Anderson Elizabeth H, Neafsey Patricia J, Peabody Sheri
University of Connecticut, School of Nursing, 06269-2026, Storrs, CT 06269-2026, USA.
J Nurs Meas. 2011;19(1):3-16. doi: 10.1891/1061-3749.19.1.3.
The type and quality of the provider-patient health care relationship impacts patient adherence. The study purpose was to convert the 5-item paper and pencil Relationships With Health Care Provider Scale (RHCPS) to a reliable and valid computer-based scale for use with older adults. Outpatient adults (N = 121) older than 59 years were recruited. The RHCPS underwent several iterations documenting internal consistency reliability, content and factorial validity, and scale usability in a computer tablet format. A total of 5 expert judges rated all 5 items as valid, which resulted in a scale content validity index of 1. Cronbach's standardized alpha was .81. Principal components analysis extracted 1 factor (eigenvalue > 1; confirmed by scree plot) as anticipated. Computer-based RHCPS has the potential to reveal valuable clinical and scientific data on patient-provider relationships among older adults.
医患医疗保健关系的类型和质量会影响患者的依从性。本研究的目的是将5项纸笔式医疗保健提供者关系量表（RHCPS）转换为一种可靠且有效的基于计算机的量表，供老年人使用。招募了年龄超过59岁的门诊成年人（N = 121）。RHCPS经过了多次迭代，记录了其内部一致性信度、内容效度和因子效度，以及在平板电脑格式下的量表可用性。共有5位专家评委将所有5个项目评定为有效，量表内容效度指数为1。克朗巴哈标准化阿尔法系数为0.81。主成分分析如预期那样提取了1个因子（特征值>1；碎石图证实）。基于计算机的RHCPS有潜力揭示有关老年人医患关系的有价值的临床和科学数据。
