The Diabetes Continuity of Care Scale: the development and initial evaluation of a questionnaire that measures continuity of care from the patient perspective.
The purpose of the present study was to develop and pilot test a questionnaire to assess continuity of care from the perspective of patients with diabetes. Seven patient and two healthcare-provider focus groups were conducted. These focus groups generated 777 potential items. This number was reduced...
| Published in: | Health & Social Care in the Community Vol. 12; no. 6; pp. 475 - 488 |
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| Main Authors: | , , , , , , |
| Format: | questionnaire/scale research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Nov2004
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106676777&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106676777 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660410 EVX jtl: Health & Social Care in the Community issn: 09660410 maglogo: Y pubinfo: dt: Nov2004 vid: 12 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106676777 106676777 2004207476 10.1111/j.1365-2524.2004.00517.x NLM15717895 106676777 ppf: 475 ppct: 13 formats: fmt: @attributes: type: P tig: atl: The Diabetes Continuity of Care Scale: the development and initial evaluation of a questionnaire that measures continuity of care from the patient perspective. aug: au: Dolovich LR Nair KM Ciliska DK Lee HN Birch S Gafni A Hunt DL affil: Centre for Evaluation of Medicines, 105 Main Street East, Level P1, Hamilton, Ontario, Canada L8N 1G6; ldolovic@mcmaster.ca sug: subj: Continuity of Patient Care Evaluation Diabetes Mellitus Instrument Construction Instrument Validation Aged Audiorecording Coefficient alpha Confidence Intervals Construct Validity Content Validity Convenience Sample Data Analysis Software Descriptive Statistics Diabetic Patients Face Validity Factor Analysis Female Focus Groups Funding Source Glycated Hemoglobin Internal Consistency Interview Guides Interviews Male Middle Age Ontario Purposive Sample Questionnaires Scales T-Tests Test-Retest Reliability Validation Studies Human Aged: 65+ years Middle Aged: 45-64 years Female Male ab: The purpose of the present study was to develop and pilot test a questionnaire to assess continuity of care from the perspective of patients with diabetes. Seven patient and two healthcare-provider focus groups were conducted. These focus groups generated 777 potential items. This number was reduced to 56 items after item reduction, face validity testing and readability analysis, and to 47 items after a preliminary factor analysis. Readability was assessed as requiring 7-8 years of schooling. Sixty adult patients with diabetes completed the draft Diabetes Continuity of Care Scale (DCCS) at a single point in time to assess the validity of the instrument. Patients completed the draft DCCS again 2 weeks later to assess test-retest reliability. A provisional factor analysis and grouping according to clinical sense yielded five domains: access and getting care, care by doctor, care by other healthcare professionals, communication between healthcare professionals, and self-care. The internal consistency (Cronbach's alpha) for the whole scale was 0.89. The testretest reliability was r = 0.73. The DCCS total score was moderately correlated with some of the measures used to establish construct validity. The DCCS could differentiate between patients who did and did not achieve specific process and clinical indicators of good diabetes care (e.g. Hba1c tested within 6 months). The development of the DCCS was centred on the patient's perspective and revealed that the patient perspective regarding continuity of care extends beyond the concept of seeing one doctor. Initial testing of this instrument demonstrates that it has promise as a reliable and valid measure in this area. pubtype: Academic Journal doctype: questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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