Abstract
BackgroundThe Patient Assessment of Chronic Illness Care (PACIC-5A) was developed to assess the satisfaction with patient-provider interaction based on the Chronic Care Model. The additional 5A approach (assess, advise, agree, assist, arrange) allows to score behavioral counseling. The aim of the study was to assess the psychometric properties of the German adaptation of the PACIC-5A questionnaire in a sample of general practitioners (GP) patients with obesity.MethodsAnalyses were based on data from the study “Five A’s counseling in weight management of obese patients in primary care: a cluster randomized controlled trial (INTERACT)”. Data were collected via standardized questionnaires containing the 26-item version of the PACIC-5A questionnaire. A total of 117 patients with obesity were included in the analyses. Statistical procedures comprised descriptive analyses, the calculation of Cronbach’s alpha, test-retest analyses and factor analyses in order to assess the psychometric properties including reliability and validity of the PACIC-5A.ResultsThe patient’s mean age was 43.4 years and the sample was mostly female (59%). Middle educational level was found for the majority (78%) and the mean Body Mass Index was 38.9 kg/m2. Descriptive analyses revealed a mean PACIC score of 2.33 and 5A sum score of 2.29. Notable floor effects were found. PACIC-5A showed high level of internal consistency (Cronbach’s alphas > 0.9) and exploratory factor analyses resulted in a unidimensional structure.ConclusionThe results of this study provide evidence regarding the psychometric properties of the German version of the PACIC-5A used in a sample of GP patients with obesity and make an important contribution to the reliable and valid assessment of the patient-GP interaction with regard to obesity counseling in primary care.
Highlights
The Patient Assessment of Chronic Illness Care (PACIC-5A) was developed to assess the satisfaction with patient-provider interaction based on the Chronic Care Model
The mean Body Mass Index (BMI) was 38.9 ± 6.0 kg/m2, whereas 27% of the patients were classified as obese class I (BMI 30.0–34.9 kg/m2), 39% as obese class II (BMI 35.0–39.9 kg/m2) and 34% as obese class III (BMI > 40 kg/m2) according to the World Health Organization (WHO) classification [29]
The present study aimed at evaluating the psychometric properties for the German version of the PACIC-5A questionnaire among patients with obesity in primary care
Summary
The Patient Assessment of Chronic Illness Care (PACIC-5A) was developed to assess the satisfaction with patient-provider interaction based on the Chronic Care Model. According to the World Health Organization (WHO), obesity is one chronic non-communicable disease whose worldwide prevalence nearly tripled over the last 40 years [1]. The Chronic Care Model (CCM) was developed for supporting and improving patient-centered primary care [3] This multidimensional framework is based on six key dimensions: organization of health care, community resources, self-management-support, delivery system design, decision support and clinical information systems [3, 4]. On this basis, Glasgow et al developed the Schwenke et al BMC Health Services Research (2019) 19:61
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