Evidence map›Paper›PMID 31099870›Full record

ArticleJAMA network open2019

Development and Validation of a Tool to Measure Patient Assessment of Clinical Compassion.

Brian W Roberts, Michael B Roberts, Jady Yao, Joshua Bosire, Anthony Mazzarelli, Stephen Trzeciak

Abstract readValidation Study
In one paragraph

Article in JAMA network open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Further Development and Validation of a Measure of Compassionate Healthcare in Action.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  5. Article
  6. Article
  7. Scaling Compassion and Applications in ABA.Behavior analysis in practice · 2026
    Article
  8. Patient Experience of Clinician Compassion Is Associated With Healthcare System Distrust Among Emergency Department Patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Emergency department staff compassion is associated with lower fear of enacted stigma among patients with opioid use disorder.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024
    Article
  14. Item development for a patient-reported measure of compassionate healthcare in action.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
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  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Brian W RobertsDepartment of Emergency Medicine, Cooper University Health Care, Cooper Medical School of Rowan University, Camden, New Jersey.
Michael B RobertsInstitutional Research and Outcomes Assessment, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania.
Jady YaoDepartment of Patient Family Centered Care, Cooper University Health Care, Camden, New Jersey.
Joshua BosireDepartment of Patient Family Centered Care, Cooper University Health Care, Camden, New Jersey.
Anthony MazzarelliDepartment of Emergency Medicine, Cooper University Health Care, Cooper Medical School of Rowan University, Camden, New Jersey.
Stephen TrzeciakCenter for Humanism, Cooper Medical School of Rowan University, Camden, New Jersey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Clinician compassion is a vital element of health care quality. Currently, there appears to be no validated and feasible method for health care organizations to measure patient assessment of clinician compassion on a large scale. Objective: To develop and validate a tool for measuring patient assessment of clinician compassion that can be used in conjunction with the Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) survey. Design, Setting, and Participants: This prospective cohort study took place from June 1 to August 30, 2018, at a US academic health care system among a pilot cohort consisting of 3325 adult patients and a validation cohort consisting of 3483 adult patients, both of whom had an outpatient clinic visit and completed the CG-CAHPS survey. Main Outcomes and Measurements: After a comprehensive literature review, 12 candidate survey items were developed. Face and construct validity were performed. Candidate items were disseminated to patients in conjunction with the CG-CAHPS survey in a series of 2 studies: (1) exploratory factor analysis in one cohort to determine the factor structure and the most parsimonious set of items; and (2) validity testing in a second cohort using confirmatory factor analysis. Reliability was tested using Cronbach α. Convergent validity was tested with patient assessment of clinician communication and overall satisfaction questions from CG-CAHPS survey. Results: Overall, 6493 patient responses were analyzed. The mean (SD) age was 60 (15) years, 4239 patients (65.3%) were women, and 5079 (78.2%) were white. Exploratory factor analyses identified a 5-item compassion measure to be the most parsimonious. Confirmatory factor analyses found good fit. The compassion measure demonstrated good internal consistency (α = 0.94) and convergent validity (clinician communication: ρ = 0.44; overall satisfaction: ρ = 0.52) but reflected a patient experience domain (compassionate care) distinct from what is currently captured in the CG-CAHPS survey. Conclusions and Relevance: A simple 5-item tool to measure patient assessment of clinician compassion was developed and validated for use in conjunction with CG-CAHPS survey.

Indexed as

EmpathyPatient SatisfactionAdultAgedAged, 80 and overDelivery of Health Care, IntegratedFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedProfessional-Patient RelationsSurveys and QuestionnairesYoung Adult

Identifiers

PMID31099870
PMCPMC6537812

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.