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Measurement of Physician-Patient Communication—A Systematic Review

BACKGROUND: Effective communication with health care providers has been found as relevant for physical and psychological health outcomes as well as the patients' adherence. However, the validity of the findings depends on the quality of the applied measures. This study aimed to provide an overv...

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Autores principales: Zill, Jördis M., Christalle, Eva, Müller, Evamaria, Härter, Martin, Dirmaier, Jörg, Scholl, Isabelle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4273948/
https://www.ncbi.nlm.nih.gov/pubmed/25532118
http://dx.doi.org/10.1371/journal.pone.0112637
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author Zill, Jördis M.
Christalle, Eva
Müller, Evamaria
Härter, Martin
Dirmaier, Jörg
Scholl, Isabelle
author_facet Zill, Jördis M.
Christalle, Eva
Müller, Evamaria
Härter, Martin
Dirmaier, Jörg
Scholl, Isabelle
author_sort Zill, Jördis M.
collection PubMed
description BACKGROUND: Effective communication with health care providers has been found as relevant for physical and psychological health outcomes as well as the patients' adherence. However, the validity of the findings depends on the quality of the applied measures. This study aimed to provide an overview of measures of physician-patient communication and to evaluate the methodological quality of psychometric studies and the quality of psychometric properties of the identified measures. METHODS: A systematic review was performed to identify psychometrically tested instruments which measure physician-patient communication. The search strategy included three databases (EMBASE, PsycINFO, PubMed), reference and citation tracking and personal knowledge. Studies that report the psychometric properties of physician-patient communication measures were included. Two independent raters assessed the methodological quality of the selected studies with the COSMIN (COnsensus based Standards for the selection of health status Measurement INtruments) checklist. The quality of psychometric properties was evaluated with the quality criteria of Terwee and colleagues. RESULTS: Data of 25 studies on 20 measures of physician-patient communication were extracted, mainly from primary care samples in Europe and the USA. Included studies reported a median of 3 out of the nine COSMIN criteria. Scores for internal consistency and content validity were mainly fair or poor. Reliability and structural validity were rated mainly of fair quality. Hypothesis testing scored mostly poor. The quality of psychometric properties of measures evaluated with Terwee et al.'s criteria was rated mainly intermediate or positive. DISCUSSION: This systematic review identified a number of measures of physician-patient communication. However, further psychometric evaluation of the measures is strongly recommended. The application of quality criteria like the COSMIN checklist could improve the methodological quality of psychometric property studies as well as the comparability of the studies' results.
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spelling pubmed-42739482014-12-31 Measurement of Physician-Patient Communication—A Systematic Review Zill, Jördis M. Christalle, Eva Müller, Evamaria Härter, Martin Dirmaier, Jörg Scholl, Isabelle PLoS One Research Article BACKGROUND: Effective communication with health care providers has been found as relevant for physical and psychological health outcomes as well as the patients' adherence. However, the validity of the findings depends on the quality of the applied measures. This study aimed to provide an overview of measures of physician-patient communication and to evaluate the methodological quality of psychometric studies and the quality of psychometric properties of the identified measures. METHODS: A systematic review was performed to identify psychometrically tested instruments which measure physician-patient communication. The search strategy included three databases (EMBASE, PsycINFO, PubMed), reference and citation tracking and personal knowledge. Studies that report the psychometric properties of physician-patient communication measures were included. Two independent raters assessed the methodological quality of the selected studies with the COSMIN (COnsensus based Standards for the selection of health status Measurement INtruments) checklist. The quality of psychometric properties was evaluated with the quality criteria of Terwee and colleagues. RESULTS: Data of 25 studies on 20 measures of physician-patient communication were extracted, mainly from primary care samples in Europe and the USA. Included studies reported a median of 3 out of the nine COSMIN criteria. Scores for internal consistency and content validity were mainly fair or poor. Reliability and structural validity were rated mainly of fair quality. Hypothesis testing scored mostly poor. The quality of psychometric properties of measures evaluated with Terwee et al.'s criteria was rated mainly intermediate or positive. DISCUSSION: This systematic review identified a number of measures of physician-patient communication. However, further psychometric evaluation of the measures is strongly recommended. The application of quality criteria like the COSMIN checklist could improve the methodological quality of psychometric property studies as well as the comparability of the studies' results. Public Library of Science 2014-12-22 /pmc/articles/PMC4273948/ /pubmed/25532118 http://dx.doi.org/10.1371/journal.pone.0112637 Text en © 2014 Zill et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Zill, Jördis M.
Christalle, Eva
Müller, Evamaria
Härter, Martin
Dirmaier, Jörg
Scholl, Isabelle
Measurement of Physician-Patient Communication—A Systematic Review
title Measurement of Physician-Patient Communication—A Systematic Review
title_full Measurement of Physician-Patient Communication—A Systematic Review
title_fullStr Measurement of Physician-Patient Communication—A Systematic Review
title_full_unstemmed Measurement of Physician-Patient Communication—A Systematic Review
title_short Measurement of Physician-Patient Communication—A Systematic Review
title_sort measurement of physician-patient communication—a systematic review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4273948/
https://www.ncbi.nlm.nih.gov/pubmed/25532118
http://dx.doi.org/10.1371/journal.pone.0112637
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