Evidence map›Paper›PMID 38178035›Full record

ArticleBMC primary care2024

Contextualizing the revised Patient Perception of Patient-Centeredness (PPPC-R) scale in primary healthcare settings: a validity and reliability evaluation study.

Yiyuan Cai, Pengfei Guo, Jiong Tu, Mengyao Hu, Lingrui Liu, Bridget L Ryan, Jing Liao, Rubee Dev, Yiran Li, Tianyu Huang and 10 more

Abstract read
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Quality of asynchronous webchatsThe Lancet regional health. Western Pacific · 2024
    Article
  4. Observational
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

20 authors.

Yiyuan Cai *Department of Epidemiology and Health Statistics, School of Public Hhealth, Guizhou Medical University, Gui'an, China.
Pengfei Guo *Department of Environmental Health Sciences, Yale School of Public Health, Yale University, New Haven, USA.
Jiong Tu *School of Sociology and Anthropology, Sun Yat-Sen University, Guangzhou, China.
Mengyao HuSurvey Research Center, University of Michigan, Ann Arbor, MI, USA.
Lingrui LiuDepartment of Health Policy and Management, Yale School of Public Health, Yale Center for Methods in Implementation and Prevention Science, New Haven, USA.
Bridget L RyanDepartments of Family Medicine and Epidemiology and Biostatistics, Western University, London, ON, Canada.
Jing LiaoDepartment of Health Statistics, School of Public Health, Sun Yat-Sen University, Guangzhou, China.
Rubee DevFaculty of Applied ScienceSchool of Nursing, University of British Columbia, Vancouver, Canada.
Yiran LiInterdisciplinary Center Psychopathology and Emotion Regulation, Department of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Tianyu HuangSchool of Sociology and Population Studies, Renmin University of China, Beijing, China.
Ruilin WangSchool of Sociology and Population Studies, Renmin University of China, Beijing, China.
Li KuangDepartment of Health ManagementSchool of Public Health, Sun Yat-Sen University, Guangzhou, China.
Ruonan HuangThe First Affiliated Hospital of Xi'an Jiao Tong University, Xi'an, China.
Xinfang Li13Dong Fureng Institute of Economic and Social Development, Wuhan University, Wuhan, China.
Edmundo Roberto MelipillánFacultad de Psicología, Universidad del Desarrollo, Sede Santiago, Chile.
Shuaixiang ZhaoJiaozuo People's Hospital, Jiaozuo, China.
Wenjun HeAcacia Lab for Implementation Science, School of Health Management and Dermatology Hospital, Southern Medical University, Guangzhou, China.
Xiaohui WangDepartment of Social Medicine and Health ManagementSchool of Public Health, Lanzhou University, Lanzhou, China.
Nan ZhangSchool of Health Management, Inner Mongolian Medical University, Hohhot, China.
Dong Roman XuAcacia Lab for Implementation Science, School of Health Management and Dermatology Hospital, Southern Medical University, Guangzhou, China. romanxu@i.smu.edu.cn.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundAn English version of the Patient Perception of Patient-Centeredness (PPPC) scale was recently revised, and it is necessary to test this instrument in different primary care populations.

aimThis study aimed to assess the validity and reliability of a Chinese version of the PPPC scale.

designA mixed method was used in this study. The Delphi method was used to collect qualitative and quantitative data to address the content validity of the PPPC scale by calculating the Content Validity Index, Content Validity Ratio, the adjusted Kappa, and the Item Impact Score. Confirmatory factor analysis (CFA) and exploratory factor analysis (EFA) were used to assess the construct validity of the PPPC scale through a cross-sectional survey. The internal consistency was also assessed. SETTING/

participantsIn the Delphi consultation, seven experts were consulted through a questionnaire sent by email. The cross-sectional survey interviewed 188 outpatients in Guangzhou city and 108 outpatients in Hohhot City from community health service centers or stations face-to-face.

resultsThe 21 items in the scale were relevant to their component. The Item-level Content Validity Index for each item was higher than 0.79, and the average Scale-level content validity index was 0.97 in each evaluation round. The initial proposed 4-factor CFA model did not fit adequately. Still, we found a 3-factor solution based on our EFA model and the validation via the CFA model (model fit: [Formula: see text], P < 0.001, RMSEA = 0.044, CFI = 0.981; factor loadings: 0.553 to 0.888). Cronbach's α also indicated good internal consistency reliability: The overall Cronbach's α was 0.922, and the Cronbach's α for each factor was 0.851, 0.872, and 0.717, respectively.

conclusionsThe Chinese version of the PPPC scale provides a valuable tool for evaluating patient-centered medical service quality.

Indexed as

PerceptionPrimary Health CareCross-Sectional StudiesHumansReproducibility of ResultsSurveys and QuestionnairesFactor analysisLocalization and ValidationPatients-Centeredness CareQuality of health care

Identifiers

PMID38178035
PMCPMC10768460

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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.