Validity aspects of the patient feedback questionnaire on consultation skills (PFC), a promising learning instrument in medical education

Reinders, Marcel E.; Blankenstein, Annette H.; Knol, Dirk L.; Vet, Henrica C.W. de; Marwijk, Harm van

doi:10.1016/j.pec.2009.02.003

Cited by 26 publications

(33 citation statements)

References 16 publications

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“…'s dimensions of patient centredness. The Little instrument, the Consultation and Relation Empathy Measure (CARE) and the Patient Feedback Questionnaire on Communication Skills (PFC) covered five of the six dimensions.…”

Section: Resultsmentioning

confidence: 99%

“…Only the instrument developed by Reinders et al. (PFC) was rated as ‘excellent’ on all aspects of validity studied (internal consistency, content and structural validity) when evaluated by the COSMIN checklist, indicating methodology of the highest standard, but its reliability had not been studied. In general, further assessment of the validity and reliability of the instruments is recommended.…”

Section: Discussionmentioning

confidence: 98%

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Assessing patient-centred communication in teaching: a systematic review of instruments

et al. 2017

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ContextPatient‐centred communication is a key component of patient centredness in medical care. Therefore, adequate education in and assessment of patient‐centred communication skills are necessary. In general, feedback on communication skills is most effective when it is provided directly and is systematic. This calls for adequate measurement instruments.ObjectivesThe aim of this study was to provide a systematic review of existing instruments that measure patient centredness in doctor–patient communication and can be used to provide direct feedback.MethodsA systematic review was conducted using an extensive validated search strategy for measurement instruments in PubMed, EMBASE, PsycINFO and CINAHL. The databases were searched from their inception to 1 July 2016. Articles describing the development or evaluation of the measurement properties of instruments that measure patient centredness (by applying three or more of the six dimensions of a published definition of patient centredness) in doctor–patient communication and that can be used for the provision of direct feedback were included. The methodological quality of measurement properties was evaluated using the COSMIN checklist.ResultsThirteen articles describing 14 instruments measuring patient centredness in doctor–patient communication were identified. These studies cover a wide range of settings and patient populations, and vary in the dimensions of patient centredness applied and in methodological quality on aspects of reliability and validity.ConclusionsThis review gives a comprehensive overview of all instruments available for the measurement of patient centredness in doctor–patient communication that can be used for the provision of direct feedback and are described in the literature. Despite the widely felt need for valid and reliable instruments for the measurement of patient‐centred communication, most of the instruments currently available have not been thoroughly investigated. Therefore, we recommend further research into and enhancement of existing instruments in terms of validity and reliability, along with enhancement of their generalisability, responsiveness and aspects of interpretability in different contexts (real patients, simulated patients, doctors in different specialties, etc.). Comprehensibility and feasibility should also be taken into account.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 98%

Assessing patient-centred communication in teaching: a systematic review of instruments

et al. 2017

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“…Perceived patient-centeredness during consultation was measured afterwards by both the patients and the HCPs by the validated 16-item (4-point scale) dyadic patient feedback questionnaire on consultation skills (PFC; Table 1). 51 The PFC questionnaire has two parallel versions: a patient feedback version and a HCP self-assessment version 51…”

Section: Methodsmentioning

confidence: 99%

“…Baseline demographic, clinical and contextual measures of the 46 patients and 11 HCPs were obtained by a self-administered questionnaire, including the dyadic PFC 51. Descriptive analyses were used to describe the characteristics of the patients and HCPs, to calculate the mean PFC score per possible confounder, and to provide insight into the percentage of patients and HCPs who were fully satisfied with the consultation.…”

Section: Methodsmentioning

confidence: 99%

Barriers and facilitators influencing self-management among COPD patients: a mixed methods exploration in primary and affiliated specialist care

Hillebregt¹,

Vlonk²,

Bruijnzeels³

et al. 2016

COPD

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Self-management is becoming increasingly important in COPD health care although it remains difficult to embed self-management into routine clinical care. The implementation of self-management is understood as a complex interaction at the level of patient, health care provider (HCP), and health system. Nonetheless there is still a poor understanding of the barriers and effective facilitators. Comprehension of these determinants can have significant implications in optimizing self-management implementation and give further directions for the development of self-management interventions. Data were collected among COPD patients (N=46) and their HCPs (N=11) in three general practices and their collaborating affiliated hospitals. Mixed methods exploration of the data was conducted and collected by interviews, video-recorded consultations (N=50), and questionnaires on consultation skills. Influencing determinants were monitored by 1) interaction and communication between the patient and HCP, 2) visible and invisible competencies of both the patient and the HCP, and 3) degree of embedding self-management into the health care system. Video observations showed little emphasis on effective behavioral change and follow-up of given lifestyle advice during consultation. A strong presence of COPD assessment and monitoring negatively affects the patient-centered communication. Both patients and HCPs experience difficulties in defining personalized goals. The satisfaction of both patients and HCPs concerning patient centeredness during consultation was measured by the patient feedback questionnaire on consultation skills. The patients scored high (84.3% maximum score) and differed from the HCPs (26.5% maximum score). Although the patient-centered approach accentuating self-management is one of the dominant paradigms in modern medicine, our observations show several influencing determinants causing difficulties in daily practice implementation. This research is a first step unravelling the determinants of self-management leading to a better understanding.

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“…17 Op grond van eerder onderzoek hebben we geconcludeerd dat de educatieve waarde van patiëntenfeedback gerelateerd is aan de (medische) inhoud van het consult. 18,19 Deelnemers waardeerden de specifieke, aan het consult gerelateerde feedback en vonden deze uitvoerbaar in de huisartsenopleiding. Hoewel enkele onderzoeken hebben gerapporteerd over de waardering van patiënten-feedbackprogramma's, 9,18,20 is er nog slechts beperkt en tegenstrijdig bewijs voor de daadwerkelijke effecten op de verwerving of verbetering van consultvaardigheden.…”

Section: Controlegroepunclassified

Verbetert feedback van patiënten de consultvaardigheden van huisartsen-in-opleiding?

Reinders¹,

Blankenstein²,

Horst³

et al. 2010

HUWE

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OnderzoekEen veelbelovende educatieve methode is feedback van patiën-ten op consultvaardigheden van praktiserende artsen. Beoordeling van vaardigheden en het ontvangen van feedback hebben een sterk motiverende werking in het leerproces. 6,7 Aios krijgen doorgaans geregeld feedback van hun opleiders of docenten, maar het is de patiënt die de aios geconsulteerd heeft en theoretisch dus in een goede positie verkeert om feedback te geven. Om die reden zou feedback door patiënten als educatieve methode in de opleiding moeten worden opgenomen. 3,8,9 De toegepaste interventies met patiëntenfeedback lopen sterk uiteen. De meest praktische methode betreft het gebruik van een vragenlijst. [10][11][12][13][14] Andere toegepaste methoden zijn: individuele coaching van aios, waarbij de verzamelde resultaten van patiëntenenquêtes/-interviews worden besproken 8,9 of gepresenteerd in een rapport, 15 of groepsgewijze discussies over de resul- InleidingHet belang van adequaat communicerende artsen is alom erkend omdat er een relatie bestaat met enkele belangrijke uitkomsten van zorg, zoals verhoogde patiënttevredenheid, therapietrouw, symptoomverlichting en reductie van gezondheidszorgkosten. 1,2 In Nederland zijn twijfels ontstaan over de kwaliteit van het reguliere onderwijs in communicatievaardigheden voor artsen in opleiding tot specialist huisartsgeneeskunde (aios), omdat er geen sprake was van verbetering in de consultvoering. 3 Een focus op het nieuwe competentiegerichte onderwijs 4 en mogelijkheden voor zelfsturend onderwijs 5 in een op de praktijk gebaseerde leeromgeving zijn tegenwoordig gangbare thema's in onderwijsprogramma's. Het is nog niet duidelijk in hoeverre deze nieuwe onderwijsprincipes aios daadwerkelijk helpen bij het verbeteren van hun consultvaardigheden. Inleiding Het doel van dit onderzoek is vast te stellen of een programma met feedback door patiënten dat is toegevoegd aan het bestaande onderwijs in arts-patiëntcommunicatie tot betere consultvaardigheden leidt van artsen-in-opleiding tot specialist huisartsgeneeskunde (aios). We wilden ook nagaan of procesmaten, zoals de intensiteit van deelname aan het programma, het effect van de interventie beïnvloeden. Methoden In het kader van een gecontroleerde trial in 2006 volgde een subcohort van eerstejaars-aios van het VUmc een trainingsprogramma in patiëntenfeedback, dat was toegevoegd aan het reguliere onderwijs in arts-patiëntcommunicatie (interventiegroep, n = 23). Een subcohort volgde alleen het reguliere onderwijs (controlegroep, n = 30). Gestandaardiseerde simulatiepatiënten bezochten de praktijken en maakten video-opnamen van de consulten als beginmeting en na drie maanden (na de interventie). We wezen de video-opnamen gerandomiseerd toe aan acht getrainde docenten voor beoordeling aan de hand van de MAAS-Globaal (scores van 0-6). We analyseerden de resultaten met een multiniveau, lineair regressiemodel. Resultaten De gegevens van 50 aios waren beschikbaar voor follow-upanalyse. Aios in zowel de interventiegroep als in de controlegroep verbeterde...

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Validity aspects of the patient feedback questionnaire on consultation skills (PFC), a promising learning instrument in medical education

Cited by 26 publications

References 16 publications

Assessing patient-centred communication in teaching: a systematic review of instruments

Assessing patient-centred communication in teaching: a systematic review of instruments

Barriers and facilitators influencing self-management among COPD patients: a mixed methods exploration in primary and affiliated specialist care

Verbetert feedback van patiënten de consultvaardigheden van huisartsen-in-opleiding?

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