Cross-cultural validation of the Patient–Practitioner Orientation Scale (PPOS)

ResumoObjetivo: Este estudo teve como objetivo traduzir e contribuir para a adaptação para a população portuguesa (Português Europeu) da Patient-Practitioner Orientation Scale (PPOS). Método: Após o processo de tradução e de pré-teste, a escala foi aplicada a 593 estudantes do 1º ao 6º ano do curso de Medicina em várias Universidades de Portugal Continental. A validade do construto e a fiabilidade do instrumento foram aferidas através da análise fatorial exploratória (ACP) e confirmatória (AFC), e do cálculo do coeficiente alpha de Cronbach. Resultados: A versão final explica 31.54% da variância total e confirma a estrutura em dois fatores: Caring, (19.56% da variância) e Sharing (11.98% da variância). Os itens 2 e 4 apresentaram inconsistências com os fatores definidos à priori (versão original do instrumento), os itens 9 e 17 obtiveram cargas fatoriais inferiores a .3, e o item 3 registou uma diferença inferior a .1 entre as cargas fatoriais para os dois domínios. Os coeficientes de alpha de Cronbach foram .65, .50 e .56 para a escala total, e subscalas Caring e Sharing, respetivamente. A AFC revelou um bom ajustamento global do modelo de medida (χ 2 (132, N = 593) = 344.28, p < .001; χ 2 /gl = 2.61; GFI = .93; AGFI = .92; CFI = .87; NNFI = .81; SRMR = .084; RMSEA = .05, 95% CI [0.045, 0.059], p = .293). As análises exploratórias posteriores sugerem a possibilidade de melhoria dos índices de validade e de fiabilidade da escala total e da sub-escala Caring, com a retirada de itens específicos. Conclusão: Não obstante as fragilidades encontradas no que concerne à fiabilidade e validade da PPOS-P para uma amostra de estudantes portugueses de Medicina, este estudo representa um contributo científico para a adaptação da escala, que pode ser considerada para efeitos de avaliação de atitudes de centração no paciente nos contextos da educação médica e da investigação.Palavras-Chave: centração no paciente, cuidar, partilhar, PPOS, adaptação, profissionais de saúde AbstractObjective: The purpose of this study was to contribute to the European Portuguese adaptation of the Patient-Practitioner Orientation Scale (PPOS). Method: A sample of 593 medical students participated in the study. After permission from the original author, the translation procedures required to ensure translation of the PPOS to European Portuguese were performed. Construct validity (exploratory and confirmatory factor analysis) and reliability (internal consistency) were assessed. Results: The final version confirmed the original structures of two factors, explaining 31.54% of total variance; Caring (19.56%) and Sharing (11.98%). Items 2 and 4 showed inconsistencies with the factors defined earlier in the original version of the instrument, itens 9 and 17 obtained a factorial load less than .3, and the item 3 achieved a difference of less than .1 between factorial charges for the two domains. The internal consistency of PPOS-P scales were adequate (Cronbach's alpha of .65, .50 and .56 for total scale, and subscales Caring and Sharing, respectively). ...

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“…Na comparação com a versão da PPOS-B (Pereira et al, 2013), verificamos que estes são muito idênticos e, inclusivamente em alguns casos melhores.…”

Section: Discussionunclassified

Centração no paciente: Contributo para o estudo de adaptação da patient-practitioner orientation scale (PPOS)

Grilo

Rita

Carolino

et al. 2018

Psychol. Community Health

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“…As previously described, the core elements of PPOS, an instrument that has been used to measure student's patient--centred beliefs, are based largely on two dimensions 'caring' and 'sharing' 2,3,15,16 . The last dimension might be defined as sharing the power, the control and the information about the patient's clinical condition.…”

Section: Discussionmentioning

confidence: 99%

“…These students were enrolled via internet after providing consent for participation through a web-based survey. Student attitudes regarding the relationship between physicians and patients were measured using a previously validated instrument 2,3,15,16 . The Patient-Practitioner Orientation scale (PPOS) is an 18-item instrument originally designed to be administered to either doctor or patients.…”

Section: Participantsmentioning

confidence: 99%

“…In this way, several medical schools advocate the teaching of these skills and their evaluation as a fundamental factor in medical training [13][14][15][16] . Medical schools have not only an opportunity but also a responsibility to teach and evaluate the skills of communication and the effectiveness of the doctor-patient relationship of their students.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Impacto da “Disciplina Relação Médico-Paciente” sobre Atitudes Centradas no Paciente

Silva

Ribeiro

Nogueira

et al. 2017

Rev. bras. educ. med.

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“…The high response rate and the use of a standardized instrument like PPOS which has been validated in a variety of cultures (Pereira et al, 2013) were the strengths of the study. The study also had limitations.…”

Section: Discussionmentioning

confidence: 99%

Basic Science Medical Student Attitudes toward the Patient-Doctor Relationship

Shankar¹,

Dwivedi²,

Bhandary³

et al. 2016

MedEdPublish

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Introduction: Patients seem increasingly to be in favor of taking a more active role in the patient-doctor relationship. Increasing education and the rising prevalence of chronic and lifestyle diseases require patients to take more responsibility for their health. The present study was conducted among basic science students at a private medical school in Aruba, Dutch Caribbean using the well validated patient-practitioner orientation scale (PPOS) to obtain information on student attitudes toward the patient-doctor-relationship and study whether the attitudes were associated with demographic characteristics.

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Cross-cultural validation of the Patient–Practitioner Orientation Scale (PPOS)

Cited by 35 publications

References 37 publications

Centração no paciente: Contributo para o estudo de adaptação da patient-practitioner orientation scale (PPOS)

Centração no paciente: Contributo para o estudo de adaptação da patient-practitioner orientation scale (PPOS)

Impacto da “Disciplina Relação Médico-Paciente” sobre Atitudes Centradas no Paciente

Basic Science Medical Student Attitudes toward the Patient-Doctor Relationship

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