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How much do clinicians support patient self-management? The development of a measure to assess clinician self-management support

机译：临床医生支持患者自我管理多少钱？ 评估临床医生自我管理支持的措施的发展

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摘要

Background: Primary care provider (PCP) support of patient self-management may be important mechanism to improving patient health outcomes. In this paper we develop a PCP-reported measure of clinician strategies for supporting patient self-management, and we psychometrically test and validate the measure.Methods: We developed survey items based upon effective self-management support strategies identified in a prior mixed methods study. We fielded a survey in the fall of 2014 with 139 Fairview Health Services PCPs, and conducted exploratory factor analysis and Cronbach's Alpha to test for scale reliability. To validate the measure, we examined the Self-Management Support (SMS) scale's relationship to survey items on self-management support, as well as clinicians' patient panel rates of smoking cessation and weight loss.
机译：背景：初级保健提供者（PCP）对患者自我管理的支持可能是改善患者健康结果的重要机制。在本文中，我们开发了一个PCP报告的临床医生支持患者自我管理策略的测量方法，并对该测量方法进行了心理测量学测试和验证。方法：我们根据之前的混合方法研究中确定的有效自我管理支持策略制定调查项目。2014年秋季，我们对139名美景健康服务PCP进行了实地调查，并进行了探索性因素分析和克朗巴赫阿尔法（Cronbach’s Alpha）测试量表的可靠性。为了验证这项测量，我们检查了自我管理支持（SMS）量表与自我管理支持调查项目的关系，以及临床医生的患者小组戒烟和减肥率。

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