Development and Validation of Online Textual Pediatrician-Parent Communication Instrument Based on the SEGUE Framework

Abstract

The prevalence and feature of online textual pediatrician-parent communication (OPPC) have been recognized, but evidence on OPPC assessment remains insufficient. This study aimed to develop and validate an OPPC instrument to provide measurement and quality characteristics for quality assessment and management. 490 OPPC exchanges of 61 tertiary hospitals from 9 Chinese provinces were obtained from the Spring Rain Doctor website. The SEGUE framework, OPPC feature, and a pilot study were considered to establish the instrument. An empirical study was conducted to validate it and the incidence of OPPC items was also analyzed. As a result, a four-dimensional, 15-item OPPC instrument was developed. The empirical results are as follows. Cronbach’s α values of dimensions were 0.80, 0.62, 0.64, and 0.60; the mean interrater reliability was 0.93; the correlation coefficients between items and their corresponding dimensions’ scores ranged from 0.51 to 0.89 (P<0.001). The goodness-of-fit indices were acceptable. The overall incidence rate of parent-dominated/cooperative items (46.9%) was higher than that of pediatrician-dominated items (39.6%). Thus, the instrument is acceptable and OPPC quality is characterized by more parent-dominated and cooperative behaviors.

Theoretical model and measurement of shared decision making in web-based pharmaceutical care consultation

“…The data of the provider–patient exchanges in this study is reported on the website in public while the content is anonymous for health information sharing. 53 …”

“…The data of the provider-patient exchanges in this study is reported on the website in public while the content is anonymous for health information sharing. 53 In China, pharmaceutical services are mainly provided by clinicians. Although services provided by pharmacists have been increasing recently, pharmacist-patient encounter samples online are still limited.…”

Development of the nurse's communication ability with angry patients scale and evaluation of its psychometric properties

“…The SEGUE framework consists of two sections (doctor–patient communication content and communication skills) and five dimensions (preparation, information collection, information giving, understanding the patient and ending) (Makoul, 2001), and this scale has been used to evaluate communication skills in medical students (Sattler et al., 2017), nursing students (Son & Hee Kim, 2019) and doctors (Bai et al., 2019). The SEGUE framework has a Cronbach's α coefficient, CVI, test–retest reliability and KMO all exceeding 0.8 (Makoul, 2001; Xiong et al., 2019). In this study, 47 emergency department nurses with more than 1 year of professional experience were invited to complete the SEGUE framework and NCAAPS questionnaires, and 32 nurses (68.1%) agreed to participate.…”

The Chinese version of the Health Professional Communication Skills Scale: Psychometric evaluation

“…In China, few instruments are available for evaluating communication skills, including the Communication Skills Attitude Scale, the SEGUE Framework, and multisource feedback (Zhao et al, 2013 ; Zhang et al, 2018 ; Xiong et al, 2019 ). To the best of our knowledge, however, those tools are widely used among specific professional groups, such as medical students, trainee doctors, nursing probationers, physicians, and nurses (Mendi et al, 2020 ).…”