Schwenke Maria, Welzel Franziska D, Luck-Sikorski Claudia, Pabst Alexander, Kersting Anette, Blüher Matthias, König Hans-Helmut, Riedel-Heller Steffi G, Stein Janine
Institute of Social Medicine, Occupational Health and Public Health, Medical Faculty, University of Leipzig, Leipzig, Germany.
Integrated Research and Treatment Centre (IFB) AdiposityDiseases, University of Leipzig, Leipzig, Germany.
BMC Health Serv Res. 2019 Jan 23;19(1):61. doi: 10.1186/s12913-019-3871-1.
The Patient Assessment of Chronic Illness Care (PACIC-5A) was developed to assess the satisfaction with patient-provider interaction based on the Chronic Care Model. The additional 5A approach (assess, advise, agree, assist, arrange) allows to score behavioral counseling. The aim of the study was to assess the psychometric properties of the German adaptation of the PACIC-5A questionnaire in a sample of general practitioners (GP) patients with obesity.
Analyses were based on data from the study "Five A's counseling in weight management of obese patients in primary care: a cluster randomized controlled trial (INTERACT)". Data were collected via standardized questionnaires containing the 26-item version of the PACIC-5A questionnaire. A total of 117 patients with obesity were included in the analyses. Statistical procedures comprised descriptive analyses, the calculation of Cronbach's alpha, test-retest analyses and factor analyses in order to assess the psychometric properties including reliability and validity of the PACIC-5A.
The patient's mean age was 43.4 years and the sample was mostly female (59%). Middle educational level was found for the majority (78%) and the mean Body Mass Index was 38.9 kg/m. Descriptive analyses revealed a mean PACIC score of 2.33 and 5A sum score of 2.29. Notable floor effects were found. PACIC-5A showed high level of internal consistency (Cronbach's alphas > 0.9) and exploratory factor analyses resulted in a unidimensional structure.
The results of this study provide evidence regarding the psychometric properties of the German version of the PACIC-5A used in a sample of GP patients with obesity and make an important contribution to the reliable and valid assessment of the patient-GP interaction with regard to obesity counseling in primary care.
慢性病照护患者评估量表（PACIC - 5A）旨在基于慢性病照护模型评估患者对医患互动的满意度。额外的5A方法（评估、建议、商定、协助、安排）可用于对行为咨询进行评分。本研究的目的是在全科医生（GP）的肥胖患者样本中评估PACIC - 5A问卷德文版的心理测量特性。
分析基于“基层医疗中肥胖患者体重管理的5A咨询：一项整群随机对照试验（INTERACT）”的研究数据。通过包含26项版本的PACIC - 5A问卷的标准化问卷收集数据。分析共纳入117例肥胖患者。统计程序包括描述性分析、Cronbach's α系数计算、重测分析和因子分析，以评估PACIC - 5A的心理测量特性，包括信度和效度。
患者的平均年龄为43.4岁，样本大多为女性（59%）。大多数患者（78%）为中等教育水平，平均体重指数为38.9kg/m。描述性分析显示PACIC平均得分为2.33，5A总分平均为2.29。发现有明显的地板效应。PACIC - 5A显示出高度的内部一致性（Cronbach's α系数>0.9），探索性因子分析得出单维结构。
本研究结果为PACIC - 5A德文版在全科医生肥胖患者样本中的心理测量特性提供了证据，并对在基层医疗中就肥胖咨询对医患互动进行可靠有效的评估做出了重要贡献。
