Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Quality of Life Research
Erschienen in: Quality of Life Research 1/2017

18.07.2016

Measuring chronic condition self-management in an Australian community: factor structure of the revised Partners in Health (PIH) scale

verfasst von: David Smith, Peter Harvey, Sharon Lawn, Melanie Harris, Malcolm Battersby

Erschienen in: Quality of Life Research | Ausgabe 1/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To evaluate the factor structure of the revised Partners in Health (PIH) scale for measuring chronic condition self-management in a representative sample from the Australian community.

Methods

A series of consultations between clinical groups underpinned the revision of the PIH. The factors in the revised instrument were proposed to be: knowledge of illness and treatment, patient–health professional partnership, recognition and management of symptoms and coping with chronic illness. Participants (N = 904) reporting having a chronic illness completed the revised 12-item scale. Two a priori models, the 4-factor and bi-factor models were then evaluated using Bayesian confirmatory factor analysis (BCFA). Final model selection was established on model complexity, posterior predictive p values and deviance information criterion.

Results

Both 4-factor and bi-factor BCFA models with small informative priors for cross-loadings provided an acceptable fit with the data. The 4-factor model was shown to provide a better and more parsimonious fit with the observed data in terms of substantive theory. McDonald’s omega coefficients indicated that the reliability of subscale raw scores was mostly in the acceptable range.

Conclusion

The findings showed that the PIH scale is a relevant and structurally valid instrument for measuring chronic condition self-management in an Australian community. The PIH scale may help health professionals to introduce the concept of self-management to their patients and provide assessment of areas of self-management. A limitation is the narrow range of validated PIH measurement properties to date. Further research is needed to evaluate other important properties such as test–retest reliability, responsiveness over time and content validity.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
2.
Bauer, U. E., Briss, P. A., Goodman, R. A., & Bowman, B. A. (2014). Prevention of chronic disease in the 21st century: Elimination of the leading preventable causes of premature death and disability in the USA. The Lancet, 384(9937), 45–52.CrossRef
3.
AIHW (Australian Institute of Health and Welfare). (2012). Australia’s health 2012. Canberra: AIHW.
4.
AIHW. (2011). Key indicators of progress for chronic disease and associated determinants: Data report. Canberra: AIHW.
5.
Battersby, M. W., Beattie, J., Pols, R. G., Smith, D. P., Condon, J., & Blunden, S. (2013). A randomised controlled trial of the Flinders Program™ of chronic condition management in Vietnam veterans with co-morbid alcohol misuse, and psychiatric and medical conditions. Australian and New Zealand Journal of Psychiatry, 47(5), 451–462. doi:10.​1177/​0004867412471977​.CrossRefPubMed
6.
Battersby, M., Harris, M., Smith, D., Reed, R., & Woodman, R. (2015). A pragmatic randomized controlled trial of the Flinders Program of chronic condition management in community health care services. Patient Education and Counseling, 98(11), 1367–1375.CrossRefPubMed
7.
Battersby, M. W., Kit, J. A., Prideaux, C., Harvey, P. W., Collins, J. P., & Mills, P. D. (2008). Research implementing the Flinders Model of Self-management Support with Aboriginal people who have diabetes: Findings from a pilot study. Australian Journal of Primary Health, 14(1), 66–74.CrossRef
8.
Lorig, K. R., Sobel, D. S., Ritter, P. L., Laurent, D., & Hobbs, M. (2000). Effect of a self-management program on patients with chronic disease. Effective Clinical Practice: ECP, 4(6), 256–262.
9.
Battersby, M. W., Ask, A., Reece, M. M., Markwick, M. J., & Collins, J. P. (2003). The Partners in Health scale: The development and psychometric properties of a generic assessment scale for chronic condition self-management. Australian Journal of Primary Health, 9(3), 41–52.CrossRef
10.
Petkov, J., Harvey, P., & Battersby, M. (2010). The internal consistency and construct validity of the partners in health scale: Validation of a patient rated chronic condition self-management measure. Quality of Life Research, 19, 1079–1085.CrossRefPubMed
11.
Bodenheimer, T., Lorig, K., Holman, H., & Grumbach, K. (2002). Patient self-management of chronic disease in primary care. JAMA, 288(19), 2469–2475.CrossRefPubMed
12.
13.
Huber, M., Knottnerus, J. A., Green, L., van der Horst, H., Jadad, A. R., Kromhout, D., et al. (2011). How should we define health? BMJ (Clinical Research Edition),. doi:10.​1136/​bmj.​d4163.
14.
Sattoe, J. N., Bal, M. I., Roelofs, P. D., Bal, R., Miedema, H. S., & van Staa, A. (2015). Self-management interventions for young people with chronic conditions: A systematic overview. Patient Education and Counseling, 98(6), 704–715.CrossRefPubMed
15.
Laverack, G. (2009). Public health: Power, empowerment and professional practice. Basingstoke: Palgrave Macmillan.
16.
Baum, F. (2003). The new public health (Vol. 2). Oxford: Oxford University Press.
17.
Camerini, L., Schulz, P. J., & Nakamoto, K. (2012). Differential effects of health knowledge and health empowerment over patients’ self-management and health outcomes: A cross-sectional evaluation. Patient Education and Counseling, 89(2), 337–344.CrossRefPubMed
18.
Lawn, S., Battersby, M., & Pols, R. (2005). National chronic disease strategy—Self-management. Report to the Australian Government Department of Health and Ageing. Adelaide: Flinders Human Behaviour & Health Research Unit, Flinders University.
19.
Barr, P. J., Scholl, I., Bravo, P., Faber, M. J., Elwyn, G., & McAllister, M. (2015). Assessment of patient empowerment—A systematic review of measures. PLoS One, 10(5), e0126553.CrossRefPubMedPubMedCentral
20.
Bravo, P., Edwards, A., Barr, P. J., Scholl, I., Elwyn, G., & McAllister, M. (2015). Conceptualising patient empowerment: A mixed methods study. BMC Health Services Research, 15(1), 1.CrossRef
21.
McCorkle, R., Ercolano, E., Lazenby, M., Schulman-Green, D., Schilling, L. S., Lorig, K., et al. (2011). Self-management: Enabling and empowering patients living with cancer as a chronic illness. CA: A Cancer Journal for Clinicians, 61(1), 50–62. doi:10.​3322/​caac.​20093.
22.
Funnell, M. M., & Anderson, R. M. (2004). Empowerment and self-management of diabetes. Clinical Diabetes, 22(3), 123.CrossRef
23.
Funnell, M. M., Anderson, R. M., Arnold, M. S., Barr, P. A., Donnelly, M., Johnson, P. D., et al. (1991). Empowerment: An idea whose time has come in diabetes education. The Diabetes Educator, 17(1), 37–41.CrossRefPubMed
24.
Anderson, R. M., & Funnell, M. M. (2010). Patient empowerment: Myths and misconceptions. Patient Education and Counseling, 79(3), 277–282.CrossRefPubMed
25.
Barlow, J., Wright, C., Sheasby, J., Turner, A., & Hainsworth, J. (2002). Self-management approaches for people with chronic conditions: A review. Patient Education and Counseling, 48(2), 177–187.CrossRefPubMed
26.
Corbin, J. M., & Strauss, A. (1988). Unending work and care: Managing chronic illness at home. Los Angeles: Jossey-Bass.
27.
Lorig, K. R., & Holman, H. R. (2003). Self-management education: History, definition, outcomes, and mechanisms. Annals of Behavioral Medicine, 26(1), 1–7.CrossRefPubMed
28.
Schulman-Green, D., Jaser, S., Martin, F., Alonzo, A., Grey, M., McCorkle, R., et al. (2012). Processes of self-management in chronic illness. Journal of Nursing Scholarship, 44(2), 136–144.CrossRefPubMedPubMedCentral
29.
Maxine, A. (2006). Spirituality and quality of life in chronic illness. Journal of Theory Construction & Testing, 10(2), 42.
30.
Rowe, M. M., & Allen, R. G. (2003). Spirituality as a means of coping with chronic illness. American Journal of Health Studies, 19(1), 62–66.
31.
Zinnbauer, B. J., Pargament, K. I., & Scott, A. B. (1999). The emerging meanings of religiousness and spirituality: Problems and prospects. Journal of Personality, 67(6), 889–919.CrossRef
32.
Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy—Spiritual Well-being Scale (FACIT-Sp). Annals of Behavioral Medicine, 24(1), 49–58.CrossRefPubMed
33.
Elwyn, G., Lloyd, A., May, C., van der Weijden, T., Stiggelbout, A., Edwards, A., et al. (2014). Collaborative deliberation: A model for patient care. Patient Education and Counseling, 97(2), 158–164.CrossRefPubMed
34.
35.
Scholl, I., Koelewijn-van Loon, M., Sepucha, K., Elwyn, G., Légaré, F., Härter, M., et al. (2011). Measurement of shared decision making—A review of instruments. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, 105(4), 313–324.CrossRefPubMed
36.
Barry, M. J., & Edgman-Levitan, S. (2012). Shared decision making—the pinnacle of patient-centered care. New England Journal of Medicine, 366(9), 780–781.CrossRefPubMed
37.
Makoul, G., & Clayman, M. L. (2006). An integrative model of shared decision making in medical encounters. Patient Education and Counseling, 60(3), 301–312.CrossRefPubMed
38.
Singh, S., Butow, P., Charles, M., & Tattersall, M. H. (2010). Shared decision making in oncology: Assessing oncologist behaviour in consultations in which adjuvant therapy is considered after primary surgical treatment. Health Expectations, 13(3), 244–257.PubMedPubMedCentral
39.
Lawn, S., Delany, T., Sweet, L., Battersby, M., & C Skinner, T. (2014). Control in chronic condition self-care management: How it occurs in the health worker–client relationship and implications for client empowerment. Journal of Advanced Nursing, 70(2), 383–394.CrossRefPubMed
40.
Wilson, D., Wakefield, M., & Taylor, A. (1992). The South Australian health omnibus survey. Health Promotion Journal of Australia, 2(3), 47–49.
41.
42.
Lawn, S., & Battersby, M. (2009). Skills for person-centered care—health professionals supporting chronic condition prevention and self-management. In H. M. D’Cruz, S. W. Jacobs, & A. Schoo (Eds.), Knowledge-in-practice in the caring professions: Multi-disciplinary perspectives (pp. 161–192). Surrey: Ashgate.
43.
Chen, F. F., West, S. G., & Sousa, K. H. (2006). A comparison of bifactor and second-order models of quality of life. Multivariate Behavioral Research, 41(2), 189–225.CrossRefPubMed
44.
Muthen, B., & Satorra, A. (1995). Complex sample data in structural equation modeling. Sociological Methodology, 25, 267–316.CrossRef
45.
Wu, J.-Y., & Kwok, O.-M. (2012). Using SEM to analyze complex survey data: A comparison between design-based single-level and model-based multilevel approaches. Structural Equation Modeling: A Multidisciplinary Journal, 19(1), 16–35.CrossRef
46.
Muthén, B., & Asparouhov, T. (2012). Bayesian structural equation modeling: A more flexible representation of substantive theory. Psychological Methods, 17(3), 313.CrossRefPubMed
47.
Muthén, L. K., & Muthén, B. O. (1998–2015). Mplus User’s guide. Los Angeles, CA: Muthén & Muthén.
48.
Asparouhov, T., Muthén, B., & Morin, A. J. (2015). Bayesian structural equation modeling with cross-loadings and residual covariances: Comments on Stromeyer et al. Journal of Management, 41(6), 1561–1577.CrossRef
49.
Geldhof, G. J., Preacher, K. J., & Zyphur, M. J. (2014). Reliability estimation in a multilevel confirmatory factor analysis framework. Psychological Methods, 19(1), 72.CrossRefPubMed
50.
Terwee, C. B., Bot, S. D. M., de Boer, M. R., van der Windt, D. A., Knol, D. L., Dekker, J., et al. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60(1), 34–42.CrossRefPubMed
51.
52.
Warwick, M., Gallagher, R., Chenoweth, L., & Stein-Parbury, J. (2010). Self-management and symptom monitoring among older adults with chronic obstructive pulmonary disease. Journal of Advanced Nursing, 66(4), 784–793.CrossRefPubMed
53.
Kit, J. A. (2003). Chronic disease self-management in Aboriginal communities: Towards a sustainable program of care in rural communities. Australian Journal of Primary Health, 9(3), 168–176.CrossRef
54.
Gallagher, R., Donoghue, J., Chenoweth, L., & Stein-Parbury, J. (2008). Self-management in older patients with chronic illness. International Journal of Nursing Practice, 14(5), 373–382.CrossRefPubMed
55.
Walters, J., Cameron-Tucker, H., Wills, K., Schüz, N., Scott, J., Robinson, A., et al. (2013). Effects of telephone health mentoring in community-recruited chronic obstructive pulmonary disease on self-management capacity, quality of life and psychological morbidity: A randomised controlled trial. BMJ Open, 3(9), e003097.CrossRefPubMedPubMedCentral
56.
Heijmans, M., Waverijn, G., Rademakers, J., van der Vaart, R., & Rijken, M. (2015). Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Education and Counseling, 98(1), 41–48.CrossRefPubMed
57.
Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York: The Guilford Press.
58.
Kenny, D. A., & McCoach, D. B. (2003). Effect of the number of variables on measures of fit in structural equation modeling. Structural Equation Modeling, 10(3), 333–351.CrossRef
59.
Bruyneel, L., Li, B., Squires, A., Spotbeen, S., Meuleman, B., Lesaffre, E., et al. (2014). Bayesian multilevel MIMIC Modeling for studying measurement invariance in cross-group comparisons. Medical Care. doi:10.​1097/​MLR.​0000000000000164​.
60.
Mokkink, L. B., Terwee, C. B., Patrick, D. L., Alonso, J., Stratford, P. W., Knol, D. L., et al. (2010). The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: An international Delphi study. Quality of Life Research, 19(4), 539–549.CrossRefPubMedPubMedCentral
61.
Haynes, S. N., Richard, D., & Kubany, E. S. (1995). Content validity in psychological assessment: A functional approach to concepts and methods. Psychological Assessment, 7(3), 238.CrossRef
62.
Lawshe, C. H. (1975). A quantitative approach to content validity. Personnel Psychology, 28(4), 563–575.CrossRef
63.
Wilson, F. R., Pan, W., & Schumsky, D. A. (2012). Recalculation of the critical values for Lawshe’s content validity ratio. Measurement and Evaluation in Counseling and Development, 45(3), 197–210.CrossRef
64.
Vandenberg, R. J., & Lance, C. E. (2000). A review and synthesis of the measurement invariance literature: Suggestions, practices, and recommendations for organizational research. Organizational Research Methods, 3(1), 4–70.CrossRef
65.
Marsh, H. W., Morin, A. J., Parker, P. D., & Kaur, G. (2014). Exploratory structural equation modeling: An integration of the best features of exploratory and confirmatory factor analysis. Annual Review of Clinical Psychology, 10, 85–110.CrossRefPubMed
Metadaten
Titel
Measuring chronic condition self-management in an Australian community: factor structure of the revised Partners in Health (PIH) scale
verfasst von
David Smith
Peter Harvey
Sharon Lawn
Melanie Harris
Malcolm Battersby
Publikationsdatum
18.07.2016
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 1/2017
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1368-5

Weitere Artikel der Ausgabe 1/2017

Quality of Life Research 1/2017 Zur Ausgabe

Brief Communication

Transcultural adaptation and validation of the Mexican version of the kidney disease questionnaire KDQOL-SF36 version 1.3

Brief Communication

Sustained quality of life improvement after intracoronary injection of autologous bone marrow cells in the setting of acute myocardial infarction: results from the BONAMI trial

Brief Communication

Validation study of a Chinese version of Partners in Health in Hong Kong (C-PIH HK)

OriginalPaper

Match between culture and social support: Acculturation moderates the relationship between social support and well-being of Chinese American breast cancer survivors

Brief Communication

Cross-cultural adaptation and validation of the Social Comfort Questionnaire for Brazilian adult survivors of burns

Brief Communication

Assessing psychological flexibility in patients with chronic pain: the Korean adaptation of the Brief Pain Response Inventory