Clinicians’ beliefs and attitudes toward patient self-management in the Netherlands: translation and testing of the American Clinician Support for Patient Activation Measure (CS-PAM).
Rademakers, J., Jansen, D., Hoek, L. van der, Heijmans, M. Clinicians’ beliefs and attitudes toward patient self-management in the Netherlands: translation and testing of the American Clinician Support for Patient Activation Measure (CS-PAM). BMC Health Services Research: 2015, 15(138)
Background
The aim of this study was to test the Dutch version of the Clinician Support for Patient Activation Measure (CS-PAM), to explore the beliefs of Dutch clinicians about patients’ selfmanagement, and to establish whether there are differences in this respect between general practitioners and other primary care providers.
Methods
The CS-PAM was translated in Dutch and data were collected in a sample of 489 general practitioners and other primary care providers. Statistical analyses (RASCH, Cronbach’s α) were performed to establish the psychometric properties of the instrument.
Results
The psychometric scores of the Dutch CS-PAM were acceptable to good, and the difficulty level and structure was comparable to that of the original instrument. The average score of Dutch clinicians on the CS-PAM was 65.1 (SD 10.7), somewhat lower compared to their colleagues in the US (69; SD 12.1) and the UK (69, SD 12.8). Dutch general practitioners scored significantly lower on the CS-PAM compared to other primary care providers.
Conclusions
The Dutch CS-PAM is a reliable instrument to measure beliefs of clinicians regarding patient self-management. Further validation studies are necessary to establish the distribution of scores in specific provider populations and to assess the clinical relevance of the instrument for different outcomes. (aut. ref.)
Background
The aim of this study was to test the Dutch version of the Clinician Support for Patient Activation Measure (CS-PAM), to explore the beliefs of Dutch clinicians about patients’ selfmanagement, and to establish whether there are differences in this respect between general practitioners and other primary care providers.
Methods
The CS-PAM was translated in Dutch and data were collected in a sample of 489 general practitioners and other primary care providers. Statistical analyses (RASCH, Cronbach’s α) were performed to establish the psychometric properties of the instrument.
Results
The psychometric scores of the Dutch CS-PAM were acceptable to good, and the difficulty level and structure was comparable to that of the original instrument. The average score of Dutch clinicians on the CS-PAM was 65.1 (SD 10.7), somewhat lower compared to their colleagues in the US (69; SD 12.1) and the UK (69, SD 12.8). Dutch general practitioners scored significantly lower on the CS-PAM compared to other primary care providers.
Conclusions
The Dutch CS-PAM is a reliable instrument to measure beliefs of clinicians regarding patient self-management. Further validation studies are necessary to establish the distribution of scores in specific provider populations and to assess the clinical relevance of the instrument for different outcomes. (aut. ref.)
Head of research unit Healthcare from the Perspective of Patients, Clients and Citizens; project coordinator Health Literacy and Patiënt Participation; professor 'Health literacy and patient participation', CAPHRI, Maastricht University, the Netherl...
