TY - JOUR
T1 - Adaptation and validation of a Chinese version of patient health engagement scale for patients with chronic disease
AU - Zhang, Yaying
AU - Graffigna, Guendalina
AU - Bonanomi, Andrea
AU - Choi, Kai-Chow
AU - Barello, Serena
AU - Mao, Pan
AU - Feng, Hui
PY - 2017
Y1 - 2017
N2 - The Patient Health Engagement Scale (PHE-s) was designed to assess the emotional and psychological attitudes of patients' engagement along their healthcare management journey. The aim of this study was to validate a culturally adapted Chinese version of the PHE-s (CPHE-s). Three hundred and seventy-seven participants were recruited from eight community health centers in a sample of patients with chronic disease in Hunan Province, China. The original Italian PHE-s was translated into Mandarin Chinese using a standardized forward-backward translation. The Rasch model was utilized and presented uni-dimensionality and good items fitness of the PHE-s. The internal consistency was 0.89 and the weighted Kappa coefficients of the items (test-retest reliability) ranged from 0.52 to 0.79. Both principal component analysis and confirmatory factor analysis supported a single-factor structure of the PHE-s. In testing the external validity, the PHE-s showed a significant moderate correlation with patient activation but not with medicine adherence behavior, which requires further exploration. The result suggested that the PHE-s is a reliable and valid instrument to assess the level of patient engagement in his or her own health management among chronic patients in China. Further analysis of reliability and validity should be assessed among other patient cohorts in China, and future directions for testing changes after patient engagement interventions should be developed by exploring some clinical relevance.
AB - The Patient Health Engagement Scale (PHE-s) was designed to assess the emotional and psychological attitudes of patients' engagement along their healthcare management journey. The aim of this study was to validate a culturally adapted Chinese version of the PHE-s (CPHE-s). Three hundred and seventy-seven participants were recruited from eight community health centers in a sample of patients with chronic disease in Hunan Province, China. The original Italian PHE-s was translated into Mandarin Chinese using a standardized forward-backward translation. The Rasch model was utilized and presented uni-dimensionality and good items fitness of the PHE-s. The internal consistency was 0.89 and the weighted Kappa coefficients of the items (test-retest reliability) ranged from 0.52 to 0.79. Both principal component analysis and confirmatory factor analysis supported a single-factor structure of the PHE-s. In testing the external validity, the PHE-s showed a significant moderate correlation with patient activation but not with medicine adherence behavior, which requires further exploration. The result suggested that the PHE-s is a reliable and valid instrument to assess the level of patient engagement in his or her own health management among chronic patients in China. Further analysis of reliability and validity should be assessed among other patient cohorts in China, and future directions for testing changes after patient engagement interventions should be developed by exploring some clinical relevance.
KW - Patient activation
KW - Patient engagement
KW - Patient engagement measure
KW - Patient health engagement scale
KW - Psychology (all)
KW - Psychometric properties
KW - Patient activation
KW - Patient engagement
KW - Patient engagement measure
KW - Patient health engagement scale
KW - Psychology (all)
KW - Psychometric properties
UR - http://hdl.handle.net/10807/113826
UR - http://journal.frontiersin.org/article/10.3389/fpsyg.2017.00104/full
U2 - 10.3389/fpsyg.2017.00104
DO - 10.3389/fpsyg.2017.00104
M3 - Article
SN - 1664-1078
VL - 8
SP - 104
EP - 120
JO - Frontiers in Psychology
JF - Frontiers in Psychology
ER -