1. Construct Validity Testing of the Provider Co-Management Index to Measure Shared Care in Provider Dyads.
- Author
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Norful, Allison A., Dierkes, Andrew, de Jacq, Krystyna, and Brewer, Katherine C.
- Subjects
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MULTITRAIT multimethod techniques , *CROSS-sectional method , *CRONBACH'S alpha , *INTERPROFESSIONAL relations , *PRIMARY health care , *RESEARCH methodology evaluation , *DESCRIPTIVE statistics , *SURVEYS , *NURSE-physician relationships , *RESEARCH , *RESEARCH methodology , *FACTOR analysis , *HEALTH care teams - Abstract
Background: Co-management encompasses the dyadic process between two healthcare providers. The Provider Co-Management Index (PCMI) was initially developed as a 20-item instrument across three theory-informed subscales. Objective: This study aimed to establish construct validity of the PCMI with a sample of primary care providers through exploratory and confirmatory factor analyses. Methods: We conducted a cross-sectional survey of primary care physicians, nurse practitioners, and physician assistants randomly selected from the IQVIA database across New York State. Mail surveys were used to acquire a minimum of 300 responses for split sample factor analyses. The first subsample (derivation sample) was used to explore factorial structure by conducting an exploratory factor analysis. A second (validation) sample was used to confirm the emerged factorial structure using confirmatory factor analysis. We performed iterative analysis and calculated good fit indices to determine the best-fit model. Results: There were 333 responses included in the analysis. Cronbach's alpha was high for a three-item per dimension scale within a one-factor model. The instrument was named PCMI-9 to indicate the shorter version length. Discussion: This study established the construct validity of an instrument that scales the co-management of patients by two providers. The final instrument includes nine items on a single factor using a 4-point, Likert-type scale. Additional research is needed to establish discriminant validity. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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