TURKISH VALIDITY AND RELIABILITY STUDY OF THE PATIENT PARTICIPATION SCALE

Öz

Objective: The aim of this study is to establish the Turkish validity and reliability of the Patient Participation Scale. Method: This methodological study was conducted with 214 patients receiving outpatient or inpatient treatment in Turkey. Personal Information Form and Patient Participation Scale were used to collect the research data. Language equivalence, content validity and construct validity were performed to determine the validity of this scale. Within the scope of reliability analysis, Cronbach's alpha value and split-half reliability analysis were used to assess consistency. Results: The content validity index score of this scale was determined as 1.0. The Barlett Sphericity Tests value was (2260.928, p<0.00) and the Kaiser-Meyer-Olkin (KMO) value was 0.86 and the data set of the scale was found to be suitable for factor analysis. The Cronbach's Alpha coefficient of the scale was found to be 0.90. As a result of the analysis, the Guttman Equivalent Halves Coefficient was calculated as 0.91 and the Spearman-Brown Correlation Coefficient was calculated as 0.92 and it was concluded that the reliability of the scale was at an acceptable level. Conclusion: The study was concluded that the Turkish form of the Patient Participation Scale is a valid and reliable measurement tool for evaluating the process of participation in the care process in patients receiving outpatient or inpatient treatment.

Anahtar Kelimeler

• Care
• Patient
• Validity
• Reliability

Kaynakça

1. World Health Organization. Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care, 2021; 6 February 2024. Available from: https://www.who.int/teams/integrated-health-services/patient-safety/policy/global-patient-safety-action-plan.
2. Won MH, Shin SH. Mediating effects of patient safety perception and willingness to participate in patient safety on the relationship between health literacy and patient participation behavior among inpatients. Front Public Health. 2024;12:1349891.
3. Loh A, Simon D, Wills CE, et al. The effects of a shared decision-making intervention in primary care of depression: a cluster-randomized controlled trial. Patient Educ Couns. 2007;67(3):324-332.
4. Ding B, Liu W, Tsai SB, et al. Effect of patient participation on nurse and patient outcomes in inpatient healthcare. Int J Environ Res Public Health. 2019;16(8):1344.
5. Fumagalli LP, Radaelli G, Lettieri E, et al. Patient empowerment and its neighbours: clarifying the boundaries and their mutual relationships. Health Policy. 2015;119(3):384-394.
6. Song M, Kim M. Development and validation of a patient participation scale. J Adv Nurs. 2023;79(6):2393-2403.
7. Castro EM, Van Regenmortel T, Vanhaecht K, et al. Patient empowerment, patient participation and patient-centeredness in hospital care: A concept analysis based on a literature review. Patient Educ Couns. 2016;99(12):1923-1939.
8. Halabi IO, Scholtes B, Voz B, et al. “Patient participation” and related concepts: a scoping review on their dimensional composition. Patient Educ Couns. 2020;103(1):5-14.

9. Tobiano G, Bucknall T, Marshall A, et al. Patients’ perceptions of participation in nursing care on medical wards. Scand J Caring Sci. 2016;30(2):260-270.
10. Schulz PJ, Nakamoto K, Health literacy and patient empowerment in health communication: the importance of separating conjoined twins. Patient Educ Couns. 2013;90(1):4-11.
11. Wu SY, Wang WT, Hsieh YH. Exploring knowledge sharing behavior in healthcare organizations: an integrated perspective of the empowerment theory and self-determination theory. Kybernetes. 2022;51(8):2529-2553.
12. Årestedt L, Martinsson C, Hjelm C, et al. Patient participation in dialysis care-A qualitative study of patients’ and health professionals’ perspectives. Health expectations. 2019;22(6):1285-1293.
13. Nilsson M, From I, Lindwall L. The significance of patient participation in nursing care–a concept analysis. Scand J Caring Sci. 2019;33(1):244-251.
14. Larsson I, Bremander A, Andersson M. Patient empowerment and associations with disease activity and pain‐related and lifestyle factors in patients with rheumatoid arthritis. ACR Open Rheumatol. 2021;3(12):842-849.
15. Pruette CS, Amaral S. Empowering patients to adhere to their treatment regimens: a multifaceted approach. Pediatr Transplant. 2021;25(1):e13849.
16. Dilara U, Korkmaz F, Akyar İ, et al. Patient Health Engagement Scale: Validity and reliability for Turkish patients with chronic diseases. Cukurova Medical Journal. 2019;44(3):1055-1063.
17. Dede B, Eser E, Dündar PE, et al. Kronik Hastalık Bakım/Hizmet Değerlendirme Ölçeği Hasta Anketinin (Patient Assessment of Chronic IllnessCare-PACIC) Türkçe Sürümünün Çeşitli Süregen Hastalıklardaki Yapı Geçerliliği. Sağlık ve Toplum. 2017;27(3):56-63.
18. Lehdonvirta V, Oksanen A, Räsänen P, Blank G. Social media, web, and panel surveys: using non‐probability samples in social and policy research. Policy Internet. 2021;13(1): 134-155.
19. Davis KA. Validity and reliability in qualitative research on second language acquisition and teaching. Another researcher comments. Tesol Quarterly. 1992;26(3):605-608.
20. Büyüköztürk Ş. Sosyal bilimler için veri analizi el kitabı. Pegem Atıf İndeksi. 2018:001-214.
21. Maneesriwongul W, Dixon JK. Instrument translation process: a methods review. J Adv Nurs, 2004; 48(2); 175-186.
22. Alpar C. Spor Sağlık ve Eğitim Bilimlerinden Örneklerle Uygulamalı İstatistik ve Geçerlik Güvenirlik. 2016.
23. Lewis TF. Evidence regarding the internal structure: Confirmatory factor analysis. Meas Eval Couns Dev. 2017;50(4):239-247.
24. Beaton DE. Bombardier C, Guillemin F, et al., Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-3191.
25. Heale R, Twycross A. Validity and reliability in quantitative studies. Evid Based Nurs. 2015;18(3):66-67.
26. Karakoç A, Dönmez L. Ölçek geliştirme çalışmalarında temel ilkeler. Tıp Eğitimi Dünyası. 2014;13(40):39-49.
27. Williams DM, Rhodes RE. The confounded self-efficacy construct: conceptual analysis and recommendations for future research. Health Psychol Rev. 2016;10(2):113-128.
28. Orçan F. Exploratory and confirmatory factor analysis: which one to use first? JMEEP. 2018;9(4):414-421.
29. Denis DJ. Applied univariate, bivariate, and multivariate statistics: Understanding statistics for social and natural scientists, with applications in SPSS and R. Wiley. 2021:1-576.
30. Maskey R, Fei J, Nguyen HO. Use of exploratory factor analysis in maritime research. AJSL. 2018;34(2):91-111.
31. Kiliç S. Cronbach's alpha reliability coefficient. PBS. 2016;6(1):47.
32. Aksayan S, Gözüm S. Kültürlerarası ölçek uyarlaması için rehber I: Ölçek uyarlama aşamaları ve dil uyarlaması. Hemşirelik Araştırma Dergisi. 2002;4(1):9-14.