Validation of the English and French versions of the Brief Health Care Climate Questionnaire

Czajkowska, Zofia; Wang, Hui; Hall, Nathan C.; Sewitch, Maida; Körner, Annett

doi:10.1177/2055102917730675

Cited by 34 publications

(27 citation statements)

References 63 publications

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“…As the distribution of the study attendants’ major sociodemographic characteristics was sought to be representative of the largest population of Iranian patients with type 2 diabetes, the study results demonstrate the applicability of the HCCQ-P as a suitable instrument for assessing the degree of health-care climate supportiveness for Iranian patients with type 2 diabetes. The psychometric analysis of the HCCQ-P on the studied Iranian patients produced similar results to the findings of previous studies on psychometric assessment of the HCCQ in France, 14 the USA, 30 the Netherlands18,24 and Germany. 19 …”

Section: Discussionsupporting

confidence: 85%

“…A special focus of the theory is on sociocultural factors that could facilitate or undermine the individuals’ sense of autonomy, competence and relatedness, which were argued to be fundamental in maintaining motivation and performance 5,8,12. Perceived support for autonomy, self-care competence and psychological relatedness based on the theory are crucial for optimal functioning of a patient in accordance with the prescribed medications or behavioral pattern 5,7–9,12–14…”

Section: Introductionmentioning

confidence: 99%

“…Other related scales have been developed based on the HCCQ, such as the Virtual Health Inventory Questionnaire,18 Important Other Climate Questionnaire for cigarette smoking30 and diet,30 and a modified HCCQ for breast cancer patients 31. The HCCQ has been validated for use in other languages, such as German,19 French14 and Dutch 24…”

Section: Introductionmentioning

confidence: 99%

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<p>Psychometric properties of the Persian Health Care Climate Questionnaire (HCCQ-P): assessment of type 2 diabetes care supportiveness in Iran</p>

Matin¹,

Nadrian²,

Jahangiry³

et al. 2019

PPA

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Background: Health-care systems play a key role in responding to the growing problems of patients with type 2 diabetes by supporting their autonomy in providing routine care. The Health Care Climate Questionnaire (HCCQ) was designed to assess patients’ perceived degree of autonomy support within the care practice settings. The main purpose of this study was to translate and evaluate psychometric properties of the Persian version of the HCCQ (HCCQ-P) to be applied among Iranian and other Persian-speaking patients with type 2 diabetes. Method: Translation/back-translation procedures were carried out to prepare a preliminary draft of the HCCQ-P that was subsequently sent for face and content validity appraisal by a group of 15 health education/promotion and nursing specialists. Minor revisions were performed based on the feedback, and the content validity ratio (=0.91) and content validity index (=0.95) were within the acceptable range. The structural validity of the scale was assessed by exploratory and confirmatory factor analysis. Results: The exploratory and confirmatory factor analysis outputs (root mean square error of approximation=0.079, comparative fit index=0.976, Tucker Lewis index=0.967, standardized root mean square residual=0.022) demonstrated the proper performance and fitness statistics of the translated HCCQ in a one-dimensional model similar to the original scale. The internal consistency and reliability scores endorsed the validity of the translated measure ( α =0.945, intraclass correlation coefficient=0.999, P =0.000). Conclusion: In this study, the translated HCCQ-P scale showed robust internal validity for its application in the assessment of health-care settings’ supportiveness in care provision to Persian-speaking patients with type 2 diabetes. Future cross-cultural and multidisciplinary studies are recommended to investigate the applicability of the scale in different patients/cultural groups and health-care settings.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

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<p>Psychometric properties of the Persian Health Care Climate Questionnaire (HCCQ-P): assessment of type 2 diabetes care supportiveness in Iran</p>

Matin¹,

Nadrian²,

Jahangiry³

et al. 2019

PPA

View full text Add to dashboard Cite

show abstract

“…This is a questionnaire aimed to capture the patient perception of the degree of centeredness featuring the patient-doctor communication defined as taking the patient's perspective, encouraging and answering their questions, supporting their initiatives, offering choice about treatment options, and minimizing control. In this study we adopted the six-item version [41] that includes items 1, 2, 4, 7, 10 and 14 from the original 15-item version. Sample items include 'I feel that my doctor has provided me choices and options', 'My doctor tries to understand how I see things before suggesting a new way to do things', and 'My doctor encourages me to ask questions'.…”

Section: Methodsmentioning

confidence: 99%

The Mediating Role of the Patient Health Engagement Model on the Relationship Between Patient Perceived Autonomy Supportive Healthcare Climate and Health Literacy Skills

Barello

Palamenghi

Graffigna

2020

IJERPH

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Individuals with low health literacy (HL) are known to have poorer health outcomes and to have higher mortality rates compared to individuals with higher HL; hence, the improvement of HL is a key outcome in modern healthcare systems. Healthcare providers are therefore asked to support patients in becoming more and more engaged in their healthcare, thus augmenting their literacy skills. Our main hypothesis is that the well-known relationship between patients' perceived autonomy supportive healthcare climate and HL skills is mediated by the Patient Health Engagement Model (PHE-model) which describes the patients' progressive maturation of a psychological readiness to become active players in their healthcare. The purpose of this study was to formulate a hypothetical structural equation model (SEM) linking an autonomy-supportive healthcare climate to PHE-model and HL. A cross-sectional survey design was employed involving 1007 Italian chronic patients. The hypothetical model was tested using SEM to verify the hypothesized mediation of the PHE-model between autonomy-supportive healthcare climate and HL. Results show that the theoretical model has a good fit indexes and that PHE-model fully mediates the relationship between autonomy-supportive healthcare climate and HL. This finding suggests healthcare systems to implement a new paradigm where patients are supported to play an autonomous role in their own healthcare.

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“…This battery assesses participant engagement, impact, usefulness, and usability per intervention. Additionally, for SMART Sessions, we assess participants’ perceived quality of interaction with SMART coaches [ 106 ]. Finally, after participants have graduated from the randomized controlled trial and completed their 12-month survey, participants are invited to complete a 30-min exit interview with the study staff.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of a Stepped-Care eHealth HIV Prevention Program for Diverse Adolescent Men Who Have Sex With Men: Protocol for a Hybrid Type 1 Effectiveness Implementation Trial of SMART

et al. 2020

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Background Adolescent men who have sex with men (AMSM), aged 13 to 18 years, account for more than 80% of teen HIV occurrences. Despite this disproportionate burden, there is a conspicuous lack of evidence-based HIV prevention programs. Implementation issues are critical as traditional HIV prevention delivery channels (eg, community-based organizations, schools) have significant access limitations for AMSM. As such, eHealth interventions, such as our proposed SMART program, represent an excellent modality for delivering AMSM-specific intervention material where youth are. Objective This randomized trial aimed to test the effectiveness of the SMART program in reducing condom-less anal sex and increasing condom self-efficacy, condom use intentions, and HIV testing for AMSM. We also plan to test whether SMART has differential effectiveness across important subgroups of AMSM based on race and ethnicity, urban versus rural residence, age, socioeconomic status, and participation in an English versus a Spanish version of SMART. Methods Using a sequential multiple assignment randomized trial design, we will evaluate the impact of a stepped-care package of increasingly intensive eHealth interventions (ie, the universal, information-based SMART Sex Ed; the more intensive, selective SMART Squad; and a higher cost, indicated SMART Sessions). All intervention content is available in English and Spanish. Participants are recruited primarily from social media sources using paid and unpaid advertisements. Results The trial has enrolled 1285 AMSM aged 13 to 18 years, with a target enrollment of 1878. Recruitment concluded in June 2020. Participants were recruited from 49 US states as well as Puerto Rico and the District of Columbia. Assessments of intervention outcomes at 3, 6, 9, and 12 months are ongoing. Conclusions SMART is the first web-based program for AMSM to take a stepped-care approach to sexual education and HIV prevention. This design indicates that SMART delivers resources to all adolescents, but more costly treatments (eg, video chat counseling in SMART Sessions) are conserved for individuals who need them the most. SMART has the potential to reach AMSM to provide them with a sex-positive curriculum that empowers them with the information, motivation, and skills to make better health choices. Trial Registration ClinicalTrials.gov Identifier NCT03511131; https://clinicaltrials.gov/ct2/show/NCT03511131 International Registered Report Identifier (IRRID) DERR1-10.2196/19701

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Validation of the English and French versions of the Brief Health Care Climate Questionnaire

Cited by 34 publications

References 63 publications

<p>Psychometric properties of the Persian Health Care Climate Questionnaire (HCCQ-P): assessment of type 2 diabetes care supportiveness in Iran</p>

<p>Psychometric properties of the Persian Health Care Climate Questionnaire (HCCQ-P): assessment of type 2 diabetes care supportiveness in Iran</p>

The Mediating Role of the Patient Health Engagement Model on the Relationship Between Patient Perceived Autonomy Supportive Healthcare Climate and Health Literacy Skills

Evaluation of a Stepped-Care eHealth HIV Prevention Program for Diverse Adolescent Men Who Have Sex With Men: Protocol for a Hybrid Type 1 Effectiveness Implementation Trial of SMART

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