Abstract
BackgroundPatient enablement can be defined as the extent to which a patient is capable of understanding and coping with his or her health issues. This concept is linked to a number of health outcomes such as self-management of chronic diseases and quality of life. The Patient Enablement Instrument (PEI) was designed to measure this concept after a medical consultation. The instrument, in its original form and its translations into several languages, has proven to be reliable and valid. The purpose of this study was to evaluate the reliability of the French version of the PEI (PEI-Fv) in a family practice setting.MethodsOne hundred and ten participants were recruited in a family medicine clinic in the Saguenay region of Quebec (Canada). The PEI-Fv was completed twice, immediately after consultation with a physician (T1) and 2 weeks after the consultation (T2). The internal consistency of the tool was assessed with Cronbach's α and test-retest reliability by intraclass correlation coefficient.ResultsThe mean score for the PEI-Fv was 5.06 ± 3.97 (95% confidence interval [CI]: 4.30-5.81) at T1 and 4.63 ± 3.90 (95% CI: 3.82-5.44) at T2. Cronbach's α was high at T1 (α1 = 0.93; 95% CI: 0.91-0.95) and T2 (α2 = 0.93; 95% CI: 0.91-0.95). The intraclass correlation coefficient was 0.62 (95% CI: 0.48-0.74), indicating a moderate test-retest reliability.ConclusionsThe internal consistency of the PEI-Fv is excellent. Test-retest reliability was moderate to good. Test-retest reliability should be examined in further studies at a less than 2-week interval to reduce maturation bias. This instrument can be used to measure enablement after consultation in a French-speaking family practice setting.
Highlights
Patient enablement can be defined as the extent to which a patient is capable of understanding and coping with his or her health issues
Study design and setting We carried out a reliability study of the Patient Enablement Instrument (PEI)-Fv with patients attending the family medicine clinic of a regional health centre (Centre de santé et de services sociaux de Chicoutimi) in Saguenay, Québec, Canada, using a waiting-room survey immediately after their consultation (T1) with a health professional, followed by a questionnaire sent by mail 2 weeks after the consultation (T2)
We sent a reminder postcard to all participants who had not returned the T2 questionnaire. One week after this reminder, we contacted participants by telephone to remind them once again about returning in the completed T2 questionnaire. We sent another copy of the T2 questionnaire by mail, and as a last resort, we offered to help them complete it over the telephone
Summary
Patient enablement can be defined as the extent to which a patient is capable of understanding and coping with his or her health issues This concept is linked to a number of health outcomes such as selfmanagement of chronic diseases and quality of life. Howie et al [2,3] proposed that the concept of enablement represents the extent to which a patient feels enabled after a medical consultation They advocated that this concept be used as a measure of the quality of the consultation, rather than a patient’s satisfaction with it. They hypothesized that it may represent an intermediary outcome that promotes coping or self-efficacy that is linked to health and. The purpose of this study was to evaluate the reliability of a French version of the PEI (PEI-Fv) in a French-speaking family practice setting
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