyen, Patrice Ngangue, and Moira Stewart
- Subjects
Adult ,Male ,patient-centred ,Psychometrics ,multimorbidity ,media_common.quotation_subject ,factor analysis ,Primary care ,Factor structure ,French-speaking ,primary care ,03 medical and health sciences ,0302 clinical medicine ,Cronbach's alpha ,Surveys and Questionnaires ,Secondary analysis ,Perception ,French‐speaking ,Humans ,030212 general & internal medicine ,media_common ,patient‐centred ,lcsh:R5-920 ,lcsh:Public aspects of medicine ,030503 health policy & services ,Public Health, Environmental and Occupational Health ,Reproducibility of Results ,lcsh:RA1-1270 ,Middle Aged ,questionnaires ,Clinical method ,Original Research Paper ,Patient perceptions ,Female ,lcsh:Medicine (General) ,0305 other medical science ,Psychology ,Original Research Papers ,Patient centered ,Clinical psychology - Abstract
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 α = 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.
- Published
- 2020