Development and Validation of a Culturally Adapted Patient‐Reported Experience Measure for Diabetes Care in Thailand: Mixed‐Methods Study.
Background: Patient‐centred care is essential for managing Type 2 diabetes, as it relies on understanding patients' experiences and perspectives. However, in Thailand, no culturally adapted patient‐reported experience measure (PREM) exists to capture these insights and support quality improvement in...
| Publicado en: | Health Expectations Vol. 29; no. 2; pp. 1 - 12 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193365340&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193365340 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Apr2026 vid: 29 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 193365340 193365340 193365340 10.1111/hex.70619 193365340 ppf: 1 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Development and Validation of a Culturally Adapted Patient‐Reported Experience Measure for Diabetes Care in Thailand: Mixed‐Methods Study. aug: au: Tint, Soe Sandi Buawangpong, Nida Jiraporncharoen, Wichuda Oo, Myo Zin Wiwatkunupakarn, Nutchar Rerkasem, Kittipan Kulprachakarn, Kanokwan Chuljerm, Hataichanok O'Brien, Timothy E. Mathur, Rohini Rawdaree, Petch Angkurawaranon, Chaisiri affil: Global Health and Chronic Conditions Research Center, Chiang Mai University, Chiang Mai, Thailand sug: subj: Instrument Construction Instrument Validation Instrument Adaptation Diabetes Mellitus, Type 2 Therapy Patient Attitudes Patient-Reported Outcomes Primary Health Care Thais Psychosocial Factors Human Funding Source Thailand Male Female Adult Middle Age Aged Aged, 80 and Over Multimethod Studies Face Validity Construct Validity Translations Exploratory Research Factor Analysis Confirmability (Research) Structural Equation Modeling Chi Square Test Internal Consistency Descriptive Statistics Data Analysis Software Pearson's Correlation Coefficient Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background: Patient‐centred care is essential for managing Type 2 diabetes, as it relies on understanding patients' experiences and perspectives. However, in Thailand, no culturally adapted patient‐reported experience measure (PREM) exists to capture these insights and support quality improvement in diabetes care. Objective: To develop and validate a culturally adapted PREM for Thai people with Type 2 diabetes receiving primary care. Methods: This mixed‐methods study was conducted at Saraphi Hospital, Chiang Mai, from July to December 2024. Stage 1 involved drafting the initial PREM based on a prior scoping review. In Stage 2, content validity was assessed by experts, and face validity was evaluated through patient interviews. Stage 3 involved a quantitative survey of patients to assess construct validity and reliability using exploratory and confirmatory factor analyses. Results: The initial PREM included 37 items across four domains, developed based on findings from the scoping review. After expert and patient feedback, the tool was refined. Exploratory and confirmatory factor analyses confirmed the tool's structure, resulting in a final version with 16 items across four domains: care planning, patient education, professionalism and quality of service. This final PREM structure explained 60.1% of overall variance, and demonstrated good internal consistency (Cronbach's alpha of 0.84), supporting its utility for capturing patient experiences in the Thai healthcare setting. Conclusion: This study developed the first culturally adapted PREM for Thai people living with diabetes. Although further implementation is needed, this current validated tool can support patient‐centred care in Thailand and other low‐ and middle‐income settings in Southeast Asia. Patient or Public Contribution: The development of this instrument actively involved patients throughout key stages. During content validation, individuals living with diabetes participated in an expert panel and provided feedback on item clarity, relevance and comprehensiveness. Their suggestions directly influenced revisions to the questionnaire. For face validity, a pilot test was conducted with patients in a primary care setting, gathering their insights on wording, usability and cultural appropriateness. Their contributions ensured the tool was clear, acceptable and contextually relevant to Thai people living with diabetes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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