Further validation of the 5-item Perceived Efficacy in Patient–Physician Interactions (PEPPI-5) scale in patients with osteoarthritis

Abstract Objective To examine the structural validity, internal consistency, test–retest reliability, and construct validity of the 5-item Perceived Efficacy in Patient–Physician Interactions (PEPPI-5) scale in patients with osteoarthritis (OA). Methods A cross-sectional sample of 224 outpatients wi...

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Veröffentlicht in:Patient education and counseling 2012-04, Vol.87 (1), p.125-130
Hauptverfasser: ten Klooster, Peter M, Oostveen, Johanna C.M, Zandbelt, Linda C, Taal, Erik, Drossaert, Constance H.C, Harmsen, Etelka J, van de Laar, Mart A.F.J
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container_end_page 130
container_issue 1
container_start_page 125
container_title Patient education and counseling
container_volume 87
creator ten Klooster, Peter M
Oostveen, Johanna C.M
Zandbelt, Linda C
Taal, Erik
Drossaert, Constance H.C
Harmsen, Etelka J
van de Laar, Mart A.F.J
description Abstract Objective To examine the structural validity, internal consistency, test–retest reliability, and construct validity of the 5-item Perceived Efficacy in Patient–Physician Interactions (PEPPI-5) scale in patients with osteoarthritis (OA). Methods A cross-sectional sample of 224 outpatients with OA completed a survey containing the Dutch PEPPI-5 and other standardized measures assessing perceived health-management skills, general self-efficacy, social support, and health-related quality of life. A subsample of 100 patients completed the PEPPI-5 again approximately 3 weeks later. Results Confirmatory factor analysis demonstrated good fit for a unidimensional model of the PEPPI-5. Additionally, the scale showed high internal consistency ( α = 0.92) and fair test–retest reliability (ICC = 0.68). As hypothesized, the PEPPI-5 was strongly correlated with perceived health-management skills, moderately with social support and psychosocial aspects of health, and not with physical aspects of health. Contrary to expectations, however, it was not correlated with general self-efficacy. Conclusion The Dutch PEPPI-5 demonstrated adequate validity and reliability in patients with OA. Practice implications The PEPPI-5 is a brief and appropriate tool for measuring self-efficacy of patients with OA to interact with their physicians. Additional research into its sensitivity to change is needed before it can be confidently recommended as an outcome measure in intervention studies.
doi_str_mv 10.1016/j.pec.2011.07.017
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Methods A cross-sectional sample of 224 outpatients with OA completed a survey containing the Dutch PEPPI-5 and other standardized measures assessing perceived health-management skills, general self-efficacy, social support, and health-related quality of life. A subsample of 100 patients completed the PEPPI-5 again approximately 3 weeks later. Results Confirmatory factor analysis demonstrated good fit for a unidimensional model of the PEPPI-5. Additionally, the scale showed high internal consistency ( α = 0.92) and fair test–retest reliability (ICC = 0.68). As hypothesized, the PEPPI-5 was strongly correlated with perceived health-management skills, moderately with social support and psychosocial aspects of health, and not with physical aspects of health. Contrary to expectations, however, it was not correlated with general self-efficacy. Conclusion The Dutch PEPPI-5 demonstrated adequate validity and reliability in patients with OA. Practice implications The PEPPI-5 is a brief and appropriate tool for measuring self-efficacy of patients with OA to interact with their physicians. Additional research into its sensitivity to change is needed before it can be confidently recommended as an outcome measure in intervention studies.</description><identifier>ISSN: 0738-3991</identifier><identifier>EISSN: 1873-5134</identifier><identifier>DOI: 10.1016/j.pec.2011.07.017</identifier><identifier>PMID: 21889864</identifier><language>eng</language><publisher>Oxford: Elsevier Ireland Ltd</publisher><subject>Aged ; Aged, 80 and over ; Assessment ; Biological and medical sciences ; Cross-Sectional Studies ; Efficacy ; Factor Analysis, Statistical ; Female ; Health ; Humans ; Internal Medicine ; Language ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Netherlands ; Nursing ; Osteoarthritis ; Osteoarthritis - psychology ; Patient–physician communication ; Perception ; Physician-Patient Relations ; Psychological Tests - statistics &amp; numerical data ; Psychometrics - statistics &amp; numerical data ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Reproducibility of Results ; Self Efficacy ; Selfefficacy ; Social support ; Surveys and Questionnaires ; Test-Retest reliability ; Validation</subject><ispartof>Patient education and counseling, 2012-04, Vol.87 (1), p.125-130</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2011 Elsevier Ireland Ltd</rights><rights>Copyright © 2011 Elsevier Ireland Ltd. 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Methods A cross-sectional sample of 224 outpatients with OA completed a survey containing the Dutch PEPPI-5 and other standardized measures assessing perceived health-management skills, general self-efficacy, social support, and health-related quality of life. A subsample of 100 patients completed the PEPPI-5 again approximately 3 weeks later. Results Confirmatory factor analysis demonstrated good fit for a unidimensional model of the PEPPI-5. Additionally, the scale showed high internal consistency ( α = 0.92) and fair test–retest reliability (ICC = 0.68). As hypothesized, the PEPPI-5 was strongly correlated with perceived health-management skills, moderately with social support and psychosocial aspects of health, and not with physical aspects of health. Contrary to expectations, however, it was not correlated with general self-efficacy. Conclusion The Dutch PEPPI-5 demonstrated adequate validity and reliability in patients with OA. Practice implications The PEPPI-5 is a brief and appropriate tool for measuring self-efficacy of patients with OA to interact with their physicians. 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Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Reproducibility of Results</topic><topic>Self Efficacy</topic><topic>Selfefficacy</topic><topic>Social support</topic><topic>Surveys and Questionnaires</topic><topic>Test-Retest reliability</topic><topic>Validation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ten Klooster, Peter M</creatorcontrib><creatorcontrib>Oostveen, Johanna C.M</creatorcontrib><creatorcontrib>Zandbelt, Linda C</creatorcontrib><creatorcontrib>Taal, Erik</creatorcontrib><creatorcontrib>Drossaert, Constance H.C</creatorcontrib><creatorcontrib>Harmsen, Etelka J</creatorcontrib><creatorcontrib>van de Laar, Mart A.F.J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>MEDLINE - Academic</collection><jtitle>Patient education and counseling</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ten Klooster, Peter M</au><au>Oostveen, Johanna C.M</au><au>Zandbelt, Linda C</au><au>Taal, Erik</au><au>Drossaert, Constance H.C</au><au>Harmsen, Etelka J</au><au>van de Laar, Mart A.F.J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Further validation of the 5-item Perceived Efficacy in Patient–Physician Interactions (PEPPI-5) scale in patients with osteoarthritis</atitle><jtitle>Patient education and counseling</jtitle><addtitle>Patient Educ Couns</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>87</volume><issue>1</issue><spage>125</spage><epage>130</epage><pages>125-130</pages><issn>0738-3991</issn><eissn>1873-5134</eissn><abstract>Abstract Objective To examine the structural validity, internal consistency, test–retest reliability, and construct validity of the 5-item Perceived Efficacy in Patient–Physician Interactions (PEPPI-5) scale in patients with osteoarthritis (OA). Methods A cross-sectional sample of 224 outpatients with OA completed a survey containing the Dutch PEPPI-5 and other standardized measures assessing perceived health-management skills, general self-efficacy, social support, and health-related quality of life. A subsample of 100 patients completed the PEPPI-5 again approximately 3 weeks later. Results Confirmatory factor analysis demonstrated good fit for a unidimensional model of the PEPPI-5. Additionally, the scale showed high internal consistency ( α = 0.92) and fair test–retest reliability (ICC = 0.68). As hypothesized, the PEPPI-5 was strongly correlated with perceived health-management skills, moderately with social support and psychosocial aspects of health, and not with physical aspects of health. Contrary to expectations, however, it was not correlated with general self-efficacy. Conclusion The Dutch PEPPI-5 demonstrated adequate validity and reliability in patients with OA. Practice implications The PEPPI-5 is a brief and appropriate tool for measuring self-efficacy of patients with OA to interact with their physicians. Additional research into its sensitivity to change is needed before it can be confidently recommended as an outcome measure in intervention studies.</abstract><cop>Oxford</cop><pub>Elsevier Ireland Ltd</pub><pmid>21889864</pmid><doi>10.1016/j.pec.2011.07.017</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Aged
Aged, 80 and over
Assessment
Biological and medical sciences
Cross-Sectional Studies
Efficacy
Factor Analysis, Statistical
Female
Health
Humans
Internal Medicine
Language
Male
Medical sciences
Middle Aged
Miscellaneous
Netherlands
Nursing
Osteoarthritis
Osteoarthritis - psychology
Patient–physician communication
Perception
Physician-Patient Relations
Psychological Tests - statistics & numerical data
Psychometrics - statistics & numerical data
Public health. Hygiene
Public health. Hygiene-occupational medicine
Reproducibility of Results
Self Efficacy
Selfefficacy
Social support
Surveys and Questionnaires
Test-Retest reliability
Validation
title Further validation of the 5-item Perceived Efficacy in Patient–Physician Interactions (PEPPI-5) scale in patients with osteoarthritis
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