Adaptation and Validation of «The Patient Assessment of Chronic IllnesS Care (PACIC) +» in Ukrainian
##plugins.themes.bootstrap3.article.sidebar##
##plugins.themes.bootstrap3.article.main##
Abstract
The objective: to adapt an English version of the «PACIC+» questionnaire in Ukrainian and to analyze its validity.
Materials and methods. The translation and cultural adaptation of the original English version of «PACIC+» was performed in accordance with WHO and ISPOR recommendations. The survey was conducted by interviewing patients with a previously verified diagnosis of type 2 diabetes who met the inclusion criteria. Validation of the adapted Ukrainian version was performed by analyzing the validity of the content and structure, criterion validity, internal consistency and retesting.
Results. Through the adaptation process, the time range for evaluating the result was extended up to 1 year, the visual form of the questionnaire was approved and the evaluation scale had been adapted from the previous version of PACIC. The positive correlation of high strength was found between the mean value of «PACIC+» and previously gained education on dibetes (0,655), level of knowledge on diabetes (0,516) and quality of life (0,616). The internal consistency of the questionnaire was above the recommended (α=0,94). The pairwise retest correlation was in the range from 0,412 to 0,807 (p≤0,01), with a predominance of strong positive bond. Principal Component Analysis revealed a discrepancy between the structure of the questionnaire and the expected 6-component form (one of the segmented components represented 47,4% of the variables).
Conclusions. Ukrainian version of the «PACIC+» questionnaire, adapted in accordance with international standards, has reliably proven itself in clinical practice, which was confirmed by an appropriate procedure of validity testing. The combination of insufficient construct validity with a high index of internal consistency indicates its specific focus on assessing the quality of medical care on the basis of CCM in general, rather than within the individual elements of this system.
##plugins.themes.bootstrap3.article.details##
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright and grant the journal the first publication of original scientific articles under the Creative Commons Attribution 4.0 International License, which allows others to distribute work with acknowledgment of authorship and first publication in this journal.
References
Aragones A., Schaefer E.W., Stevens D., Gourevitch M.N., Glasgow R.E., Shah N.R., et al. Validation of the Spanish translation of the patient assessment of chronic illness care (PACIC) survey. Preventing Chronic Disiases. 2008. № 5(4). Full text
Bodenheimer T., Wagner E.H., Grumbach K. Improving primary care for patients with chronic illness, parts 1 and 2. JAMA. 2002. № 288. Р. 1775–1779, Р. 1909–1914. https://www.doi.org/10.1001/jama.288.14.1775
GBD 2015 Risk Factors Collaborators. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2015: a systematic analysis for the Global Burden of Disease Study. Lancet. 2016. № 388 (10053). Р. 1659–1724 https://doi.org/10.1016/S0140-6736(16)31679-8
Glasgow R.E., Emont S., Miller D.C. Assessing delivery of the five ‘As’ for patientcentered counseling. Health Promotion International. 2006. № 21(3). Р. 245–255 https://doi.org/10.1093/heapro/dal017
Glasgow R.E., Wagner E.H, Schaefer J., Mahoney L.D., Reid R.J., Greene S.M. Development and Validation of the Patient Assessment of Chronic Illness Care (PACIC). Medical Care. 2005. № 43 (5). Р. 436–444. http://dx.doi.org/10.1097/01.mlr.0000160375.47920.8c
Glasgow R.E., Whitesides H., Nelson C.C., King D.K. Use of the patient assessment of chronic illness care (PACIC) with diabetic patients: relationship to patient characteristics, receipt of care, and self-management. Diabetes Care. 2005. № 28. Р. 2655–2661. https://doi.org/10.2337/diacare.28.11.2655
Krucien N., Le Vaillant M., Pelletier-Fleury N. Adaptation and validation of the patient assessment of chronic illness care in the French context. BMC Health Services Research. 2014. № 14. Р. 269. https://doi.org/10.1186/1472-6963-14-269
Maccallum R.C., Browne M.W., Sugawara H.M. Power analysis and determination of sample size for covariance structure modeling of fit involving a particular measure of model. Psychological Methods. 1996. № 13 (2). Р. 130–149. http://dx.doi.org/10.1037//1082-989X.1.2.130
Maindal H.T., Sokolowski I., Vedsted P. Adaptation, data quality and confirmatory factor analysis of the Danish version of the PACIC questionnaire. European Journal of Public Health. 2012. № 22 (1). Р. 31–36. https://doi.org/10.1093/eurpub/ckq188
Mechanick J., Kushner R. Lifestyle Medicine: a manual for clinical practice. Springer, Cham, 2016. 363 https://doi.org/10.1007/978-3-319-24687-1
Noël P.H., Jones S., Parchman M.L. Patient experience in an era of primary care transformation: revisiting the PACIC. European Journal of Public Health. 2016. № 4. Р. 528–540. http://dx.doi.org/10.5750/ejpch.v4i3.1160
Rosemann T., Laux G., Droesemeyer S., Gensichen J., Szecsenyi J. Evaluation of a culturally adapted German version of the patient assessment of chronic illness care (PACIC 5A) questionnaire in a sample of osteoarthritis patients. Journal of Evaluation in Clinical Practice. 2007. № 13 (5). Р. 806–813. https://doi.org/10.1111/j.1365-2753.2007.00786.x
Spicer J., Budge C., Carryer J. Taking the PACIC back to basics: the structure of the patient assessment of chronic illness care. Journal of Evaluation in Clinical Practice. 2012. № 18. Р. 307–312. https://doi.org/10.1111/j.1365-2753.2010.01568.x
Wagner E.H. Chronic disease management: what will it take to improve care for chronic illness? Effective Clinical Practice. 1998. № 1. Р. 2–4. PDF
Wensing M., van Lieshout J., Jung H.P., Hermsen J., Rosemann T. The patients assessment chronic illness care (PACIC) questionnaire in the Netherlands: a validation study in rural general practice. BMC Health Services Research. 2008. № 8. Р. 182. https://doi.org/10.1186/1472-6963-8-182
WHO. Global action plan for the prevention and control of noncommunicable diseases 2013–2020. http://africahealthforum.afro.who.int/first-edition/IMG/pdf/global_action_plan_for_the_prevention_and_control_of_ncds_2013-2020.pdf Accessed 28 May 2018.
Wild D., Grove A., Martin M., Eremenco S., McElroy S., Verjee-Lorenz A., et al. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translating adaptation. Value in Health. 2005. № 8 (2). Р. 94–104 https://doi.org/10.1111/j.1524-4733.2005.04054.x
Про підвищення доступності та якості медичного обслуговування у сільській місцевості: Закон України від 14.11.2017 р. № 2206-VIII, URL: https://zakon.rada.gov.ua/laws/show/2206-19
Про державні фінансові гарантії надання медичних послуг та лікарських засобів: Закон України від 19.10.2017 р. № 2168-VIII, URL: https://zakon.rada.gov.ua/laws/show/2168-19
Ткаченко В.І. Педагогічні аспекти діабетологічної допомоги: шляхи оптимізації підготовки медичного персоналу та навчання пацієнтів щодо контролю цукрового діабету на етапі первинної медичної допомоги. Ліки України. 2015. № 1 (22). С. 40–44. PDF
Уніфікований клінічний протокол первинної та вторинної (спеціалізованої) медичної допомоги. Цукровий діабет 2 типу: за станом на 21 грудня 2012 р. / Департамент стандартизації медичних послуг. Київ: ДП «Державний експертний центр МОЗ України», 2012. 118 с. PDF
Bodenheimer, T., Wagner, E. H., & Grumbach, K. (2002). Improving Primary Care for Patients With Chronic Illness. JAMA, 288(15), 1909. doi:10.1001/jama.288.15.1909
