Cross-cultural validation of the patient-practitioner orientation scale among primary care professionals in Spain
Perestelo-Pérez, Lilisbeth (Centre for Biomedical Research of the Canary Islands)
Rivero-Santana, Amado (Centre for Biomedical Research of the Canary Islands)
González González, Ana Isabel (Johann Wolfgang Goethe University)
Bermejo-Caja, Carlos Jesús (Universidad Autónoma de Madrid)
Ramos-García, Vanesa (Fundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC))
Koatz, Débora (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Torres-Castaño, Alezandra (Fundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC))
Ballester, Marta (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Muñoz-Balsa, Marcos (Universidad Autónoma de Madrid)
del Rey-Granado, Yolanda (Universidad Autónoma de Madrid)
Pérez-Rivas, Francisco Javier (Complutense University of Madrid)
Canellas-Criado, Yolanda (Community of Madrid Health Service)
Ramírez-Puerta, Ana Belén (Universidad Autónoma de Madrid)
Pacheco Huergo, Valeria (EAP Turó)
Orrego, Carola (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)

Data:	2021
Resum:	In recent decades, many self-report instruments have been developed to assess the extent to which patients want to be informed and involved in decisions about their health as part of the concept of person-centred care (PCC). The main objective of this research was to translate, adapt and validate the Patient-Practitioner Orientation Scale (PPOS) using a sample of primary care health-care professionals in Spain. Baseline analysis of PPOS scores for 321 primary care professionals (general practitioners and nurses) from 63 centres and 3 Spanish regions participating in a randomized controlled trial. We analysed missing values, distributions and descriptive statistics, item-to-scale correlations and internal consistency. Performed were confirmatory factor analysis (CFA) of the 2-factor model (sharing and caring dimensions), scale depuration and principal component analysis (PCA). Low inter-item correlations were observed, and the CFA 2-factor model only obtained a good fit to the data after excluding 8 items. Internal consistency of the 10-item PPOS was acceptable (0. 77), but low for individual subscales (0. 70 and 0. 55). PCA results suggest a possible 3-factor structure. Participants showed a patient-oriented style (mean = 4. 46, SD = 0. 73), with higher scores for caring than sharing. Although the 2-factor model obtained empirical support, measurement indicators of the PPOS (caring dimension) could be improved. Spanish primary care health-care professionals overall show a patient-oriented attitude, although less marked in issues such as patients' need for and management of medical information.
Ajuts:	Instituto de Salud Carlos III PI15/00164 Instituto de Salud Carlos III PI15/00566 Instituto de Salud Carlos III PI15/00586
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Estudi clínic ; recerca ; Versió publicada
Matèria:	Health-care professionals ; Person-centred care ; PPOS ; Primary care ; Validation
Publicat a:	Health Expectations, Vol. 24 Núm. 1 (february 2021) , p. 33-41, ISSN 1369-7625

DOI: 10.1111/hex.13135
PMID: 33124759

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