Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool

Objective This study aims to test a Chinese cross-cultural adaptation of the English version of the Person-Centred Care Assessment Tool (P-CAT) and evaluate its psychometric properties.Design P-CAT was translated/back-translated using established procedures before the psychometric evaluation of the...

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Main Authors: Jie Zhang, Ke Ma, Cai Le, Pingfen Tang, David Edvardsson, Lina Behm, Jiqun Yang, Haiyan Fu, Gerd Ahlström
Format: Article
Language:English
Published: BMJ Publishing Group 2020-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/7/e031580.full
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author Jie Zhang
Ke Ma
Cai Le
Pingfen Tang
David Edvardsson
Lina Behm
Jiqun Yang
Haiyan Fu
Gerd Ahlström
author_facet Jie Zhang
Ke Ma
Cai Le
Pingfen Tang
David Edvardsson
Lina Behm
Jiqun Yang
Haiyan Fu
Gerd Ahlström
author_sort Jie Zhang
collection DOAJ
description Objective This study aims to test a Chinese cross-cultural adaptation of the English version of the Person-Centred Care Assessment Tool (P-CAT) and evaluate its psychometric properties.Design P-CAT was translated/back-translated using established procedures before the psychometric evaluation of the Chinese version was made.Setting Two hospitals covering urban and suburban areas of Kunming in the Yunnan province of China.Participants 152 female hospital staff completed the survey.Main outcome measure(s) Construct validity and reliability, including internal consistency and test–retest reliability, were assessed among a sample of hospital staff.Results The factor analysis resulted in a two-component solution that consisted of two subscales. The corrected item-total correlations for all of the items ranged from 0.14 to 0.44, with six items not meeting the cut-off level for item-total correlation (>0.3). The Chinese P-CAT demonstrated strong reliability, with a Cronbach’s alpha of 0.91–0.94 for the scales and a test–retest reliability coefficient of 0.88 for the overall scale scores. The intraclass correlation was 0.92 (95% CI 0.90 to 0.95).Conclusion P-CAT appears to be a promising measure for evaluating staff perceptions of person-centredness in Chinese hospital environments. The results show that P-CAT can be a useful tool for improving the quality of healthcare in terms of person-centred care in the Chinese context.
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spelling doaj.art-e82e558c8c93413baf365cec0146a3872022-12-22T02:38:42ZengBMJ Publishing GroupBMJ Open2044-60552020-07-0110710.1136/bmjopen-2019-031580Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment ToolJie Zhang0Ke Ma1Cai Le2Pingfen Tang3David Edvardsson4Lina Behm5Jiqun Yang6Haiyan Fu7Gerd Ahlström8Palliative Care, The Third People's Hospital of Kunming, Kunming, Yunnan, ChinaPalliative Care, The Third People's Hospital of Kunming, Kunming, Yunnan, ChinaSchool of Public Health, Kunming Medical University in Kunming, Kunming, ChinaSchool of Nursing, Kunming Medical University, Kunming, Yunnan, ChinaSchool of Nursing & Midwifery, College of Science, Health and Engineering, La Trobe University/Austin Health Clinical School of Nursing, Heidelberg, Victoria, AustraliaFaculty of Health Sciences, Kristianstad University College, Kristianstad, SwedenDepartment of Palliative Care, The Third People's Hospital of Kunming, Kunming, ChinaDepartment of Palliative Care, The Third People's Hospital of Kunming, Kunming, ChinaDepartment of Health Sciences, Faculty of Medicine, Lund University, Lund, SwedenObjective This study aims to test a Chinese cross-cultural adaptation of the English version of the Person-Centred Care Assessment Tool (P-CAT) and evaluate its psychometric properties.Design P-CAT was translated/back-translated using established procedures before the psychometric evaluation of the Chinese version was made.Setting Two hospitals covering urban and suburban areas of Kunming in the Yunnan province of China.Participants 152 female hospital staff completed the survey.Main outcome measure(s) Construct validity and reliability, including internal consistency and test–retest reliability, were assessed among a sample of hospital staff.Results The factor analysis resulted in a two-component solution that consisted of two subscales. The corrected item-total correlations for all of the items ranged from 0.14 to 0.44, with six items not meeting the cut-off level for item-total correlation (>0.3). The Chinese P-CAT demonstrated strong reliability, with a Cronbach’s alpha of 0.91–0.94 for the scales and a test–retest reliability coefficient of 0.88 for the overall scale scores. The intraclass correlation was 0.92 (95% CI 0.90 to 0.95).Conclusion P-CAT appears to be a promising measure for evaluating staff perceptions of person-centredness in Chinese hospital environments. The results show that P-CAT can be a useful tool for improving the quality of healthcare in terms of person-centred care in the Chinese context.https://bmjopen.bmj.com/content/10/7/e031580.full
spellingShingle Jie Zhang
Ke Ma
Cai Le
Pingfen Tang
David Edvardsson
Lina Behm
Jiqun Yang
Haiyan Fu
Gerd Ahlström
Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool
BMJ Open
title Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool
title_full Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool
title_fullStr Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool
title_full_unstemmed Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool
title_short Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool
title_sort psychometric evaluation of the chinese version of the person centred care assessment tool
url https://bmjopen.bmj.com/content/10/7/e031580.full
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