Institute of General Practice, University Hospital Jena, D-07743 Jena, Germany.
J Clin Epidemiol. 2012 Feb;65(2):206-11. doi: 10.1016/j.jclinepi.2011.06.003. Epub 2011 Sep 8.
There is a growing need for studies to measure how patients feel supported in their autonomy. The Health Care Climate Questionnaire (HCCQ) is an instrument to assess the physician's support to motivate the patient to take personal responsibility for his/her health. The aim of this study was to translate the HCCQ into German and validate the translated version, called the HCCQ-Deutschland (HCCQ-D).
In a cross-sectional study, we translated and culturally adapted the HCCQ, then administered the questionnaire to primary care patients from nine general practices in Germany. We used the European Task Force on Patient Evaluations of General Practice questionnaire (EUROPEP) to assess convergent validity. Subsequently, we performed Cronbach α to assess internal consistency and exploratory factor analysis to evaluate the underlying factor structure of the items.
Of 450 questionnaires, we included 351 (78%) in the final analysis. Internal consistency was high, with Cronbach α=0.97. We found one major underlying factor similar to the English version: all items showed a scale correlation above 0.7. The mean values of the HCCQ correlated moderately (-0.5) with those of the EUROPEP.
This study shows similar psychometric properties of the HCCQ-D as of the original English instrument. The HCCQ-D may be appropriate to explore German-speaking patients' perceived autonomy support in primary care settings.
越来越需要研究来衡量患者在自主性方面的感受。健康照护气候问卷（HCCQ）是一种评估医生支持以激励患者为自己的健康负责的工具。本研究的目的是将 HCCQ 翻译成德文，并验证翻译后的版本，称为 HCCQ-Deutschland（HCCQ-D）。
在一项横断面研究中，我们翻译并文化适应了 HCCQ，然后在德国的 9 家普通诊所向初级保健患者发放问卷。我们使用欧洲普通实践患者评估任务组问卷（EUROPEP）来评估聚合效度。随后，我们进行了 Cronbach α 以评估内部一致性，并进行探索性因子分析以评估项目的潜在因子结构。
在 450 份问卷中，我们将 351 份（78%）纳入最终分析。内部一致性很高，Cronbach α=0.97。我们发现一个与英文版相似的主要潜在因素：所有项目的量表相关性均高于 0.7。HCCQ 的平均值与 EUROPEP 的相关性中等（-0.5）。
本研究表明 HCCQ-D 的心理测量特性与原始英文仪器相似。HCCQ-D 可能适合在初级保健环境中探索德语患者的感知自主性支持。
