The self-efficacy in patient-centeredness questionnaire: - a new measure of medical student and physician confidence in exhibiting patient-centered behaviors

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The self-efficacy in patient-centeredness questionnaire : - a new measure of medical student and physician confidence in exhibiting patient-centered behaviors. / Zachariae, Robert; O Connor, Maja; Lassesen, Berit; Olesen, Martin Hammershøj; Kjær, Louise Binow; Thygesen, Marianne Kirstine; Mørcke, Anne Mette.

In: B M C Medical Education, Vol. 15, No. 150, 15.09.2015.

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@article{2e696d3e3f644b74a0b386b65534744f,
title = "The self-efficacy in patient-centeredness questionnaire: - a new measure of medical student and physician confidence in exhibiting patient-centered behaviors",
abstract = "BackgroundPatient-centered communication is a core competency in modern health care and associated with higher levels of patient satisfaction, improved patient health outcomes, and lower levels of burnout among physicians. The objective of the present study was to develop a questionnaire assessing medical student and physician self-efficacy in patient-centeredness (SEPCQ) and explore its psychometric properties.MethodsA preliminary 88-item questionnaire (SEPCQ-88) was developed based on a review of the literature and medical student portfolios and completed by 448 medical students from Aarhus University. Exploratory Principal Component analysis resulted in a 27-item version (SEPCQ-27) with three underlying self-efficacy factors: 1) Exploring the patient perspective, 2) Sharing information and power, and 3) Dealing with communicative challenges. The SEPCQ-27 was completed by an independent sample of 291 medical students from 2 medical schools and 101 hospital physicians.ResultsInternal consistencies of total and subscales were acceptable for both students and physicians (Cronbach’s alpha (range): 0.74–0.95). There were no overall indications of gender-related differential item function (DIF), and a Confirmatory Factor Analysis (CFA) indicated good fit (CFI = 0.98; NNFI = 0.98; RMSEA = 0.05; SRMR = 0.07). Responsiveness was indicated by increases in SEPCQ scores after a course in communication and peer-supervision (Cohen’s d (range): 0.21 to 0.73; p: 0.053 to 0.001). Furthermore, positive associations were found between increases in SEPCQ-scores and course-related motivation to learn (medical students) and between SEPCQ scores and years of clinical experience (physicians).ConclusionsThe final SEPCQ-27 showed satisfactory psychometric properties, and preliminary support was found for its construct validity, indicating that the SEPCQ-27 may be a valuable measure in future patient centered communication training and research.",
keywords = "Self-Efficacy, patient-centeredness questionnaire",
author = "Robert Zachariae and {O Connor}, Maja and Berit Lassesen and Olesen, {Martin Hammersh{\o}j} and Kj{\ae}r, {Louise Binow} and Thygesen, {Marianne Kirstine} and M{\o}rcke, {Anne Mette}",
year = "2015",
month = "9",
day = "15",
doi = "10.1186/s12909-015-0427-x",
language = "English",
volume = "15",
journal = "B M C Medical Education",
issn = "1472-6920",
publisher = "BioMed Central Ltd.",
number = "150",

}

RIS

TY - JOUR

T1 - The self-efficacy in patient-centeredness questionnaire

T2 - - a new measure of medical student and physician confidence in exhibiting patient-centered behaviors

AU - Zachariae, Robert

AU - O Connor, Maja

AU - Lassesen, Berit

AU - Olesen, Martin Hammershøj

AU - Kjær, Louise Binow

AU - Thygesen, Marianne Kirstine

AU - Mørcke, Anne Mette

PY - 2015/9/15

Y1 - 2015/9/15

N2 - BackgroundPatient-centered communication is a core competency in modern health care and associated with higher levels of patient satisfaction, improved patient health outcomes, and lower levels of burnout among physicians. The objective of the present study was to develop a questionnaire assessing medical student and physician self-efficacy in patient-centeredness (SEPCQ) and explore its psychometric properties.MethodsA preliminary 88-item questionnaire (SEPCQ-88) was developed based on a review of the literature and medical student portfolios and completed by 448 medical students from Aarhus University. Exploratory Principal Component analysis resulted in a 27-item version (SEPCQ-27) with three underlying self-efficacy factors: 1) Exploring the patient perspective, 2) Sharing information and power, and 3) Dealing with communicative challenges. The SEPCQ-27 was completed by an independent sample of 291 medical students from 2 medical schools and 101 hospital physicians.ResultsInternal consistencies of total and subscales were acceptable for both students and physicians (Cronbach’s alpha (range): 0.74–0.95). There were no overall indications of gender-related differential item function (DIF), and a Confirmatory Factor Analysis (CFA) indicated good fit (CFI = 0.98; NNFI = 0.98; RMSEA = 0.05; SRMR = 0.07). Responsiveness was indicated by increases in SEPCQ scores after a course in communication and peer-supervision (Cohen’s d (range): 0.21 to 0.73; p: 0.053 to 0.001). Furthermore, positive associations were found between increases in SEPCQ-scores and course-related motivation to learn (medical students) and between SEPCQ scores and years of clinical experience (physicians).ConclusionsThe final SEPCQ-27 showed satisfactory psychometric properties, and preliminary support was found for its construct validity, indicating that the SEPCQ-27 may be a valuable measure in future patient centered communication training and research.

AB - BackgroundPatient-centered communication is a core competency in modern health care and associated with higher levels of patient satisfaction, improved patient health outcomes, and lower levels of burnout among physicians. The objective of the present study was to develop a questionnaire assessing medical student and physician self-efficacy in patient-centeredness (SEPCQ) and explore its psychometric properties.MethodsA preliminary 88-item questionnaire (SEPCQ-88) was developed based on a review of the literature and medical student portfolios and completed by 448 medical students from Aarhus University. Exploratory Principal Component analysis resulted in a 27-item version (SEPCQ-27) with three underlying self-efficacy factors: 1) Exploring the patient perspective, 2) Sharing information and power, and 3) Dealing with communicative challenges. The SEPCQ-27 was completed by an independent sample of 291 medical students from 2 medical schools and 101 hospital physicians.ResultsInternal consistencies of total and subscales were acceptable for both students and physicians (Cronbach’s alpha (range): 0.74–0.95). There were no overall indications of gender-related differential item function (DIF), and a Confirmatory Factor Analysis (CFA) indicated good fit (CFI = 0.98; NNFI = 0.98; RMSEA = 0.05; SRMR = 0.07). Responsiveness was indicated by increases in SEPCQ scores after a course in communication and peer-supervision (Cohen’s d (range): 0.21 to 0.73; p: 0.053 to 0.001). Furthermore, positive associations were found between increases in SEPCQ-scores and course-related motivation to learn (medical students) and between SEPCQ scores and years of clinical experience (physicians).ConclusionsThe final SEPCQ-27 showed satisfactory psychometric properties, and preliminary support was found for its construct validity, indicating that the SEPCQ-27 may be a valuable measure in future patient centered communication training and research.

KW - Self-Efficacy

KW - patient-centeredness questionnaire

UR - http://www.biomedcentral.com/1472-6920/15/150

U2 - 10.1186/s12909-015-0427-x

DO - 10.1186/s12909-015-0427-x

M3 - Journal article

VL - 15

JO - B M C Medical Education

JF - B M C Medical Education

SN - 1472-6920

IS - 150

ER -