Departamento de Educación, Facultad de Ciencias Sociales, Universidad Europea de Valencia, 46010, Valencia, Spain.
Departamento de Psicología Básica, Universitat de València, Blasco Ibáñez Avenue, 21, 46010, Valencia, Spain.
BMC Psychol. 2024 Apr 19;12(1):217. doi: 10.1186/s40359-024-01716-7.
The person-centered care (PCC) approach plays a fundamental role in ensuring quality healthcare. The Person-Centered Care Assessment Tool (P-CAT) is one of the shortest and simplest tools currently available for measuring PCC. The objective of this study was to conduct a systematic review of the evidence in validation studies of the P-CAT, taking the "Standards" as a frame of reference.
First, a systematic literature review was conducted following the PRISMA method. Second, a systematic descriptive literature review of validity tests was conducted following the "Standards" framework. The search strategy and information sources were obtained from the Cochrane, Web of Science (WoS), Scopus and PubMed databases. With regard to the eligibility criteria and selection process, a protocol was registered in PROSPERO (CRD42022335866), and articles had to meet criteria for inclusion in the systematic review.
A total of seven articles were included. Empirical evidence indicates that these validations offer a high number of sources related to test content, internal structure for dimensionality and internal consistency. A moderate number of sources pertain to internal structure in terms of test-retest reliability and the relationship with other variables. There is little evidence of response processes, internal structure in measurement invariance terms, and test consequences.
The various validations of the P-CAT are not framed in a structured, valid, theory-based procedural framework like the "Standards" are. This can affect clinical practice because people's health may depend on it. The findings of this study show that validation studies continue to focus on the types of validity traditionally studied and overlook interpretation of the scores in terms of their intended use.
以患者为中心的护理（PCC）方法在确保医疗质量方面发挥着重要作用。以患者为中心的护理评估工具（P-CAT）是目前可用于衡量以患者为中心的护理的最短和最简单的工具之一。本研究的目的是按照“标准”作为参考框架，对 P-CAT 的验证研究进行系统综述，以评估其证据。
首先，按照 PRISMA 方法进行系统文献综述。其次，按照“标准”框架对有效性测试的系统描述性文献综述进行综述。检索策略和信息来源来自 Cochrane、Web of Science（WoS）、Scopus 和 PubMed 数据库。关于资格标准和选择过程，在 PROSPERO（CRD42022335866）中注册了一个方案，并且文章必须符合系统综述的纳入标准。
共纳入 7 篇文章。实证证据表明，这些验证提供了大量与测试内容相关的来源、维度的内部结构和内部一致性。有中等数量的来源与测试重测可靠性和与其他变量的关系有关。关于反应过程、测量不变性方面的内部结构以及测试结果，证据很少。
与“标准”不同，P-CAT 的各种验证并未在结构化、有效、基于理论的程序框架中进行。这可能会影响临床实践，因为人们的健康可能取决于它。本研究的结果表明，验证研究继续关注传统研究的有效性类型，而忽略了根据预期用途对分数进行解释。
