Izvorni znanstveni članak
Validation of the Slovenian Version of Patient Assessment of Chronic Illness Care (PACIC) in Patients with Coronary Heart Disease
Ksenija Tušek-Bunc
orcid.org/0000-0003-1474-9090
; Department of Family medicine, Medical school University of Maribor, Maribor
Marija Petek-Šter
orcid.org/0000-0003-1736-2377
; Department of Family Medicine, Medical Faculty, University of Ljubljana, Ljubljana
Branko Šter
; Faculty of Computer and Information Science, University of Ljubljana, Ljubljana
Davorina Petek
; Department of Family Medicine, Medical Faculty, University of Ljubljana, Ljubljana
Janko Kersnik
; Department of Family Medicine, Medical Faculty, University of Ljubljana, Ljubljana
Sažetak
The Chronic Care Model (CCM) is a conceptual framework that supports the evidence-based proactive and planned
care of chronic diseases. Our aim was to validate a Slovenian translation of Patient Assessment of Chronic Illness Care
(PACIC) – a self-reported instrument designed to measure the extent to which patients with chronic illnesses receive care
congruent with CCM – on a sample of patients with coronary heart disease. Secondary analysis of patients’ evaluation of
general practice care (EPA Cardio study) was done in patients with coronary heart disease in Slovenia. Patients completed
a written questionnaire, which included the instrument for assessing chronic illness care (PACIC), the EUROPEP
questionnaire and demographical data. Internal consistency was expressed in terms of Cronbach’s á. Reliability was expressed
as the intra class correlation coefficient (ICC). Correlation between PACIC and EUROPEP was considered as a
measure of construct validity. Factor analysis was done to identify number and types of domains in the instrument.
Questionnaires of 843 patients were analysed. The mean age was 68.2 (SD 11.1) years, 34.6% of participants were female.
32.7% of PACIC questionnaires were not completely fulfilled. The internal consistency of the entire questionnaire
assessed by Cronbach’s á was 0.953 and reliability was 0.937. Construct validity was confirmed with important and significant
correlation between PACIC and EUROPEP questionnaire (Spearman’s correlation coefficient =0.60, p<0.001).
Principal component factor analysis identifies two major factors which we labeled according to the PACIC domains as
»Patient activation, decision support and problem solving« and »Goal settings and coordination«. A translated and validated
Slovenian version of PACIC questionnaire is now available. Further research on its validity in other groups of
chronically ill patients and the use of instrument for monitoring changes of chronic care over time is recommended.
Ključne riječi
chronic diseases; patient perspective; PACIC; validation; Slovenia
Hrčak ID:
124946
URI
Datum izdavanja:
30.6.2014.
Posjeta: 910 *