Development and validation of a Japanese version of the Patient Centred Assessment Method and its user guide: a cross-sectional study
| Autor: | Takamasa Watanabe, Shuhei Yoshida, Tomokazu Tominaga, Daichi Hayashi, Yoshifumi Sugiyama, Masato Matsushima, Rieko Mutai, Makoto Kaneko, Ryoko Horiguchi |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Psychometrics Cross-sectional study Visual analogue scale Validity primary care Young Adult Cronbach's alpha Japan general medicine (see internal medicine) Surveys and Questionnaires medicine Humans Translations Tokyo Rank correlation business.industry Debriefing Reproducibility of Results General Medicine Confirmatory factor analysis Exploratory factor analysis Cross-Sectional Studies Physical therapy Medicine epidemiology Female business General practice / Family practice |
| Zdroj: | BMJ Open BMJ Open, Vol 10, Iss 11 (2020) |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesThe primary objective of this study was to develop the Japanese version of the Patient Centred Assessment Method (PCAM) and its user guide. The secondary objective was to examine the validity and reliability in the primary care setting.DesignCross-sectional study.SettingThree family physician teaching clinics located in urban residential areas in Tokyo, Japan.ParticipantsPatients who were aged 20 years or older, and who had an appointment with physicians at the three participating clinics.Main outcome measuresPatient complexity measured by PCAM and complexity/burden level measured by a Visual Analogue Scale (VAS).ResultsAlthough confirmatory factor analysis using a model described in a previous study revealed that the indices did not meet the criteria for good fit, exploratory factor analysis revealed a new three-factor structure of ‘Personal well-being,’ ‘Social interaction’ and ‘Needs for care/service.’ Cronbach’s alpha of PCAM was 0.86. Spearman’s rank correlation coefficients between PCAM scores and VAS scores were 0.51 for complexity (pConclusionsThe Japanese version of PCAM and its user guide were developed through Japanese translation and cultural adaptation by cognitive debriefing. PCAM is a valid and reliable tool to assess patient complexity in the primary care settings in Japan. Additionally, although the correlation between total PCAM scores and complexity/burden as assessed by VAS was moderate, PCAM can more precisely identify patient complexity than skilled physician’s intuition. |
| Databáze: | OpenAIRE |
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