Validity and reliability of the patient assessment on chronic illness care (PACIC) questionnaire: the Malay version, BMC Primary Care

Background Majority of patients with chronic illnesses such as diabetes, receive care at primary care setting. Efforts have been made to restructure diabetes care in the Malaysian primary care setting in accordance with the Chronic Care Model (CCM). The Patient Assessment on Chronic Illness Care (PACIC) is a validated self-report tool to measure the extent to which patients with chronic illness receive care that aligns with the CCM. To date, no validated tool is available to evaluate healthcare delivery based on the CCM in the Malay language. Thus, the study aimed to translate the PACIC into the Malay language and validate the questionnaire among patients with diabetes in the Malaysian public primary care setting. Methods The English version of the PACIC questionnaire is a 20-item scale measuring five key components, which are patient activation, decision support, goal setting, problem solving and follow-up care. The PACIC underwent forward - backward translation and cross cultural adaptation process to produce the PACIC-Malay version (PACIC-M). Reliability was tested using internal consistencies and test-retest reliability analyses, while construct validity was tested using the exploratory factor analysis (EFA). Results The content of PACIC-M and the original version were conceptually equivalent. Overall, the internal consistency by Cronbach’s α was .94 and the intra-class correlation coefficient was .93. One item was deleted (item 1) when the factor loading was < 0.4. The factor analyses using promax identified three components (‘Goal Setting/Tailoring and Problem solving/Contextual’, ‘follow-up/coordination’ and ‘patient activation and delivery system design/ decision support’); explaining 61.2% of the variation. The Kaiser-Meyer-Olkin (KMO) was 0.93 and Bartlett’s test of sphericity was p = .000. Therefore, the final version of the PACIC-M consisted of 19 items, framed within three components. Conclusion The findings demonstrated that the PACIC-M measured different dimensions from the English version of PACIC. It is however; highly reliable and valid to be used in assessing three CCM model subscales. Further confirmatory factor analysis of PACIC-M should be conducted to confirm this new model.

Translation into Arabic and validation of the Patient Assessment of Care for Chronic Conditions questionnaire for diabetes/Traduction en arabe et validation du questionnaire d'evaluation des soins pour les maladies chroniques par les

Interventions for improving outcomes in patients with multimorbidity in primary care and community settings - Smith, SM - 2021

Figure 1 from Use of the Patient Assessment of Chronic Illness Care (PACIC) with diabetic patients: relationship to patient characteristics, receipt of care, and self-management.

013 CH 06 Barriers To Accessing Healthcare Services in Developing Nations, PDF, Health Care

Full article: A systematic review of Markov models evaluating multicomponent disease management programs in diabetes

Interventions for improving outcomes in patients with multimorbidity in primary care and community settings - Smith, SM - 2021

PDF) Patients' Assessment of Chronic Illness Care (PACIC): Validation and Evaluation of PACIC Scale among Patients with Type 2 Diabetes in Hungary

Reliability and validity of PHQ-9 when administered by health workers for depression screening among women in primary care - ScienceDirect

Translation and validation of the PACIC+ questionnaire: the Thai version, BMC Primary Care

Psychometric Properties of Vietnamese Versions of the Clinician-Rated and Self-Reported Quick Inventory of Depressive Symptomatology and the Patient Health Questionnaire

Full article: A systematic review of Markov models evaluating multicomponent disease management programs in diabetes