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

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dc.contributor.authorCai, Yiyuan
dc.contributor.authorGuo, Pengfei
dc.contributor.authorTu, Jiong
dc.contributor.authorHu, Mengyao
dc.contributor.authorLiu, Lingrui
dc.contributor.authorRyan, Bridget L.
dc.contributor.authorLiao, Jing
dc.contributor.authorDev, Rubee
dc.contributor.authorLi, Yiran
dc.contributor.authorHuang, Tianyu
dc.contributor.authorWang, Ruilin
dc.contributor.authorKuang, Li
dc.contributor.authorHuang, Ruonan
dc.contributor.authorLi, Xinfang
dc.contributor.authorMelipillan, Edmundo Roberto
dc.contributor.authorZhao, Shuaixiang
dc.contributor.authorHe, Wenjun
dc.contributor.authorWang, Xiaohui
dc.contributor.authorZhang, Nan
dc.contributor.authorXu, Dong (Roman)
dc.date.accessioned2025-02-26T20:14:49Z
dc.date.available2025-02-26T20:14:49Z
dc.date.issued2025
dc.description.abstractBackground An 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. Aim This study aimed to assess the validity and reliability of a Chinese version of the PPPC scale. Design A 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/participants In 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. Results The 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: , 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. Conclusions The Chinese version of the PPPC scale provides a valuable tool for evaluating patient-centered medical service quality.
dc.description.versionVersión publicada
dc.format.extent13 p.
dc.identifier.citationCai, Y., Guo, P., Tu, J. et al. Contextualizing the revised Patient Perception of Patient-Centeredness (PPPC-R) scale in primary healthcare settings: a validity and reliability evaluation study. BMC Prim. Care 25, 11 (2024). https://doi.org/10.1186/s12875-023-02227-x
dc.identifier.doihttps://doi.org/10.1186/s12875-023-02227-x
dc.identifier.urihttps://hdl.handle.net/11447/9851
dc.language.isoen
dc.subjectPatients-Centeredness Care
dc.subjectQuality of health care
dc.subjectFactor analysis
dc.subjectLocalization and Validation
dc.titleContextualizing the revised Patient Perception of Patient-Centeredness (PPPC-R) scale in primary healthcare settings: a validity and reliability evaluation study
dc.typeArticle
dcterms.accessRightsAcceso abierto
dcterms.sourceBMC Primary Care
dspace.entity.typePublication
relation.isAuthorOfPublication26641677-4841-42fa-a6ca-79e75f650c2e
relation.isAuthorOfPublication.latestForDiscovery26641677-4841-42fa-a6ca-79e75f650c2e

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