Psychometric properties of the Patient Assessment of Chronic Illness Care measure (PACIC-5A) among patients with obesity

Schwenke, Maria; Welzel, Franziska; Luck-Sikorski, Claudia; Pabst, Alexander; Kersting, Anette; Blüher, Matthias; König, Hans‐Helmut; Riedel‐Heller, Steffi G.; Stein, Janine

doi:10.1186/s12913-019-3871-1

Cited by 6 publications

(5 citation statements)

References 39 publications

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“…This disagreement could affect the patient-provider relationship [20]. Results based on the present INTERACT study suggest that the patient-GP interaction measured with the instrument, "Patient assessment of chronic illness care (PACIC-5A)" is rated as low from patient perspective [18]. However, a good patient-GP relationship and high quality weight consultation are important for patient care [34,35].…”

Section: Discussionmentioning

confidence: 85%

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Attitudes and treatment practice of general practitioners towards patients with obesity in primary care

et al. 2020

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Background: Obesity is one of the most common and relevant health problems in need of urgent action in Germany. General practitioners (GPs) are the initial contact and thus one of the most important starting points for the successful treatment of overweight and obesity. The aim of the study was to assess the treatment practice and attitudes towards patients with obesity in primary health care in Germany. Methods: Analyses were based on baseline data of the INTERACT trial of 47 GPs in central Germany. Stigmatizing attitudes were identified using the Fat Phobia Scale (FPS). In addition, questionnaires including sociodemographic information, attribution of causes of obesity, referral behavior and clinical activities were completed. Statistical investigations include descriptive analysis, principal component analysis, inference statistics and linear regression models. Results: GPs rated the quality of medical care for patients with obesity in Germany as below average. The FPS score revealed a value of 3.70, showing that GPs' attitudes towards patients with obesity are stigmatizing. Younger GP age, male gender and a lower number of referrals to specialists were associated with higher levels of stigmatizing attitudes. Conclusion: Weight-related stigmatization has an impact on medical treatment. Obesity management guides would help to increase knowledge and reduce weight-related stigmatization in primary care, thereby improving medical care for obese and overweight patients.

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Section: Discussionmentioning

confidence: 85%

“…Successful weight management is conceptualized as improved overall health and well-being. The design of the INTERACT trial has been reported in detail elsewhere [17,18].…”

Section: Study Design and Samplementioning

confidence: 99%

Attitudes and treatment practice of general practitioners towards patients with obesity in primary care

et al. 2020

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“…With regards to the patients' experience on conventional chronic disease care, our study shows that the overall PACIC-M mean score among patients with MetS in our primary care setting was satisfactory (2.91 ± 0.04). Previous studies have reported various ranges of PACIC scores depending on the study locality [28][29][30][31]. The variations in PACIC scores observed in different countries may be influenced by the differences in health care delivery system and population background such as socio-economics and cultural factors [28].…”

Section: Discussionmentioning

confidence: 99%

Traditional and complementary medicine (TCM) usage and its association with Patient Assessment of Chronic Illness Care (PACIC) among individuals with metabolic syndrome in primary care

Basri

Ramli

Mohamad

et al. 2022

BMC Complement Med Ther

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Background Traditional and Complementary Medicine (TCM) is widely used particularly among patients with chronic diseases in primary care. However, evidence is lacking regarding TCM use among patients with Metabolic Syndrome (MetS) and its association with patients’ experience on chronic disease conventional care that they receive. Therefore, this study aims to determine the prevalence and pattern of TCM use, compare the patients’ experience of chronic disease care using the Patient Assessment of Chronic Illness Care - Malay version (PACIC-M) questionnaire between TCM users and non-users and determine the factors associated with TCM use among patients with MetS in primary care. Methodology A cross-sectional study was conducted at a university primary care clinic. Patients aged 18 to 80 years old with MetS were recruited. Socio-demographic characteristic, clinical characteristics and information on TCM use and its pattern were recorded in a proforma. Patient’s experience of chronic disease conventional care was measured using PACIC-M questionnaire. The comparison of PACIC-M mean score between TCM users and non-users was measured using independent t-test. The factors associated with TCM use were determined by simple logistic regression (SLogR), followed by multiple logistic regression (MLogR). Results Out of 394 participants, 381 (96.7%) were included in the final analysis. Of the 381 participants, 255 (66.9%) were TCM users (95% CI 62.7, 71.7). Only 36.9% of users disclosed about TCM use to their health care providers (HCP). The overall mean PACIC-M score was 2.91 (SD ± 0.04). TCM users had significantly higher mean PACIC-M score compared to non-users (2.98 ± 0.74 vs 2.75 ± 0.72, p = 0.01). The independent factors associated with TCM use were being female (Adj. OR 2.50, 95% CI 1.55, 4.06), having high education level (Adj. OR 2.16, 95% CI 1.37, 3.41) and having high overall PACIC-M mean score (Adj. OR 1.49, 95% CI 1.10, 2.03). Conclusion TCM use was highly prevalent in this primary care clinic. However, the disclosure rate of TCM use to HCP was low. Females, those with high education and high PACIC-M mean score were more likely to use TCM. Further research should explore the reasons for their TCM use, despite having good experience in conventional chronic disease care.

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“…Relevant data show the incidence of cancer-related fatigue in colorectal cancer patients can be as high as 80%~95%, which seriously affects the surgical effect and quality of life, requiring professional nursing intervention (16). The 5A nursing by ask, assessment, advice, assistance and access of patients with comprehensive care, adjustment and feedback, better to help improve the ability of self-management, alleviate the pain caused by the operation and the psychological experience, promote the patient recovery at an early date, the nursing mode more attention in patients with diabetes, obesity, less research on colorectal cancer (17,18). In this study, 5A nursing combined with psychological nursing was used for intervention patients undergoing radical resection of colorectal cancer to explore the nursing effect.…”

Section: Comparison Of Overall Nursing Satisfactionmentioning

confidence: 99%

The effect of 5A nursing combined with psychological nursing on the immune function, cancer-related fatigue and complications of patients undergoing radical resection of colorectal cancer

Yang²

2022

Cell Mol Biol (Noisy-le-grand)

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This study aimed to analyze the effects of 5A nursing (including Ask, Assess, Advise, Assist, and Access) combined with psychological nursing on the immune function, cancer-related fatigue, and complications of patients undergoing radical resection of colorectal cancer. For this purpose, 64 patients undergoing radical resection of colorectal cancer were treated with nursing intervention during the perioperative period from March 2019 to March 2021. They were randomly divided into a control group and a study group according to admission order. Each group had 32 cases. The control group performed routine nursing, and 5A nursing combined with psychological nursing was performed on the research group. Then the immune function, cancer-related fatigue, complications, self-efficacy, and nursing satisfaction were compared between the two groups. Results showed that the levels of CD3+ and CD4+ in the two groups were lower than before nursing, and the levels of CD8+, IgA, IgM, and IgG were higher than before nursing (P<0.05). The reduction of CD3+ and CD4+ in the study group was less than the control group, and the increase of CD8+, IgA, IgM, and IgG in the study group was higher than the control group (P<0.05). The scores of cancer-related fatigue after nursing were lower than before nursing (P<0.05), and the reduction of cancer-related fatigue in the study group was higher than the control group (P<0.05). The incidence of postoperative complications in the study group (12.50%) was lower than the control group (25.00%) after nursing (p<0.05). The scores of all dimensions of self-efficacy of the two groups after nursing were higher than before nursing (P<0.05). The improvement of self-efficacy of the study group was better than the control group (P<0.05). The overall nursing satisfaction of the observation group after nursing (96.88%) was higher than the control group (84.38%)(P<0.05). According to the results, the use of 5A nursing combined with psychological nursing can effectively relieve the perioperative psychological pressure of the patients, improve the immune function of the body, relieve cancer-related fatigue, prevent and control the incidence of complications, and improve the quality of clinical life of the patients for patients undergoing radical resection of colorectal cancer.

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Psychometric properties of the Patient Assessment of Chronic Illness Care measure (PACIC-5A) among patients with obesity

Cited by 6 publications

References 39 publications

Attitudes and treatment practice of general practitioners towards patients with obesity in primary care

Attitudes and treatment practice of general practitioners towards patients with obesity in primary care

Traditional and complementary medicine (TCM) usage and its association with Patient Assessment of Chronic Illness Care (PACIC) among individuals with metabolic syndrome in primary care

The effect of 5A nursing combined with psychological nursing on the immune function, cancer-related fatigue and complications of patients undergoing radical resection of colorectal cancer

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