School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Biomed Res Int. 2019 Apr 28;2019:8638174. doi: 10.1155/2019/8638174. eCollection 2019.
The prevalence and feature of online textual pediatrician-parent communication (OPPC) have been recognized, but evidence on OPPC assessment remains insufficient. This study aimed to develop and validate an OPPC instrument to provide measurement and quality characteristics for quality assessment and management. 490 OPPC exchanges of 61 tertiary hospitals from 9 Chinese provinces were obtained from the Spring Rain Doctor website. The SEGUE framework, OPPC feature, and a pilot study were considered to establish the instrument. An empirical study was conducted to validate it and the incidence of OPPC items was also analyzed. As a result, a four-dimensional, 15-item OPPC instrument was developed. The empirical results are as follows. Cronbach's values of dimensions were 0.80, 0.62, 0.64, and 0.60; the mean interrater reliability was 0.93; the correlation coefficients between items and their corresponding dimensions' scores ranged from 0.51 to 0.89 (P<0.001). The goodness-of-fit indices were acceptable. The overall incidence rate of parent-dominated/cooperative items (46.9%) was higher than that of pediatrician-dominated items (39.6%). Thus, the instrument is acceptable and OPPC quality is characterized by more parent-dominated and cooperative behaviors.
在线儿科医患文本交流（OPPC）的流行和特征已经得到了认识，但 OPPC 评估的证据仍然不足。本研究旨在开发和验证一种 OPPC 工具，为质量评估和管理提供测量和质量特征。从春雨医生网站获取了来自中国 9 个省的 61 家三级医院的 490 个 OPPC 交流。SEGUE 框架、OPPC 特征和试点研究被用来建立该工具。随后进行了一项验证其有效性的实证研究，并分析了 OPPC 项目的发生率。结果开发了一个四维度、15 个项目的 OPPC 工具。实证结果如下：维度的克朗巴赫 α 值分别为 0.80、0.62、0.64 和 0.60；平均评分者间信度为 0.93；项目与相应维度得分之间的相关系数范围为 0.51 至 0.89（P<0.001）。拟合优度指数是可接受的。以家长为主导/合作的项目（46.9%）的总发生率高于以儿科医生为主导的项目（39.6%）。因此，该工具是可接受的，OPPC 质量的特点是更多以家长为主导和合作的行为。
