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Chronic Illn. 2013 Jun;9(2):103-15. doi: 10.1177/1742395312455440. Epub 2012 Jul 20.

Development of a quality of patient-health care provider communication scale from the perspective of patients with rheumatoid arthritis.

Author information

  • 1Department of Internal Medicine, Division of Rheumatology, University of Kentucky, Lexington, KY 40536, USA. egsalt0@uky.edu

Abstract

OBJECTIVES:

To devise a patient-perspective driven measure of the quality of patient-health care provider communication and to evaluate the psychometric properties of this scale in a sample of 150 patients with rheumatoid arthritis.

METHODS:

Items were developed from interviews with 15 patients with rheumatoid arthritis. Two rheumatologists, a behavioral scientist, and a nurse researcher provided item feedback. Exploratory factor analysis with Oblimin rotation was used to examine the dimensionality of the newly developed Patient-Health Care Provider Communication Scale (PHCPCS). Cronbach's alpha was computed to assess internal consistency. Test-retest reliability was determined using the intraclass correlation coefficient. Construct validity was tested by comparing the PHCPCS with the Perceived Involvement in Care Scale (PICS) using correlation analysis.

RESULTS:

The PHCPCS measured two dimensions of the quality of patient-health care provider communication [Quality Communication (α = 0.94) and Negative Patient-Health Care Provider Communication (α = 0.73)]. The total PHCPCS score and its Quality Communication Subscale were positively correlated with the total score on the PICS and with the doctor facilitation subscale of the PICS.

DISCUSSION:

This new measure of the quality of patient-health care provider communication has the potential for use in clinical practice, provider education, and further studies to improve health care to patients with rheumatoid arthritis.

KEYWORDS:

Chronic illness; patient–health care provider communication; reliability; rheumatoid arthritis; scale; validity

PMID:
22822176
[PubMed - indexed for MEDLINE]
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