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Volume 20, Issue 5 (September - october 2021)                   Payesh 2021, 20(5): 619-628 | Back to browse issues page

Ethics code: IR.SBMU.SME.REC.1398.125

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Akbarilakeh M, Shouaybi S. Psychometric properties of Persian version of Doctor-Patient Communication (DPC) Scale for skill assessment in acute and critical conditions in Iran. Payesh. 2021; 20 (5) :619-628
URL: http://payeshjournal.ir/article-1-1583-en.html
1- Center for Educational Research in Medical Sciences (CERMS), Department of Medical Education, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
2- Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract:   (241 Views)
Objective(s): Establishing a proper relationship between patient and physician is an essential component of quality medical care and effective communication plays an important role in health system. This study was conducted to investigate the psychometric properties of the DPC for doctor-patient communication skill assessment scale in acute and critical conditions in Iran.
Methods: In this study, the Persian version of the physician-patient relationship assessment scale in acute and critical conditions was used. The statistical population included patients referring to the hospitals affiliated to the Shahid Beheshti University of Medical Sciences. Based on the inclusion criteria, (n=380) were selected by convenience sampling method.  After translation and adaptation; face and content validity, reliability and structural validity (confirmatory factor analysis) were used.
Results: Out of 380 participants in the study, 233 (61.3%) were female and 147 (38.7%) were male. More than half of participants 198 (52.1%) had a secondary education and 315 (82.9%) were employed. The content validity ratio according to experts’ panel was 0.99. Confirmatory factor analysis showed that of all 15 items were loaded with a factor loading above 0.4 and the scale had a good fit in Iranian society. Reliability was 0.96 using Cronbach's alpha and 0.9 using test retest analysis.
Conclusion: The Iranian version of doctor-patient communication for skill assessment in acute and critical conditions showed good validity and reliability. By using the scale health system managers can recognize the strengths and weaknesses of communication skill and based on, they can design appropriate interventions.
Full-Text [PDF 1076 kb]   (185 Downloads)    
type of study: Research | Subject: Medical
Received: 2021/02/16 | Accepted: 2021/09/14 | ePublished ahead of print: 2021/09/25 | Published: 2021/10/18

1. Gordon JA, Tancredi DN, Binder WD, WilkersonWM, Shaffer DW. Assessment of a clinical performance evaluation tool for use in a simulator-based testing environment: a pilot study. Academic Medicine 2003;78: 45-7 [DOI:10.1097/00001888-200310001-00015]
2. Loge JH, Kaasa S, Hytten K. Disclosing the cancer diagnosis: the patients' experiences. European Journal of Cancer 1997;33:878-82 [DOI:10.1016/S0959-8049(97)00001-4]
3. Asemani O. A review of the models of physician-patient relationship and its challenges. Iranian Journal of Medical Education 2012;5:36-50
4. N kerse SB, Mainous AG 3rd,G Young ,G Coster ,B Arroll , . Physician-patient relationship and medication compliance: a primary care investigation. Annals of Family Medicine 2004;2: 455-61 [DOI:10.1370/afm.139]
5. Levinson W, Pizzo PA. Patient-physician communication: it's about time. Journal of the American Medical Association 2011:4;305:1802-3 [DOI:10.1001/jama.2011.556]
6. M shafati MJz. Physician-Patient Relationship: Ethnography of Multiple Patient Visits at Private Offices of Doctors. Journal of Qualitative Research in Health Sciences 2013;2: 46-61
7. Shafati M, Zahedi, M. A Sociological explanation of the Doctor-Patient Relationship (A qualitative study in the city of Ahvaz, Iran). Journal of Iranian Social Studies 2014; 8: 107-139 [Persian]
8. Daneshmandi M, Amiri H, Vahedi M, Farshi M, Saghafi A, Zigheymat F. Assessing the level of preparedness for confronting crisis such as flood, earthquake, fire and storm in some selected hospitals of Iran. Iranian Journal of Military Medicine 2010;12:167-71 [Persian]
9. Drennan LT, McConnell A, Stark A. Risk and crisis management in the public sector: Routledge; 2th Edition: Thomas-Opus College of Business Minneapolis: Minnesota USA, 2014: 250-286 [DOI:10.4324/9781315816456]
10. Lofgren R, Karpf M, Perman J, Higdon CM. The US health care system is in crisis: implications for academic medical centers and their missions. Academic Medicine 2006: 81: 713-20 [DOI:10.1097/00001888-200608000-00007]
11. Suikkala A, Leino-Kilpi H. Nursing student-patient relationship: Experiences of students and patients. Nurse Education Today 2005;25:344-54 [DOI:10.1016/j.nedt.2005.03.001]
12. Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Research in Nursing & Health 2006;29:489-97 [DOI:10.1002/nur.20147]
13. Keen A, Klein S, Alexander DA. Assessing the communication skills of doctors in training: reliability and sources of error. Advances in Health Sciences Education 2003;8:5-16 [DOI:10.1023/A:1022609920310]
14. Zill JM, Christalle E, Müller E, Härter M, Dirmaier J, Scholl I. Measurement of physician-patient communication-a systematic review. PLoS One. 2014;9: 112637 [DOI:10.1371/journal.pone.0112637]
15. Sustersic M, Gauchet A, Kernou A, Gibert C, Foote A, Vermorel C, et al. A scale assessing doctor-patient communication in a context of acute conditions based on a systematic review. PloS One 2018;13: 0192306 [DOI:10.1371/journal.pone.0192306]
16. Soltani Arabshahi SK, Ajami A, Siabani S. Investigation of doctor-patient communication skills teaching: medical learners' perception (Stager-Intern) and staffs of Iran University of Medical Sciences & Kermanshah University of Medical Sciences. Razi Journal of Medical Sciences 2004;11:423-31 [Persian]
17. Zamani A, Shams B, Moazzam E. Communication skills training for physicians as a strategy for enhancing patients' satisfaction: a model for continuing education. Iranian Journal of Medical Education 2004;4:15-22 [Persian]
18. Attari Moghadam J, Mokhlespour S, Valizadeh M, Momtazi S, Sharifi F, Ghodrati S, et al. Teaching "doctor-patient relationship" to the medical student: assesment of knowledge and satisfaction. Journal of Medical Education Development 2010;3:26-33 [Persian]
19. Pakdaman A, Ahmadpour R, Serajzadeh M. Dental Consultation Communication Checklist: Translation and Validation of the Persian Version. Journal of Islamic Dental Association of Iran 2015;27:173-81 [Persian]
20. Zamanzadeh V, Ghahramanian A, Rassouli M, Abbaszadeh A, Alavi-Majd H, Nikanfar A-R. Design and implementation content validity study: development of an instrument for measuring patient-centered communication. Journal of Caring Sciences 2015;4:165 [Persian] [DOI:10.15171/jcs.2015.017]
21. Attarha M, Keshavarz Z, Bakhtiari M, Jamilian M, Zayeri F. Development and Psychometric Tests of Midwife-Mother Relationship Scale (MMRS) in Delivery Room. Global Journal of Health Science 2017;9:184 [Persian] [DOI:10.5539/gjhs.v9n2p184]
22. Vakili MM, Hidarnia AR, Niknami S. Development and psychometrics of an interpersonal communication skills scale (ASMA) among Zanjan Health volunteers. Journal of Hayat 2012;18:5-19 [Persian]
23. López PR. Psychometric validation of the Spanish version of the Patient-Doctor Relationship Questionnaire (PDRQ). Actas Españolas de Psiquiatría 2009;37:94-100
24. Wachira J, Middlestadt S, Reece M, Peng C-YJ, Braitstein P. Psychometric assessment of a physician-patient communication behaviors scale: the perspective of adult HIV patients in Kenya. AIDS Research and Treatment 2013;2013:706191 [DOI:10.1155/2013/706191]
25. Campbell C, Lockyer J, Laidlaw T, MacLeod H. Assessment of a matched‐pair instrument to examine doctor− patient communication skills in practising doctors. Medical Education 2007;41:123 [DOI:10.1111/j.1365-2929.2006.02657.x]
26. Afrasiabifar A., Yaghmaei F, Abdoli S, Abed Saeidi ZH. Research Tool translation and cross cultural adaptation. Advances in Nursing and Midwifery (Faculty of Nursing of Midwifery Quartely) 2006;16:58-67[Persian]
27. Bullinger M, Alonso J, Apolone G, Leplege A, Sullivan M, Wood-Dauphinee S, et al. Translating health status questionnaires and evaluating their quality: the IQOLA Project approach. International Quality of Life Assessment. Journal of Clinical Epidemiology1998;51:913-23 [DOI:10.1016/S0895-4356(98)00082-1]
28. Taghizadeh Z, Ebadi A, Montazeri A, Shahvari Z, Tavousi M, Bagherzadeh R. Psychometric properties of health related measures. Part 1: Translation, development, and content and face validity. Payesh (Health Monitor) 2017;16:343-57[Persian]
29. Aaronson NK, Acquadro C, Alonso J, Apolone G, Bucquet D, Bullinger M, Bungay K, Fukuhara S, Gandek B, Keller S, et al. International Quality of Life Assessment (IQOLA) Project. Quality Life Research 1992;1:349-51 [DOI:10.1007/BF00434949]

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