Validity and reliability of a Korean version of the Consultation and Relational Empathy (CARE) measure

Abstract Background No validated tool is available to assess patients’ perception of physician empathy in Korea. The objective of this study was to establish a Korean version of the Consultation and Relational Empathy (CARE) measure—originally developed in English and widely used internationally—and...

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Main Authors: Kye-Yeung Park, Jinho Shin, Hoon-Ki Park, Yu Mi Kim, Seon Young Hwang, Jeong-Hun Shin, Ran Heo, Soorack Ryu, Stewart W. Mercer
Format: Article
Language:English
Published: BMC 2022-05-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-022-03478-5
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author Kye-Yeung Park
Jinho Shin
Hoon-Ki Park
Yu Mi Kim
Seon Young Hwang
Jeong-Hun Shin
Ran Heo
Soorack Ryu
Stewart W. Mercer
author_facet Kye-Yeung Park
Jinho Shin
Hoon-Ki Park
Yu Mi Kim
Seon Young Hwang
Jeong-Hun Shin
Ran Heo
Soorack Ryu
Stewart W. Mercer
author_sort Kye-Yeung Park
collection DOAJ
description Abstract Background No validated tool is available to assess patients’ perception of physician empathy in Korea. The objective of this study was to establish a Korean version of the Consultation and Relational Empathy (CARE) measure—originally developed in English and widely used internationally—and to examine its reliability and validity. Methods The CARE measure was translated into Korean and tested on 240 patients from one secondary care hospital and one tertiary care hospital in Korea. Internal consistency by Cronbach’s alpha, exploratory analysis, and confirmatory factor analysis were conducted to verify the 10 items of the Korean CARE measure. Results The Korean CARE measure demonstrated high acceptability and face validity, excellent internal reliability (Cronbach’s alpha = 0.97) and moderate test-retest reliability (Pearson correlation coefficient = 0.53; Spearman correlation coefficient = 0.51). Distribution of scores showed negative skewedness. Corrected item-total correlations ranged from 0.77–0.92, indicating homogeneity. The Kaiser-Meyer-Olkin measure of sampling adequacy was 0.949, and Bartlett’s test of sphericity was good (χ2 = 3157.11, P < 0.001). Factor analysis yielded a single dimensional structure of physician empathy with all factor loadings exceeding 0.80 and showing excellent goodness of fit. Conclusion This study supports the reliability and validity of the Korean CARE measure in a university hospital setting in Korea.
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spelling doaj.art-f2acda5ce0f54bc8833a3df53554d1782022-12-22T00:38:06ZengBMCBMC Medical Education1472-69202022-05-012211810.1186/s12909-022-03478-5Validity and reliability of a Korean version of the Consultation and Relational Empathy (CARE) measureKye-Yeung Park0Jinho Shin1Hoon-Ki Park2Yu Mi Kim3Seon Young Hwang4Jeong-Hun Shin5Ran Heo6Soorack Ryu7Stewart W. Mercer8Department of Family Medicine, Hanyang University College of MedicineDivision of Cardiology, Department of Internal Medicine, Hanyang University College of MedicineDepartment of Family Medicine, Hanyang University College of MedicineDepartment of Preventive Medicine, Hanyang University College of MedicineSchool of Nursing, Hanyang UniversityDivision of Cardiology, Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of MedicineDivision of Cardiology, Department of Internal Medicine, Hanyang University College of MedicineBiostatistical Consulting and Research Lab, Medical Research Collaborating Center, Hanyang UniversityCentre for Population Health Sciences, Usher Institute, College of Medicine and Veterinary Medicine, University of EdinburghAbstract Background No validated tool is available to assess patients’ perception of physician empathy in Korea. The objective of this study was to establish a Korean version of the Consultation and Relational Empathy (CARE) measure—originally developed in English and widely used internationally—and to examine its reliability and validity. Methods The CARE measure was translated into Korean and tested on 240 patients from one secondary care hospital and one tertiary care hospital in Korea. Internal consistency by Cronbach’s alpha, exploratory analysis, and confirmatory factor analysis were conducted to verify the 10 items of the Korean CARE measure. Results The Korean CARE measure demonstrated high acceptability and face validity, excellent internal reliability (Cronbach’s alpha = 0.97) and moderate test-retest reliability (Pearson correlation coefficient = 0.53; Spearman correlation coefficient = 0.51). Distribution of scores showed negative skewedness. Corrected item-total correlations ranged from 0.77–0.92, indicating homogeneity. The Kaiser-Meyer-Olkin measure of sampling adequacy was 0.949, and Bartlett’s test of sphericity was good (χ2 = 3157.11, P < 0.001). Factor analysis yielded a single dimensional structure of physician empathy with all factor loadings exceeding 0.80 and showing excellent goodness of fit. Conclusion This study supports the reliability and validity of the Korean CARE measure in a university hospital setting in Korea.https://doi.org/10.1186/s12909-022-03478-5EmpathyConsultationTranslationFactor Analysis
spellingShingle Kye-Yeung Park
Jinho Shin
Hoon-Ki Park
Yu Mi Kim
Seon Young Hwang
Jeong-Hun Shin
Ran Heo
Soorack Ryu
Stewart W. Mercer
Validity and reliability of a Korean version of the Consultation and Relational Empathy (CARE) measure
BMC Medical Education
Empathy
Consultation
Translation
Factor Analysis
title Validity and reliability of a Korean version of the Consultation and Relational Empathy (CARE) measure
title_full Validity and reliability of a Korean version of the Consultation and Relational Empathy (CARE) measure
title_fullStr Validity and reliability of a Korean version of the Consultation and Relational Empathy (CARE) measure
title_full_unstemmed Validity and reliability of a Korean version of the Consultation and Relational Empathy (CARE) measure
title_short Validity and reliability of a Korean version of the Consultation and Relational Empathy (CARE) measure
title_sort validity and reliability of a korean version of the consultation and relational empathy care measure
topic Empathy
Consultation
Translation
Factor Analysis
url https://doi.org/10.1186/s12909-022-03478-5
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