Department of Medical Psychology and Psychotherapy, Medical University of Graz, Auenbruggerplatz 3, 8036, Graz, Austria.
Ben Gurion University of the Negev, Beer-Sheva, Israel.
Wien Klin Wochenschr. 2022 Aug;134(15-16):569-580. doi: 10.1007/s00508-021-01809-y. Epub 2021 Feb 4.
Psychosocial factors significantly influence patient care in many fields of medicine, among these in the field of endocrinology. Easily applicable validated assessment tools for such psychosocial factors are lacking. Visual instruments may facilitate doctor-patient communication. This study describes the development and validation of a multidimensional visual tool for the self-assessment of health.
An expert panel performed the multistep development of the psychosomatic assessment health disc (PAHD). Assessment of face validity was performed by means of a focus group of medical doctors (n = 6) and patient interviews (n = 24). For determining test-retest reliability, internal consistency and construct validity, patients of an endocrine outpatient clinic in Graz, Austria, completed the PAHD and the following questionnaires: short-form 36 health survey, work ability index, Pittsburgh sleep quality index and the social life scales of the life satisfaction questionnaire.
A numeric six-item analogue scale was developed in the form of a disc. It addresses the following aspects of health: physical well-being, social life, sexuality, mental well-being, sleep, working ability/performance. For the validation process, 177 patients (57.1% females) participated in the study. Correlation coefficients of the six items with other questionnaires ranged between r = 0.51 (social life) and r = 0.72 (sleep). Test-retest reliability was assessed among 98 patients and was ≥ 0.74 for all 6 items, while Cronbach's alpha was 0.78.
The psychometric properties of the PAHD support its use in clinical encounters with patients suffering from endocrine disorders. Further validation studies may be required to extend its application to other fields of medicine.
社会心理因素在许多医学领域对患者的护理有重大影响，其中包括内分泌学领域。目前缺乏适用于此类社会心理因素的易于应用的经过验证的评估工具。视觉工具可能有助于医患沟通。本研究描述了一种多维视觉工具的开发和验证，用于自我评估健康状况。
一个专家小组进行了多步骤的身心评估健康盘（PAHD）开发。通过一个由 6 名医生组成的焦点小组和 24 名患者访谈，对面部有效性进行评估。为了确定重测信度、内部一致性和结构有效性，奥地利格拉茨的内分泌门诊患者完成了 PAHD 和以下问卷：简短形式 36 健康调查、工作能力指数、匹兹堡睡眠质量指数和生活满意度问卷的社会生活量表。
以圆盘的形式开发了一个六项目数字模拟量表。它涉及以下健康方面：身体状况、社会生活、性健康、心理健康、睡眠、工作能力/表现。在验证过程中，177 名患者（57.1%为女性）参与了研究。六个项目与其他问卷的相关系数范围为 r=0.51（社会生活）至 r=0.72（睡眠）。98 名患者进行了重测信度评估，所有 6 个项目的重测信度均≥0.74，而 Cronbach 的 alpha 值为 0.78。
PAHD 的心理测量特性支持其在内分泌疾病患者的临床就诊中使用。可能需要进一步的验证研究来扩展其在其他医学领域的应用。
