Reliability and applicability of the Patient Enablement Instrument (PEI) in a Swedish general practice setting
(2015) In BMC Family Practice 16(1).- Abstract
- Background: The Patient Enablement Instrument (PEI), which has been used to evaluate core ingredients in primary care consultations, has been proposed as a means of moving beyond patient satisfaction evaluations. The aim of the present study was to examine the reliability and applicability of the PEI to the Swedish context. Methods: The original PEI was translated to Swedish and included in a questionnaire that was given to consecutively scheduled patients in four primary care settings. Respondents completed identical questionnaires immediately after a consultation, as well as two days and two weeks later. The analysis focused on internal reliability, test-retest reliability and internal construct validity. Results: Mean PEI scores... (More)
- Background: The Patient Enablement Instrument (PEI), which has been used to evaluate core ingredients in primary care consultations, has been proposed as a means of moving beyond patient satisfaction evaluations. The aim of the present study was to examine the reliability and applicability of the PEI to the Swedish context. Methods: The original PEI was translated to Swedish and included in a questionnaire that was given to consecutively scheduled patients in four primary care settings. Respondents completed identical questionnaires immediately after a consultation, as well as two days and two weeks later. The analysis focused on internal reliability, test-retest reliability and internal construct validity. Results: Mean PEI scores declined significantly between baseline (3.48, SD 3.21) and the first follow-up questionnaire (3.06, SD 3.37). All three questionnaires showed high internal consistency (Cronbach's alpha >0.85). Test-retest showed moderate agreement for all questions when comparing baseline and the first follow-up (kappa 0.54-0.65) and greater consistency between the two follow-up questionnaires (kappa 0.65-0.75). A large proportion of respondents characterized at least one of the questions as irrelevant (39%). Conclusions: The Swedish version of the PEI instrument has high internal consistency and moderate to good reliability. It can be used in research but is not recommended as a measure of quality of care. The instrument could benefit from further development and validity testing. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/5300442
- author
- Rööst, Mattias LU ; Zielinski, Andrzej LU ; Petersson, Christer and Strandberg, Eva-Lena LU
- organization
- publishing date
- 2015
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Consultation, Enabling factors, Patient-centred care, Primary care, Patient evaluation
- in
- BMC Family Practice
- volume
- 16
- issue
- 1
- article number
- 31
- publisher
- BioMed Central (BMC)
- external identifiers
-
- wos:000350507400001
- scopus:84924935769
- pmid:25879632
- pmid:25879632
- ISSN
- 1471-2296
- DOI
- 10.1186/s12875-015-0242-9
- language
- English
- LU publication?
- yes
- id
- d0f4e7a5-3f0f-4d89-8e55-e93f145b2715 (old id 5300442)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/25879632?dopt=Abstract
- date added to LUP
- 2016-04-01 13:22:04
- date last changed
- 2022-02-26 20:46:21
@article{d0f4e7a5-3f0f-4d89-8e55-e93f145b2715,
abstract = {{Background: The Patient Enablement Instrument (PEI), which has been used to evaluate core ingredients in primary care consultations, has been proposed as a means of moving beyond patient satisfaction evaluations. The aim of the present study was to examine the reliability and applicability of the PEI to the Swedish context. Methods: The original PEI was translated to Swedish and included in a questionnaire that was given to consecutively scheduled patients in four primary care settings. Respondents completed identical questionnaires immediately after a consultation, as well as two days and two weeks later. The analysis focused on internal reliability, test-retest reliability and internal construct validity. Results: Mean PEI scores declined significantly between baseline (3.48, SD 3.21) and the first follow-up questionnaire (3.06, SD 3.37). All three questionnaires showed high internal consistency (Cronbach's alpha >0.85). Test-retest showed moderate agreement for all questions when comparing baseline and the first follow-up (kappa 0.54-0.65) and greater consistency between the two follow-up questionnaires (kappa 0.65-0.75). A large proportion of respondents characterized at least one of the questions as irrelevant (39%). Conclusions: The Swedish version of the PEI instrument has high internal consistency and moderate to good reliability. It can be used in research but is not recommended as a measure of quality of care. The instrument could benefit from further development and validity testing.}},
author = {{Rööst, Mattias and Zielinski, Andrzej and Petersson, Christer and Strandberg, Eva-Lena}},
issn = {{1471-2296}},
keywords = {{Consultation; Enabling factors; Patient-centred care; Primary care; Patient evaluation}},
language = {{eng}},
number = {{1}},
publisher = {{BioMed Central (BMC)}},
series = {{BMC Family Practice}},
title = {{Reliability and applicability of the Patient Enablement Instrument (PEI) in a Swedish general practice setting}},
url = {{https://lup.lub.lu.se/search/files/8181908/8234146}},
doi = {{10.1186/s12875-015-0242-9}},
volume = {{16}},
year = {{2015}},
}