Evidence map›Paper›PMID 41618479›Full record

ArticleEvaluation & the health professions2026

Do Physicians CARE? Psychometric Validation of the Portuguese Self-Report Version of the CARE Measure.

Francisca Rosa, Ricardo Ávila, Ana C Alves-Nogueira, Marco Pereira, Cláudia Melo, Maria Cristina Canavarro, Carlos Carona

Abstract readValidation Study
In one paragraph

Article in Evaluation & the health professions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

7 authors.

Francisca RosaCenter for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.ORCID 0009-0003-6040-0671
Ricardo ÁvilaCenter for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.ORCID 0009-0002-5617-2795
Ana C Alves-NogueiraCenter for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.ORCID 0000-0003-4121-5916
Marco PereiraCenter for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.ORCID 0000-0002-6086-2329
Cláudia MeloCenter for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.ORCID 0000-0002-3791-4039
Maria Cristina CanavarroCenter for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.ORCID 0000-0002-5083-7322
Carlos CaronaCenter for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.ORCID 0000-0002-3605-3513

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical empathy is central to the physician-patient relationship, and there is an increasing need for valid and reliable instruments to assess self-reported clinical empathy. Although the Consultation and Relational Empathy (CARE) Measure is widely used in its patient-reported form, it has not been validated for physician self-assessment. This study examined the construct validity and internal consistency of the Portuguese self-report version of the CARE Measure in 221 physicians who completed an online survey. The sample was randomly divided into two subsamples for exploratory and confirmatory factor analyses (EFA and CFA). Measurement invariance was tested across gender, age, and professional status. Internal consistency, convergent validity, and known-groups validity were also evaluated. EFA revealed a two-factor structure - Cognitive and Affective Empathy - supported by CFA. Measurement invariance was confirmed across gender, age, and professional status. The scale showed good internal consistency for both factors. Convergent validity was indicated by correlations with communication competence and therapeutic relationship quality. Known-groups validity was demonstrated by higher cognitive empathy scores among physicians aged 41 and older and among men. These findings provide robust evidence for the validity and reliability of the Portuguese self-report CARE Measure, supporting its use in clinical training, self-assessment, and empathy research.

Indexed as

EmpathyPhysician-Patient RelationsPhysiciansSelf ReportAdultFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedPortugalPsychometricsReproducibility of ResultsSurveys and Questionnairesclinical empathyconstruct validitymedical educationphysicianspsychometricsself-report

Identifiers

PMID41618479
PMCPMC13379610

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