Reliability and validity testing of the healthcare provider-patient communication instrument: A pilot study in a Malaysian primary care setting

A. Nor Azmaniza, Khadijah Shamsuddin, S. Aazami

Research output: Contribution to journalArticle

Abstract

There is a growing interest in research on satisfaction with healthcare provider (HCP) and HCP- patient communication as a measure of healthcare quality of HCP's communication competency. However, many communication assessments were not comprehensive measures and are not entirely accurate in measuring what is supposed to be measured. This study aimed at assessing the validity and reliability of a newly developed HCP-PC instrument in a Malaysian primary care setting. The HCP-PC instrument was developed using items adapted from existing instruments as well as self-developed items. A pilot study involving 277 clients of an outpatient clinic was conducted in HKL using the proposed instrument which was distributed immediately after face to face consultation. The content validity and Cronbach alpha reliability were assessed. Factor analysis constructed 3 components, exchanging information (EI), socioemotional behaviour (SB) and communication style (CS). All items loaded on the corresponding component with factor loading ≥0.6, suggesting that all items in the respective component are measuring the same direction. PCA of the final 30 items explain 61.98% of the total variance with 6.66%, 47.18% and 8.13% explained by EI, SB and CS respectively. Component-based reliability show strong internal consistency with Cronbach alpha, aEI= 0.92, aSB= 0.96 and aCS= 0.70. The pilot study supported the instrument validity and reliability after initial tests. However, further study needs to be done to confirm its construct validity to help establish a valid and reliable HCP-PC instrument for measuring patient satisfaction with HCP-PC that can be used in primary care setting.

Original languageEnglish
Pages (from-to)12-20
Number of pages9
JournalMalaysian Journal of Public Health Medicine
Volume14
Issue number2
Publication statusPublished - 2014

Fingerprint

Reproducibility of Results
Health Personnel
Primary Health Care
Communication
Passive Cutaneous Anaphylaxis
Quality of Health Care
Ambulatory Care Facilities
Patient Satisfaction
Statistical Factor Analysis
Referral and Consultation
Research

Keywords

  • Communication
  • Malaysia
  • Primary health care
  • Reliability

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

@article{41cfe0aa75f8499e991c402e13d5ae19,
title = "Reliability and validity testing of the healthcare provider-patient communication instrument: A pilot study in a Malaysian primary care setting",
abstract = "There is a growing interest in research on satisfaction with healthcare provider (HCP) and HCP- patient communication as a measure of healthcare quality of HCP's communication competency. However, many communication assessments were not comprehensive measures and are not entirely accurate in measuring what is supposed to be measured. This study aimed at assessing the validity and reliability of a newly developed HCP-PC instrument in a Malaysian primary care setting. The HCP-PC instrument was developed using items adapted from existing instruments as well as self-developed items. A pilot study involving 277 clients of an outpatient clinic was conducted in HKL using the proposed instrument which was distributed immediately after face to face consultation. The content validity and Cronbach alpha reliability were assessed. Factor analysis constructed 3 components, exchanging information (EI), socioemotional behaviour (SB) and communication style (CS). All items loaded on the corresponding component with factor loading ≥0.6, suggesting that all items in the respective component are measuring the same direction. PCA of the final 30 items explain 61.98{\%} of the total variance with 6.66{\%}, 47.18{\%} and 8.13{\%} explained by EI, SB and CS respectively. Component-based reliability show strong internal consistency with Cronbach alpha, aEI= 0.92, aSB= 0.96 and aCS= 0.70. The pilot study supported the instrument validity and reliability after initial tests. However, further study needs to be done to confirm its construct validity to help establish a valid and reliable HCP-PC instrument for measuring patient satisfaction with HCP-PC that can be used in primary care setting.",
keywords = "Communication, Malaysia, Primary health care, Reliability",
author = "{Nor Azmaniza}, A. and Khadijah Shamsuddin and S. Aazami",
year = "2014",
language = "English",
volume = "14",
pages = "12--20",
journal = "Malaysian Journal of Public Health Medicine",
issn = "1675-0306",
publisher = "Malaysian Public Health Physicians' Association",
number = "2",

}

TY - JOUR

T1 - Reliability and validity testing of the healthcare provider-patient communication instrument

T2 - A pilot study in a Malaysian primary care setting

AU - Nor Azmaniza, A.

AU - Shamsuddin, Khadijah

AU - Aazami, S.

PY - 2014

Y1 - 2014

N2 - There is a growing interest in research on satisfaction with healthcare provider (HCP) and HCP- patient communication as a measure of healthcare quality of HCP's communication competency. However, many communication assessments were not comprehensive measures and are not entirely accurate in measuring what is supposed to be measured. This study aimed at assessing the validity and reliability of a newly developed HCP-PC instrument in a Malaysian primary care setting. The HCP-PC instrument was developed using items adapted from existing instruments as well as self-developed items. A pilot study involving 277 clients of an outpatient clinic was conducted in HKL using the proposed instrument which was distributed immediately after face to face consultation. The content validity and Cronbach alpha reliability were assessed. Factor analysis constructed 3 components, exchanging information (EI), socioemotional behaviour (SB) and communication style (CS). All items loaded on the corresponding component with factor loading ≥0.6, suggesting that all items in the respective component are measuring the same direction. PCA of the final 30 items explain 61.98% of the total variance with 6.66%, 47.18% and 8.13% explained by EI, SB and CS respectively. Component-based reliability show strong internal consistency with Cronbach alpha, aEI= 0.92, aSB= 0.96 and aCS= 0.70. The pilot study supported the instrument validity and reliability after initial tests. However, further study needs to be done to confirm its construct validity to help establish a valid and reliable HCP-PC instrument for measuring patient satisfaction with HCP-PC that can be used in primary care setting.

AB - There is a growing interest in research on satisfaction with healthcare provider (HCP) and HCP- patient communication as a measure of healthcare quality of HCP's communication competency. However, many communication assessments were not comprehensive measures and are not entirely accurate in measuring what is supposed to be measured. This study aimed at assessing the validity and reliability of a newly developed HCP-PC instrument in a Malaysian primary care setting. The HCP-PC instrument was developed using items adapted from existing instruments as well as self-developed items. A pilot study involving 277 clients of an outpatient clinic was conducted in HKL using the proposed instrument which was distributed immediately after face to face consultation. The content validity and Cronbach alpha reliability were assessed. Factor analysis constructed 3 components, exchanging information (EI), socioemotional behaviour (SB) and communication style (CS). All items loaded on the corresponding component with factor loading ≥0.6, suggesting that all items in the respective component are measuring the same direction. PCA of the final 30 items explain 61.98% of the total variance with 6.66%, 47.18% and 8.13% explained by EI, SB and CS respectively. Component-based reliability show strong internal consistency with Cronbach alpha, aEI= 0.92, aSB= 0.96 and aCS= 0.70. The pilot study supported the instrument validity and reliability after initial tests. However, further study needs to be done to confirm its construct validity to help establish a valid and reliable HCP-PC instrument for measuring patient satisfaction with HCP-PC that can be used in primary care setting.

KW - Communication

KW - Malaysia

KW - Primary health care

KW - Reliability

UR - http://www.scopus.com/inward/record.url?scp=84940263089&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84940263089&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84940263089

VL - 14

SP - 12

EP - 20

JO - Malaysian Journal of Public Health Medicine

JF - Malaysian Journal of Public Health Medicine

SN - 1675-0306

IS - 2

ER -