2.50
Hdl Handle:
http://hdl.handle.net/10755/151565
Type:
Presentation
Title:
Health Partnership: an Instrument Development Study
Abstract:
Health Partnership: an Instrument Development Study
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Boren, Denise M., PhD, RN, CNS
P.I. Institution Name:Naval Medical Center
Title:Head, Nursing Research and Analysis
Background: Provider-patient relationships are recognized as important for adherence and ultimately improved health status. Health partnership is characterized as a practice model that advocates mutuality, shared accountability, responsibility and decision-making, and combined action toward meeting health care goals. There are several instruments that measure alliance, however no measures of health partnership were found. Objective: To establish psychometric properties of the Health Partnership Scale (HPS). Instrument Development: Following review of literature and qualitative data from experts, a conceptual schema of health partnership was developed. Four dimensions of the concept were identified: connection, reciprocity, sharing/integration, and synergy. Experts wrote items for each dimension. An 85-item judge's version of the HPS was developed to evaluate content validity. Items with low validity ratings were deleted. The new scale contained 60 items with CVI percentages from .80 to .94; total scale CVI was .87. Pilot Testing: A study with 68 participants was conducted to evaluate psychometric properties of the HPS. Following factor analysis, the scale was revised to 38 items. Correlation between the subscales was high, indicating the HPS was one scale with four dimensions. The reliability coefficient was .98. Convergent/divergent validity was supported. Psychometric Evaluation: A study with 297 participants was conducted in two primary care clinics to confirm the results of the pilot study and evaluate the HPS usefulness in a clinical setting. Following factor analysis, the scale was revised to 30 items with three dimensions: synergy-integration, communication-sharing and reciprocity. The reliability coefficient for the HPS was 0.97. Convergent and divergent validity were supported. Health partnership predicted 53.9 % of the variance in General Satisfaction (p < 0.001). Conclusion: There is little known about health partnerships between providers and their patients. The reliable/valid HPS can be used in research to fill gaps in knowledge.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleHealth Partnership: an Instrument Development Studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151565-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Health Partnership: an Instrument Development Study</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Boren, Denise M., PhD, RN, CNS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Naval Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Head, Nursing Research and Analysis</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">dmboren@nmcsd.med.navy.mil</td></tr><tr><td colspan="2" class="item-abstract">Background: Provider-patient relationships are recognized as important for adherence and ultimately improved health status. Health partnership is characterized as a practice model that advocates mutuality, shared accountability, responsibility and decision-making, and combined action toward meeting health care goals. There are several instruments that measure alliance, however no measures of health partnership were found. Objective: To establish psychometric properties of the Health Partnership Scale (HPS). Instrument Development: Following review of literature and qualitative data from experts, a conceptual schema of health partnership was developed. Four dimensions of the concept were identified: connection, reciprocity, sharing/integration, and synergy. Experts wrote items for each dimension. An 85-item judge's version of the HPS was developed to evaluate content validity. Items with low validity ratings were deleted. The new scale contained 60 items with CVI percentages from .80 to .94; total scale CVI was .87. Pilot Testing: A study with 68 participants was conducted to evaluate psychometric properties of the HPS. Following factor analysis, the scale was revised to 38 items. Correlation between the subscales was high, indicating the HPS was one scale with four dimensions. The reliability coefficient was .98. Convergent/divergent validity was supported. Psychometric Evaluation: A study with 297 participants was conducted in two primary care clinics to confirm the results of the pilot study and evaluate the HPS usefulness in a clinical setting. Following factor analysis, the scale was revised to 30 items with three dimensions: synergy-integration, communication-sharing and reciprocity. The reliability coefficient for the HPS was 0.97. Convergent and divergent validity were supported. Health partnership predicted 53.9 % of the variance in General Satisfaction (p &lt; 0.001). Conclusion: There is little known about health partnerships between providers and their patients. The reliable/valid HPS can be used in research to fill gaps in knowledge.</td></tr></table>en_GB
dc.date.available2011-10-26T11:06:28Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:06:28Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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