The validity and reliability of the patient enablement instrument (PEI) after GP appointments in Finnish health care centres

Tolvanen, Elina; Koskela, Tuomas; Helminen, Mika; Kosunen, Elise

doi:10.1186/s41687-020-00243-4

Cited by 11 publications

(9 citation statements)

References 40 publications

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“…Scores of 6–7 are considered acceptable and the mean score was 6.5. Scores were higher than reported in other studies who reported lower mean scores of between 3 and 4 ( 24 , 25 ).…”

Section: Discussioncontrasting

confidence: 87%

Toward a Digital Health Intervention for Vestibular Rehabilitation: Usability and Subjective Outcomes of a Novel Platform

et al. 2022

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Digital technologies are increasingly available and are reducing in cost. There is an opportunity to move to a digital health approach in vestibular rehabilitation (VR), but there is a paucity of suitable systems available and a consequent lack of evidence to support their use. This study aimed to investigate a novel digital platform developed specifically for VR (comprising clinician software, a wearable sensor, and a patient-facing app). Participants (n = 14, 9F:5M, mean age 59) with vestibular dysfunction and imbalance used the app for treatment, and therapists (n = 4) used the platform to deliver VR in the form of individualized exercise programmes over a mean of 17.4 ± 8.8 weeks. Outcomes included the system usability scale, the patient enablement instrument (PEI), change in subjective symptoms (numerical rating scales), percentage adherence to prescribed exercise, and a semi-structured interview on utility. A significant reduction was found in symptoms of vertigo/dizziness (p < 0.004), imbalance (p < 0.002), oscillopsia (p < 0.04), and anxiety (p < 0.02) after use. System usability scores were high for both clinicians (mean 85/100) and participants (mean 82.7/100) and high enablement was reported (mean PEI 6.5/12). Overall percentage adherence to the exercise prescription was highly variable and ranged from 4 to 78% when measured digitally. At semi-structured interviews, participants reported a high level of acceptance and satisfaction with digital delivery, and no adverse events were recorded. When COVID-19 restrictions eased, 2 participants trialed the head sensor with the application and found it highly usable. Further research is required to investigate the efficacy and how the wearable sensor impacts the delivery of care.

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“…Scores of 6–7 are considered acceptable and the mean score was 6.5. Scores were higher than reported in other studies who reported lower mean scores of between 3 and 4 ( 24 , 25 ).…”

Section: Discussioncontrasting

confidence: 87%

Toward a Digital Health Intervention for Vestibular Rehabilitation: Usability and Subjective Outcomes of a Novel Platform

et al. 2022

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“…The issue was identified when previous authors evaluated test-retest reliability for PEI, finding this to be a relatively weak psychometric property, as PEI scores diminished over a 2 week period after consultation. 22,23 In a study comparing PEI against two established satisfaction measures following primary care consultations, PEI scores were much lower. The authors concluded that enablement is a distinct construct to satisfaction and the two may not correlate.…”

Section: Patient Enablement Indexmentioning

confidence: 99%

Patient experience of telephone consultations in gynaecology: a service evaluation

Khan

Kershaw

Madhuvrata

et al. 2021

BJOG

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Objective To investigate patient perspective of telephone consultations (TCs) in gynaecology and identify which patients benefit most from a telemedicine system. Design Service evaluation.Setting Gynaecology outpatient services at a tertiary referral hospital.Population Patients who received a TC during May and June 2020.Methods Postal questionnaire combining three validated tools: QQ-10, Patient Enablement Index (PEI) and National Health Service Friends and Family Test (NHS-FFT). Quantitative data and free text responses were analysed.Main outcome measures Responses to QQ-10, PEI and NHS-FFT.Results In total, 1307 patients were contacted and 504 patients responded (39%). Most (89%) described their experience as 'Very good' or 'Good' (NHS-FFT). Positive themes from responses included 'convenience', 'effectiveness' and 'equivalent care'. QQ-10 responses demonstrated a high Value score of 79 (0-100) and a low Burden score of 15. PEI scores suggested that most patients felt better or much better able to understand and cope with their condition following TC. The majority of patients (77%) would 'Strongly agree' or 'Mostly agree' to a repeat TC. Regarding patient outcomes, 21% were discharged and 71% required follow up. Menopause, fertility and endometriosis follow-up clinic patients benefited most from TC. Gynaecology-oncology patients found TC least acceptable. ConclusionWe report a large questionnaire survey of patient experience of TC in gynaecology. Telemedicine is convenient, acceptable and effective for conducting care in selected groups. TC can support patients in communicating intimate symptoms.

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“…Responses are given a score based on a Likert scale ranging from "much better" (2), "better" (1), "same or less" (0) and "not applicable" (0). The maximum score is 12 [25].…”

Section: The Peimentioning

confidence: 99%

Are primary care consultations in Trinidad patient-centered? A cross-sectional study of patients with non-communicable diseases

Rahaman

Motilal

Khan

et al. 2022

Preprint

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Background: The aim of this study was to measure the patient’s perception of patient centeredness in their consultations for non-communicable diseases (NCDs). We also measured consultation length and patient enablement.Method: A cross-sectional study was conducted over 2 months at four primary care clinics at the St. Joseph cluster of the North Central Regional Health Authority (NCRHA) in Trinidad and Tobago. Interviewers timed the consultation and completed post-consultation questionnaires using the Patient Perception of Patient-Centeredness (PPPC) questionnaire and the Patient Enablement Index (PEI). The PPPC is a 14-item (each scored 1-4) Likert-scaled instrument. The total score is averaged and a PPPC score of 4 is the maximum. The PEI measures the ability of the patient to cope with life and their disease. The PEI consists of 6 questions scored 0-2, with a maximum of 12. Results: There were 180 respondents (response rate = 82.5%). Participants were female (75.6%), aged over 65 years (50.6%), married (51.1%), Indo-Trinidadian (52.2 %), and Christian (60.6%). Half achieved a primary school education, and 37.2% secondary. The consultation length ranged between 1.32 and 31.22 minutes. The average, median and mode of the consultation length were 8.5, 7.74 and 10 minutes, respectively. The average, median and mode of the measures of patient-centeredness were PPPC (3.67, 3.86 and 4) and PEI score (5.93, 6 and 6). The PPPC average was lower in patients with a stroke (p=0.022), and higher among those with more than 2 consultation interruptions (p=0.015) and those who knew the doctor very well (p=0.015). The PEI score was lower in patients with heart disease (p=0.022). The consultation length was longer in those with tertiary education (p=0.044) and those with two consultation interruptions (p=0.032). PPPC Average and PEI Score correlated well (ρ = 0.408, p<0.001). The consultation length correlated with the PPPC Average (ρ=0.168, p=0.025) . Conclusion: Primary Care consultations in this cluster of health centres in NCRHA in Trinidad were often patient centered. The consultation length, patient-centeredness, measured with the PPPC instrument, and patient enablement scores, measured with the PEI instrument, in consultations for NCDs in Trinidad compare favourably with international reports.

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The validity and reliability of the patient enablement instrument (PEI) after GP appointments in Finnish health care centres

Cited by 11 publications

References 40 publications

Toward a Digital Health Intervention for Vestibular Rehabilitation: Usability and Subjective Outcomes of a Novel Platform

Toward a Digital Health Intervention for Vestibular Rehabilitation: Usability and Subjective Outcomes of a Novel Platform

Patient experience of telephone consultations in gynaecology: a service evaluation

Are primary care consultations in Trinidad patient-centered? A cross-sectional study of patients with non-communicable diseases

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