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Clinicians’ Beliefs and Attitudes about Patient Activation: Validation of the Turkish Clinician Support for Patient Activation Measure by Rasch Analysis
Ercan Kulak1, Seyhan Hıdıroğlu2, Judith Hibbard3, Nadiye Pınar Ay21Eyupsultan District Health Directorate, Istanbul, Türkiye2Department of Public Health, Faculty of Medicine, Marmara University, Istanbul, Türkiye
3Institute For Policy Research and Innovation, University of Oregon, Eugene, Usa
INTRODUCTION: Patient self-management (PSM) and patient activation (PA) are essential for chronic disease management. There is not a trustworthy tool available in Turkey for clinicians’ opinions regarding PSM. The objective of this study was to validate the Clinician Support for Patient Activation Measure (CS-PAM) for use in Türkiye.
METHODS: This study was carried out among 209 clinicians providing care to patients with chronic diseases. The World Health Organization’s suggested that methodology was used to translate the CS-PAM into Turkish. Classical test theory methods and Rasch analysis were used for reliability and validity analysis.
RESULTS: The correlation coefficient of the 2-week test–retest reliability was 0.79 (p<0.001), and the Cronbach’s alpha eliability coefficient was 0.90. Rasch analysis indicated the person reliability, the person separation index, and the item reliability as 0.86, 2.45, and 0.99, respectively. Exploratory factor analysis yielded two subdimensions of the Turkish CS-PAM: “Patient Responsibility” and “Shared Decision Making.” The eigenvalues of the subscales were 4.62 and 2.87, and the total variance explained was 57.59%.
DISCUSSION AND CONCLUSION: The CS-PAM in Turkish is a legitimate and trustworthy instrument for assessing physicians’ opinions regarding PSM. It may additionally be utilized for planning interventions that may support physicians.
Manuscript Language: English