Department of Primary and Community Care, Radboud Institute for Health Services, Radboud University Medical Center, Nijmegen, The Netherlands.
Department of Primary and Community Care, Radboud Institute for Health Services, Radboud University Medical Center, Nijmegen, The Netherlands
Ann Fam Med. 2024 Jul-Aug;22(4):288-293. doi: 10.1370/afm.3135.
Person-centered care is foundational to good quality primary care and has positive effects on health outcomes and patient satisfaction. The Person-Centered Primary Care Measure (PCPCM) is a recently developed, patient-reported survey able to assess person-centeredness and has demonstrated strong validity and reliability. Little is known, however, about the feasibility of the PCPCM in non-English-speaking settings. We aimed to translate the questionnaire into Dutch, psychometrically evaluate the translated version, and ensure its feasibility for patients in Dutch primary care.
We translated the PCPCM into Dutch using forward-backward translations. We conducted psychometric evaluations to ensure its feasibility among Dutch-speaking primary care patients, with special attention to low literacy populations. Next, we assessed structural validity, convergent validity using the Quality of Care Through the Patient's Eyes (QUOTE) questionnaire, and internal consistency in a cross-sectional study in primary care.
Translation and adaptation for low literacy populations required 4 iterations. In 4 general practices, 205 patients completed the survey. Confirmatory factor analyses could not confirm the 1-factor solution. The 3-factor solution was found to be a more optimal fit: comprehensiveness of care, personal relation, and contextual care. Internal reliability was high (Cronbach's α were 0.82, 0.73, and 0.86, respectively). We found a strong correlation between the total PCPCM and QUOTE scores (Spearman's ρ = 0.65, <.001), indicating good convergent validity.
The Dutch version of the PCPCM has acceptable validity and reliability for measuring person-centeredness in primary care among Dutch-speaking populations including those with low literacy.
以患者为中心的护理是优质初级保健的基础，对健康结果和患者满意度有积极影响。以患者为中心的初级保健衡量标准（PCPCM）是一种最近开发的、能够评估以患者为中心的患者报告调查工具，具有较强的有效性和可靠性。然而，在非英语环境中使用 PCPCM 的可行性知之甚少。我们旨在将问卷翻译成荷兰语，对翻译版本进行心理测量评估，并确保其在荷兰初级保健患者中的可行性。
我们使用正向-反向翻译将 PCPCM 翻译成荷兰语。我们进行了心理测量评估，以确保其在讲荷兰语的初级保健患者中具有可行性，特别关注低识字人群。接下来，我们在初级保健中进行横断面研究，评估结构有效性、使用患者视角下的护理质量（QUOTE）问卷的收敛有效性，以及内部一致性。
翻译和适应低识字人群需要 4 次迭代。在 4 家普通诊所中，有 205 名患者完成了调查。验证性因子分析不能证实 1 因素解决方案。发现 3 因素解决方案更适合：护理的全面性、个人关系和背景护理。内部可靠性较高（Cronbach 的 α 分别为 0.82、0.73 和 0.86）。我们发现 PCPCM 总分与 QUOTE 评分之间存在很强的相关性（Spearman's ρ = 0.65，<0.001），表明具有良好的收敛有效性。
荷兰语版 PCPCM 具有可接受的有效性和可靠性，可用于衡量讲荷兰语的人群，包括低识字人群，在初级保健中以患者为中心的程度。
