...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Medical Informatics and Decision Making >Psychometric properties of a brief measure of autonomy support in breast cancer patients
【24h】

Psychometric properties of a brief measure of autonomy support in breast cancer patients

机译：乳腺癌患者自主支持短暂量度的心理计量学特性

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background The Health Care Climate Questionnaire measures patient perceptions of their clinician’s autonomy supportive communication. We sought to evaluate the psychometric properties of a modified brief version of the Health Care Climate Questionnaire (mHCCQ) adapted for breast cancer patients. Methods We surveyed 235 women aged 20–79 diagnosed with breast cancer within the previous 18?months at two cancer specialty centers using a print questionnaire. Patients completed the mHCCQ for their surgeon, medical oncologist, and radiation oncologist separately, as well as the overall treatment experience. Exploratory factor analysis (EFA) using principal components was used to explore the factor structure. Results One hundred sixty out of 235 (68.1?%) women completed the survey. Mean age was 57?years and time since diagnosis was 12.6?months. For surgeon, medical oncologist, and radiation oncologist ratings separately, as well as overall treatment, women rated 6 dimensions of perceived physician autonomy support. Exploratory factor analysis indicated a single factor solution for each clinician type and for the overall experience. Further, all six items were retained in each clinician subscore. Internal consistency was 0.93, 0.94, 0.97, and 0.92 for the overall, surgeon, medical oncologist, and radiation oncologist scales, respectively. Hierarchical factor analysis demonstrated that a summary score of the overall treatment experience accounts for only 52?% of the total variance observed in ratings of autonomy support for the three provider types. Conclusions These results describe the first use of the mHCCQ in cancer patients. Ratings of the overall treatment experience account for only half of the variance in ratings of autonomy support, suggesting that patients perceive and report differences in communication across provider types. Future research is needed to evaluate the relationship between physician communication practices and the quality of decision making, as well as other outcomes among cancer patients.
机译：背景信息《医疗保健气候调查表》评估了患者对其临床医生自主支持沟通的看法。我们试图评估适用于乳腺癌患者的经修改的简短版本的《医疗保健气候调查表》（mHCCQ）的心理测量特性。方法我们使用纸质问卷调查了两个癌症专科中心在过去18个月内诊断为乳腺癌的235名20-79岁女性。患者分别为其外科医生，内科肿瘤医师和放射肿瘤学家完成了mHCCQ，并获得了整体治疗经验。使用主要成分的探索性因子分析（EFA）用于探索因子结构。结果235名女性中有160名（68.1％）完成了调查。平均年龄为57岁，自诊断以来的时间为12.6个月。对于外科医生，内科肿瘤科医生和放射肿瘤学家的评分以及整体治疗，女性分别对6种维度的医师自主权进行了评估。探索性因素分析指出了针对每种临床医生类型和整体经验的单因素解决方案。此外，所有六个项目都保留在每个临床医生子评分中。整体，外科医生，医学肿瘤学家和放射肿瘤学家量表的内部一致性分别为0.93、0.94、0.97和0.92。分层因素分析表明，总体治疗经验的总分仅占对三种提供者类型的自主支持评分中观察到的总方差的52％。结论这些结果描述了mHCCQ在癌症患者中的首次使用。总体治疗经验的评分仅占自治支持评分差异的一半，这表明患者感知并报告了跨提供者类型的沟通差异。需要进一步的研究来评估医师沟通实践与决策质量之间的关系，以及癌症患者之间的其他结局。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号