Development and validation of the chronic condition physician-patient relationship scale (CC-PPR): A patient-informed measurement tool
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Sheeran, Nicola
Jones, Liz
Moffitt, Robyn L
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Abstract
Objective Several tools exist to measure the physician-patient relationship; however few are specific to those with chronic physical health conditions, and none to date have been derived from the patient’s perspective. This research aimed to develop and validate a patient-informed tool for measuring the physician-patient relationship with patients who have a chronic physical health condition.
Methods Study 1: An Australian sample of participants with a diagnosed chronic physical health condition and a self-reported good physician-patient relationship completed a three round Delphi poll to determine items of the chronic condition physician-patient relationship scale (CC-PPR). Fifty-two participants completed round one, 33 completed round two, and 24 completed all three rounds. Study 2: Exploratory and confirmatory factor analysis were conducted on a separate sample (N = 226) to explore the factor structure of the CC-PPR.
Results The CC-PPR comprised 22 items within a single-factor structure which demonstrated high internal consistency (Cronbach’s α = 0.97) and sound convergent validity.
Discussion The CC-PPR reliably measures observable, concrete, and specific physician behaviours that patients with chronic physical health conditions believe are critical in forming a good physician-patient relationship. The CC-PPR has potential application in research, educational, and self-assessment contexts, including for the evaluation and development of competence in post-graduate and professional settings.
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Patient Education and Counseling
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131
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© 2024 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
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Health services and systems
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Eigeland, JA; Sheeran, N; Jones, L; Moffitt, RL, Development and validation of the chronic condition physician-patient relationship scale (CC-PPR): A patient-informed measurement tool, Patient Education and Counseling, 2025, 131, pp. 108492