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 |
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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 & 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</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. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c579t-4f5ad1492d5bdb80ee8b94d72029f37a0572e26088715bfec068e79e2143f5303</citedby><cites>FETCH-LOGICAL-c579t-4f5ad1492d5bdb80ee8b94d72029f37a0572e26088715bfec068e79e2143f5303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0738399111003843$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,30977,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28301518$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21889864$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><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><title>Further validation of the 5-item Perceived Efficacy in Patient–Physician Interactions (PEPPI-5) scale in patients with osteoarthritis</title><title>Patient education and counseling</title><addtitle>Patient Educ Couns</addtitle><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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Assessment</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Efficacy</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Health</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Language</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Netherlands</subject><subject>Nursing</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis - psychology</subject><subject>Patient–physician communication</subject><subject>Perception</subject><subject>Physician-Patient Relations</subject><subject>Psychological Tests - statistics & numerical data</subject><subject>Psychometrics - statistics & numerical data</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Reproducibility of Results</subject><subject>Self Efficacy</subject><subject>Selfefficacy</subject><subject>Social support</subject><subject>Surveys and Questionnaires</subject><subject>Test-Retest reliability</subject><subject>Validation</subject><issn>0738-3991</issn><issn>1873-5134</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNksuKFDEUhgtRnHb0AdxINuK4qDYnqVwKQZChRxsGLFDXIZ06RaetrmqT9Ejv3PkAvqFPYopuFVyMrgLh-8-F7xTFY6BzoCBfbOY7dHNGAeZUzSmoO8UMtOKlAF7dLWZUcV3yuoaz4kGMG0qplBXcL84YaF1rWc2Kb1f7kNYYyI3tfWuTHwcydiR_EVH6hFvSYHDob7Ali67zzroD8QNpMopD-vH1e7M-RO-8HchySBism2pEctEsmmZZiuckOtvjlNkdM5F88WlNxphwtLl58MnHh8W9zvYRH53e8-Lj1eLD5dvy-t2b5eXr69IJVaey6oRtoapZK1btSlNEvaqrVjHK6o4rS4ViyCTVWoFYdeio1KhqZFDxTnDKz4tnx7q7MH7eY0xm66PDvrcDjvtoask1p4xWmby4lQQlQQomFfwbpZxprfNs_4GC5koxpjMKR9SFMcaAndkFv7XhkKGJk2Zjsn8z-TdUmew_Z56cyu9XW2x_J34Jz8DTE2AnL12wg_PxD5eXBwFT85dHDrOMG4_BRJflOWx9QJdMO_pbx3j1V9r1fsjH03_CA8bNuA9DtmzARGaoeT8d6nSnAJRyXXH-E1lP4cY</recordid><startdate>20120401</startdate><enddate>20120401</enddate><creator>ten Klooster, Peter M</creator><creator>Oostveen, Johanna C.M</creator><creator>Zandbelt, Linda C</creator><creator>Taal, Erik</creator><creator>Drossaert, Constance H.C</creator><creator>Harmsen, Etelka J</creator><creator>van de Laar, Mart A.F.J</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>7X8</scope></search><sort><creationdate>20120401</creationdate><title>Further validation of the 5-item Perceived Efficacy in Patient–Physician Interactions (PEPPI-5) scale in patients with osteoarthritis</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c579t-4f5ad1492d5bdb80ee8b94d72029f37a0572e26088715bfec068e79e2143f5303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Assessment</topic><topic>Biological and medical sciences</topic><topic>Cross-Sectional Studies</topic><topic>Efficacy</topic><topic>Factor Analysis, Statistical</topic><topic>Female</topic><topic>Health</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Language</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Netherlands</topic><topic>Nursing</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis - psychology</topic><topic>Patient–physician communication</topic><topic>Perception</topic><topic>Physician-Patient Relations</topic><topic>Psychological Tests - statistics & numerical data</topic><topic>Psychometrics - statistics & numerical data</topic><topic>Public health. 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 & 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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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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