Translation and validation of the PACIC+ questionnaire: the Thai version

Zeugfang, Daniel; Wisetborisut, Anawat; Angkurawaranon, Chaisiri; Aramrattana, Apinun; Wensing, Michel; Szécsényi, Joachim; Krug, Katja

doi:10.1186/s12875-018-0801-y

Cited by 15 publications

(10 citation statements)

References 23 publications

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“…Patients showed the lowest degree of satisfaction with care in the arrange dimension and the highest in the advise one. Despite the heterogeneity of samples in our intervention, these results are consistent with the ones found by previous studies [22,28,29], indicating the importance of improving actions to arrange follow-ups with patients.…”

Section: Discussionsupporting

confidence: 91%

Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS

Rodríguez‐Blázquez

Forjaz

Gimeno-Miguel

et al. 2020

IJERPH

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Multimorbidity, the coexistence of several chronic conditions in a patient, represents a great challenge for healthcare systems and society. The Integrated Multimorbidity Care Model (IMCM) was recently designed within the Joint Action on chronic diseases and promoting healthy ageing across the life cycle (CHRODIS) to ensure the continuity of care for patients with multimorbidity. The IMCM was implemented in five European pilot sites in Spain, Italy, and Lithuania, within the Joint Action CHRODIS-PLUS. The effect of these pilot interventions was assessed pre- and post-implementation by 17 healthcare managers, using the Assessment of Chronic Illness Care (ACIC) measure, and by 226 patients with the Patient Assessment of Care for Chronic Conditions (PACIC+) survey. The ACIC total score significantly increased (5.23 to 6.71, p = 0.022) after the intervention, with differences across sites. A significant increase in the PACIC+ summary score was found ranging from 3.25 at baseline to 4.03 after the intervention (p < 0.001), and 58% of the sample perceived an improvement in care. Higher PACIC+ scores after the intervention were associated to lower baseline values in the respective PACIC+ dimension and to greater changes in ACIC Part 1 (delivery system organization). The IMCM implementation can help improve the quality of care for patients with multimorbidity.

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Section: Discussionsupporting

confidence: 91%

Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS

Rodríguez‐Blázquez

Forjaz

Gimeno-Miguel

et al. 2020

IJERPH

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“…The fit of the CFA model was assessed using the comparative fit index (CFI), the goodness of fit index (GFI), the standardized root mean square residual (SRMR) and the root mean square error of approximation (RMSEA) [34]. For the CFI and GFI indices, values close to or greater than 0.95 are taken to reflect a good fit to the data [37]. SRMR values of 0.08 or less are being indicative of an acceptable model, while RMSEA values of less than 0.05 indicate a good fit and values as high as 0.08 indicate a reasonable fit [40,41].…”

Section: Discussionmentioning

confidence: 99%

“…In addition the next 6 items derive from the patient-centered model of behavioral counseling "5As". The combination of the 6 items with the existing PACIC 20 items, allows the scoring of fiveitem subscales on delivery of each of the "5As" (ask, advise, agree, assist, arrange), as well as an overall 5As score [37]. Finally, the PACIC+ tool succeeds in addressing the evidence-based 5A model for behavioural changes [38].…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity of the Greek translation of the patient assessment of chronic illness care + (PACIC-PLUS GR) survey

Malliarou

Bakola²,

Nikolentzos

et al. 2020

BMC Fam Pract

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Background: This study aimed to investigate the Patient Assessment of Chronic Illness Care+ (PACIC+) which is a tool to assess care for Chronic Conditions combining PACIC items with an overall 5As score derived from the '5As' model (ask, advise, agree, assist, and arrange), and is congruent with the Chronic Care Model. In addition, the study at hand aimed to translate the PACIC+ tool into Greek and test its psychometric properties to the Greek patients. Methods: Questionnaires were collected from 268 chronic patients. Internal consistency and reliability were determined by the calculation of Cronbach's alpha coefficient. A confirmatory factor analysis (CFA) was conducted in order to test the construct validity of the questionnaire. Validity was further examined by investigating the correlation of PACIC+ with SF-36 and its association with sex and age. Results: Internal consistency reliability was accepted with a Cronbach's alpha above 0.70 for all PACIC+ dimensions. CFA showed that the 10-dimensional model fitted the data well (RMSEA = 0.059, CFI = 0.91 and GFI = 0.83). Most of the correlations coefficients between PACIC+ and SF-36 dimensions were significant. A significant and negative correlation was found between PACIC+ summary score, Patients' activation and Goal Setting/ Tailoring with age. Conclusions: The Greek translation of the PACIC+ questionnaire has good psychometric properties and has proven to be a credible and valid tool to be used by Greek researchers in order to measure patients' perceived care during treatment. It demonstrated high reliability and internal consistency, extending the applicability of this instrument to Greek speaking chronic patients.

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“…Our study made use of this policy initiative as an opportunity to address the knowledge gap of up-scaling the service delivery based on CCM in lowresource settings. To do so, we adopted the validated Thai version of the Patient Assessment of Chronic Illness Care (PACIC+) 10 to assess the effects of the policy implementation.…”

Section: Introductionmentioning

confidence: 99%

Assessing a national policy on strengthening chronic care in primary care settings of a low-resource country using patients' perspectives.

Suriyawongpaisal

Aekplakorn

Srithamrongsaw

et al. 2020

Preprint

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Background To improve care for patients with chronic diseases, a recent policy initiative in Thailand focuses on strengthening primary care including training of the team to deliver healthcare based on the concept of Chronic Care Model(CCM). This study conducted a cross-sectional survey of 4,071 patients with hypertension and/or diabetes registered to 25 primary care units and 16 hospital NCD clinics in 11 provinces (76 in total) to examine the effects of provider training and local health systems settings on patients’ perception of the chronic care quality.Methods A home-based interview with questionnaire was conducted on the patients in primary care settings. The questionnaire was adopted from the Thai version of the Patient Assessment of Chronic Illness Care (PACIC+) developed by the MacColl Institute for Healthcare Innovation. The questionnaire contains 20 items from the original PACIC, which measure different parts of the CCM, and an additional 6 items assess the 5A Model.Mixed effect models were employed to compare subscale of patient perception of the care quality between trained upgraded PCUs, upgraded PCUs, ordinary PCUs and NCD clinics. Upgraded PCUs were ordinary PCUs with the multiprofessional team including a physician. Trained upgraded PCUs were upgraded PCUs with the training input.Results Mixed effect models depicted an independent association between every PACIC subscale (as a measure of CCM) and facility type with the maximum likelihood for patients of ordinary PCU reporting high to highest scores (ORs: 1.52-1.76; p<0.05) compared to hospital NCD clinics. This is also the case for patients: seeing the same doctor on repeated visits (ORs: 1.66-1.87; p<0.05) or having phone contacts of the providers (ORs:1.42-1.63; p<0.05). Similarly, across all of the 5A model subscales, ORs for patients attending ordinary PCU responded with high to highest scores were 1.4-2.0 times compared to those for patients attending hospital NCD clinics(p<0.05). Conclusions We could not find evidence to support effectiveness of the training approach. The training failure might indicate a need to address mismatch between health workforce and workload. It also indicates a need to incorporate fidelity check into any training program for chronic care addressing the complex healthcare needs.

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Translation and validation of the PACIC+ questionnaire: the Thai version

Cited by 15 publications

References 23 publications

Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS

Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS

Reliability and validity of the Greek translation of the patient assessment of chronic illness care + (PACIC-PLUS GR) survey

Assessing a national policy on strengthening chronic care in primary care settings of a low-resource country using patients' perspectives.

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