Measuring Patients’ Perceptions of Health Care Encounters: Examining the Factor Structure of the Revised Patient Perception of Patient-Centeredness (PPPC-R) Questionnaire

Ryan, Bridget; Brown, Judith Belle; Tremblay, Paul F.; Stewart, Moira

doi:10.17294/2330-0698.1696

Cited by 20 publications

(37 citation statements)

References 26 publications

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“…This tool measures three factors which include 1) exploring the disease and illness, 2) understanding the whole person and 3) finding common ground. 18 The tool demonstrated strong internal consistency (Cronbach's α = 0.946).…”

Section: Instrumentsmentioning

confidence: 97%

Collegiate Student-Athletes' Perceptions of Patient-Centered Care Delivered by Athletic Trainers

Redinger

Winkelmann

Eberman

2020

Journal of Athletic Training

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Context: The core competencies of health care indicate that all medical professionals should provide patient-centered care (PCC), or care that is respectful and responsive to one's values and preferences, during each encounter. Objective: To identify collegiate student-athletes' definition of PCC and measure their perceived level of PCC from an athletic trainer (AT). Design: Cross-sectional study. Setting: Mixed-method survey. Patients or Participants: A total of 610 (age = 19 ± 1 year) NCAA student-athletes completed the survey. Main Outcome Measure(s): The survey consisted of one open-ended question prompting the participant to define PCC in their own words. The quantitative data was gathered through the Global Perceptions of Athletic Trainer PCC tool which explored the overall agreement about the ATs use of PCC constructs. Finally, those participants who had received care from an AT completed the validated Patient Perception of Patient-Centeredness (PPPC) instrument. Qualitative analysis was completed through Text IQ™ technology from Qualtrics® with a mean sentiment score (MSS) attributed to each of the coded statements. We performed descriptive statistics for all quantitative data. Results: The qualitative analysis revealed 13 topics in which the most used were individualized, priority, and best. Other topics were inconsistent with how the medical community has defined PCC. On the global agreement scale of PCC tool, the participants expressed a strong agreement (mode = 4) with 12 of the 15 statements. On the patient perception instrument, participants expressed that the AT was completely (mode = 4) patient-centered for all dimensions during their most recent encounter. However, the behaviors of PCC, defined by the medical community, may not be directly expressed from the viewpoint of a collegiate student-athlete. Conclusions: Student-athletes defined PCC as individualized and prioritized health care. Additionally, student-athletes perceived that ATs provided care that kept their best interest in mind and practiced PCC during their encounters.

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Section: Instrumentsmentioning

confidence: 97%

Collegiate Student-Athletes' Perceptions of Patient-Centered Care Delivered by Athletic Trainers

Redinger

Winkelmann

Eberman

2020

Journal of Athletic Training

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“…The original PPPC questionnaire consisted of 14 items and covered 3 interactive components of the Patient‐Centered Clinical Method (PCCM) (exploring health, disease and the illness experience; understanding the whole person; finding common ground) 16‐19 . Recently, the PPPC questionnaire was revised, so that the revised PPPC now contains 18 items (PPPC‐R), intended to map to the current Patient‐Centered Clinical Method which contains four components (the original three and enhancing the patient–clinician relationship) 21 …”

Section: Introductionmentioning

confidence: 99%

The revised Patient Perception of Patient‐Centeredness Questionnaire: Exploring the factor structure in French‐speaking patients with multimorbidity

Nguyen

Ngangue

Ryan

et al. 2020

Health Expectations

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Background The Patient Perception of Patient‐Centeredness (PPPC) questionnaire was revised, and there is a need for the questionnaire to be tested in diverse primary care populations. Objectives This study aimed to examine the factor structure of the Revised PPPC questionnaire (PPPC‐R) in French‐speaking patients with multimorbidity. Design Secondary analysis from baseline data of the French arm of Patient‐Centered Innovations for Persons with Multimorbidity Study (PACEinMM Study). Setting and participants Participants were adult patients with multimorbidity attending primary health‐care settings. Outcome measures Exploratory factor analyses were applied to examine the factor structure of the PPPC‐R. Cronbach's alpha values were calculated to assess the internal consistency of the whole questionnaire and of each factor explored. Results There were 301 participants, mean age 61.0, 53.2% female. The PPPC‐R showed very good internal consistency, with three factors: Patient‐Centered Clinical Method (PCCM) Component 1‐Exploring the health, disease and illness experience + PCCM Component 4‐Enhancing the patient–clinician relationship (Factor 1); PCCM Component 2‐Understanding the whole person (Factor 2); and PCCM Component 3‐Finding common ground (Factor 3). There was a good internal consistency within each factor (Cronbach's α = 0.87 for 8 items in Factor 1, 0.77 for 5 items in Factor 2 and 0.87 for 5 items in Factor 3). Discussion and conclusions The French PPPC‐R factor structure was in accordance with the underpinning conceptual model and presented with three factors. Further assessment of its validity and reproducibility are needed to allow its use as a measure of patient's perception of patient‐centeredness.

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“…While most instruments had no context-driven items at all, 19 instruments considered the social environment to various extents. Of these instruments, few were theoretically grounded in a model that acknowledges the interplay between a person’s health and the environment for the purpose of enhancing patient participation (e.g., see [ 61 ]).…”

Section: Resultsmentioning

confidence: 99%

“…The instruments containing the most social environment items were generally categorized as patient-centered and often covered several domains. Aspects such as family and friend involvement were covered in CAHPS [ 71 ] and QPCCC [ 86 ], the resources available in the neighborhood to support patients in coping with health conditions were covered in IEXPAC [ 49 ] and PPIC [ 80 ], the extent to which healthcare providers ask about a patient’s family life was covered in PPPC-R [ 61 ], concerns about how to manage family life were covered in PCCE [ 63 ] and QPCCC [ 86 ], and adequate information about what to expect in terms of challenges in daily life was covered in the CPEQ [ 72 ].…”

Section: Resultsmentioning

confidence: 99%

“…Other instruments were developed to be used in the outpatient context. PPRQ [ 59 ] aimed to measure patient participation in a rehabilitation context, and PPPC-R [ 61 ], HSOPE [ 48 ], and Small’s [ 54 ] instruments were developed to assess patient participation in outpatient settings. Other instruments, such as the one by Finnell and Lee [ 76 ], aimed to assess patient readiness for shared decision making in a substance abuse context.…”

Section: Resultsmentioning

confidence: 99%

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Patient Participation and the Environment: A Scoping Review of Instruments

Kylén

Schön

Pessah-Rasmussen

et al. 2022

IJERPH

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Patient participation and the environment are critical factors in achieving qualitative healthcare. We conducted a systematic scoping review using Arksey and O’Malley’s framework to identify instruments intended to measure patient participation. We assessed those instruments’ characteristics, which areas of the healthcare continuum they target, and whether environmental factors are considered. Instruments were considered eligible if they represented the patient perspective and measured patient participation in healthcare. The search was limited to articles written in English and published in the last 10 years. We extracted concepts (i.e., patient empowerment, patient participation, and patient-centeredness) based on the framework developed by Castro et al. and outcomes of significance regarding the review questions and specific objectives. The search was conducted in PsycINFO, CINHAL/EBSCO, and PubMed in September 2019 and July 2020. Of 4802 potential titles, 67 studies reported on a total of 45 instruments that met the inclusion criteria for this review. The concept of patient participation was represented most often in these studies. Although some considered the social environment, no instrument was found to incorporate and address the physical environment. Thirteen instruments were generic and the remaining instruments were intended for specific diagnoses or healthcare contexts. Our work is the first to study instruments from this perspective, and we conclude that there is a lack of instruments that measure aspects of the social and physical environment coherently as part of patient participation.

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Measuring Patients’ Perceptions of Health Care Encounters: Examining the Factor Structure of the Revised Patient Perception of Patient-Centeredness (PPPC-R) Questionnaire

Cited by 20 publications

References 26 publications

Collegiate Student-Athletes' Perceptions of Patient-Centered Care Delivered by Athletic Trainers

Collegiate Student-Athletes' Perceptions of Patient-Centered Care Delivered by Athletic Trainers

The revised Patient Perception of Patient‐Centeredness Questionnaire: Exploring the factor structure in French‐speaking patients with multimorbidity

Patient Participation and the Environment: A Scoping Review of Instruments

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