Evaluation of a culturally adapted German version of the Patient Assessment of Chronic Illness Care (PACIC 5A) questionnaire in a sample of osteoarthritis patients

Abstract

The PACIC 5A is a reliable and valid instrument to assess the congruency of care to the chronic care model of OA patients. Its use is encouraged in quality improvement projects but also in further research.

The Patient Assessment of Chronic Illness Care Questionnaire: Evaluation in Patients with Mental Disorders in Primary Care

“…The Cronbach's  coefficient was excellent for the overall measure (0.91), which confirms previous studies (Glasgow et al, 2005a;Glasgow et al, 2005b;Rosemann et al, 2007). In contrast to previous findings (Rosemann et al, 2007), however, the internal reliability and corrected item-scale correlations of the subscale 'delivery system design/ decision support' gave some reasons for concern, especially the item with the lowest item-scale correlation 'Given a written list of things I should do to improve my health'. One reason may be found in the different study populations: While Rosemann et al analyzed a sample of patients with osteoarthritis, we analyzed patients with major depression.…”

“…We found some floor effects in the subscale 'goal setting/ tailoring', similar to the floor effects for further subscales reported in the first German evaluation study (Rosemann et al, 2007). Most studies reporting floor effects were conducted in European health care systems, whereas authors who validated the PACIC in the United States do not report notable floor effects at all (Aragones et al, 2008) (Glasgow et al, 2005a).…”

“…The mean value of the overall PACIC was 3.25, which is comparable to others (Aragones et al, 2008). We found possible ceiling effects in the two subscales 'patient activation' and 'problemsolving/ counselling', which were higher than previous findings on the German PACIC (Rosemann et al, 2007).…”

“…It also has been translated into Spanish (Aragones et al, 2008) and Dutch (Wensing et al, 2008). The first German version was evaluated in patients with osteoarthritis (Rosemann et al, 2007). Despite the increasing use, up to date heterogeneous findings are reported on the psychometric properties of the instrument (Gugiu et al, 2010).…”

Implementation of the Chronic Care Model in Small Medical Practices Improves Cardiovascular Risk but Not Glycemic Control

“…Clinical parameters were assessed by the practice team using point-of-care laboratory analysis and/or analysis by external laboratories. Patient-reported secondary outcomes were accordance with the CCM from patients' perspective measured by the Patient Assessment of Chronic Illness Care questionnaire (PACIC) (15,16) and the generic health-related quality of life assessed by the SF-36 (17).…”