Abstract
BackgroundThe extent to which partnership synergy is created within quality improvement programmes in the Netherlands is unknown. In this article, we describe the psychometric testing of the Partnership Self-Assessment Tool (PSAT) among professionals in twenty-two disease-management partnerships participating in quality improvement projects focused on chronic care in the Netherlands. Our objectives are to validate the PSAT in the Netherlands and to reduce the number of items of the original PSAT while maintaining validity and reliability.MethodsThe Dutch version of the PSAT was tested in twenty-two disease-management partnerships with 218 professionals. We tested the instrument by means of structural equation modelling, and examined its validity and reliability.ResultsAfter eliminating 14 items, the confirmatory factor analyses revealed good indices of fit with the resulting 15-item PSAT-Short version (PSAT-S). Internal consistency as represented by Cronbach's alpha ranged from acceptable (0.75) for the 'efficiency' subscale to excellent for the 'leadership' subscale (0.87). Convergent validity was provided with high correlations of the partnership dimensions and partnership synergy (ranged from 0.512 to 0.609) and high correlations with chronic illness care (ranged from 0.447 to 0.329).ConclusionThe psychometric properties and convergent validity of the PSAT-S were satisfactory rendering it a valid and reliable instrument for assessing partnership synergy and its dimensions of partnership functioning.
Highlights
The extent to which partnership synergy is created within quality improvement programmes in the Netherlands is unknown
We describe the psychometric testing of the Partnership Self-Assessment Tool (PSAT) among professionals in twenty-two disease-management partnerships participating in quality improvement projects focused on chronic care in the Netherlands
We investigated disease-management partnerships and expected that higher levels of partnership synergy would be related to higher levels of chronic illness care delivery [23]
Summary
The extent to which partnership synergy is created within quality improvement programmes in the Netherlands is unknown. The Partnership SelfAssessment Tool (PSAT) was developed based on this framework by public health specialists for practical use by groups working to promote health and well-being in their communities [7]. It measures partnership synergy and other related dimensions of the partnership process [16]. Establishment of construct validity during development of the PSAT items was rigorous [7,9] It included data from qualitative interviews with members of community health promotion partnerships, an extensive review of relevant literature and measures, as well as input from a panel of experts. A recent study conducted by Butt and colleagues [17] showed that the PSAT is a valid partnership process measurement tool
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