Choi Suhyeon, Ham Yun Hee, Han Kihye, Ryu Eunjung
Graduate School, Chung-Ang University, Seoul 06974, Korea.
Department of Nursing, Samsung Medical Center and Graduate School, Chung-Ang University, Seoul 06351, Korea.
Healthcare (Basel). 2020 Dec 17;8(4):571. doi: 10.3390/healthcare8040571.
Patient engagement is considered a critical factor in improving healthcare delivery. This study aimed to test the Korean version of the Clinician Support for Patient Activation Measure (CS-PAM) using Rasch analysis, and to explore nurses' beliefs about patient self-management.
A cross-sectional, exploratory study design was employed. The staff nurses who were recruited from six hospitals were requested to complete the Korean CS-PAM. Their responses were subsequently subjected to Rasch analysis to validate the Korean CS-PAM. The CS-PAM was paraphrased into Korean using the standardized forward-backward translation method.
The internal consistency of the scale had good Cronbach's alpha value. For all items, the infit and outfit statistics fell well within the acceptable range of 0.5-1.5. This measure formed a unidimensional Guttman-like scale that explained 54.7% of the variance.
The Korean version of the CS-PAM showed good psychometric properties and appeared to be consistent with the meaning of the original CS-PAM. However, the items have a somewhat different ranking order when compared to the English and Dutch versions. The instrument might be useful for identifying the supportive beliefs and attitudes of nurses or healthcare providers in order to improve patient activation in healthcare.
患者参与被认为是改善医疗服务的关键因素。本研究旨在使用拉施分析测试韩国版的临床医生对患者激活测量的支持量表（CS-PAM），并探讨护士对患者自我管理的看法。
采用横断面探索性研究设计。要求从六家医院招募的注册护士完成韩国版的CS-PAM。随后对他们的回答进行拉施分析，以验证韩国版的CS-PAM。使用标准化的前后翻译方法将CS-PAM意译为韩语。
该量表的内部一致性具有良好的克朗巴赫α值。对于所有项目，拟合度和装备统计值都很好地落在了0.5-1.5的可接受范围内。该测量形成了一个一维的类似古特曼量表，解释了54.7%的方差。
韩国版的CS-PAM显示出良好的心理测量特性，并且似乎与原始CS-PAM的含义一致。然而，与英语和荷兰语版本相比，这些项目的排名顺序有所不同。该工具可能有助于识别护士或医疗服务提供者的支持性信念和态度，以提高医疗保健中的患者激活度。
