Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran.
Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
BMC Health Serv Res. 2024 Sep 16;24(1):1073. doi: 10.1186/s12913-024-11557-0.
The Patient Assessment of Chronic Illness Care (PACIC-5As) questionnaire has been designed to evaluate the healthcare experiences of individuals with chronic diseases such as diabetes. Older adults are at higher risk for diabetes and its associated complications. The aim of this study was transcultural adaptation and evaluation of the validity and reliability of the PACIC-5As questionnaire in older patients with diabetes residing in Qazvin City, Iran.
In this validation study, we recruited 306 older patients with diabetes from Comprehensive Health Centers in Qazvin, Iran. The multi-stage cluster sampling technique was used to choose a representative sample. The PACIC-5As questionnaire was translated into Persian using the World Health Organization (WHO) standardized method. The validity (face, content, and construct) and reliability (Cronbach's alpha) of the PACIC-5As were assessed. Data analysis was conducted using R software and the Lavaan package.
The mean age of the older patients was 69.99 ± 6.94 years old. Most older participants were female (n = 180, 58.82%) and married (n = 216, 70.59%). Regarding face validity, all items of PACIC-5As had impact scores greater than 1.5. In terms of content validity, all items had a content validity ratio > 0.49 and a content validity index > 0.79. The results of confirmatory factor analysis demonstrated that the model exhibited satisfactory fit across the expected five factors, including assess, advise, agree, assist, and arrange, for the 25 items of the PACIC-5As questionnaire. The Cronbach's alpha coefficient for the PACIC-5As questionnaire was 0.805.
This study indicates that the Persian version of the PACIC-5As questionnaire is valid and reliable for assessing healthcare experiences in older patients with diabetes. This means that the questionnaire can be effectively used in this population.
患者评估慢性病护理（PACIC-5As）问卷旨在评估患有糖尿病等慢性病患者的医疗保健体验。老年人患糖尿病及其相关并发症的风险更高。本研究的目的是对居住在伊朗卡兹温市的老年糖尿病患者进行 PACIC-5As 问卷的跨文化适应性以及有效性和可靠性评估。
在这项验证研究中，我们从伊朗卡兹温市的综合健康中心招募了 306 名老年糖尿病患者。采用多阶段聚类抽样技术选择具有代表性的样本。使用世界卫生组织（WHO）标准化方法将 PACIC-5As 问卷翻译成波斯语。评估了 PACIC-5As 的有效性（表面、内容和结构）和可靠性（Cronbach's alpha）。使用 R 软件和 Lavaan 包进行数据分析。
老年患者的平均年龄为 69.99±6.94 岁。大多数老年参与者为女性（n=180，58.82%）和已婚（n=216，70.59%）。就表面有效性而言，PACIC-5As 的所有项目的影响得分均大于 1.5。在内容有效性方面，所有项目的内容有效性比值均大于 0.49，内容有效性指数均大于 0.79。验证性因子分析的结果表明，该模型在预期的五个因素上均表现出良好的拟合度，包括评估、建议、同意、协助和安排，适用于 PACIC-5As 问卷的 25 个项目。PACIC-5As 问卷的 Cronbach's alpha 系数为 0.805。
本研究表明，波斯语版的 PACIC-5As 问卷在评估老年糖尿病患者的医疗保健体验方面是有效且可靠的。这意味着该问卷可以在该人群中有效使用。
