Construct validity of the Dutch version of the 12-item Partners in Health scale: Measuring patient self-management behaviour and knowledge in patients with Chronic Obstructive Pulmonary Disease

Anke Lenferink; Tanja Effing; Peter Harvey; Malcolm Battersby; Peter Frith; Wendy van Beurden; Job van der Palen; Muirne C. S. Paap

doi:10.1371/journal.pone.0161595

Construct validity of the Dutch version of the 12-item Partners in Health scale: Measuring patient self-management behaviour and knowledge in patients with Chronic Obstructive Pulmonary Disease

Anke Lenferink^*, Tanja Effing, Peter Harvey, Malcolm Battersby, Peter Frith, Wendy van Beurden, Job van der Palen, Muirne C. S. Paap

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

27 Citations (Scopus)

216 Downloads (Pure)

Abstract

Objective

The 12-item Partners in Health scale (PIH) was developed in Australia to measure self-management behaviour and knowledge in patients with chronic diseases, and has undergone several changes. Our aim was to assess the construct validity and reliability of the latest PIH version in Dutch COPD patients.

Methods

The 12 items of the PIH, scored on a self-rated 9-point Likert scale, are used to calculate total and subscale scores (knowledge; coping; recognition and management of symptoms; and adherence to treatment). We used forward-backward translation of the latest version of the Australian PIH to define a Dutch PIH (PIH(Du)). Mokken Scale Analysis and common Factor Analysis were performed on data from a Dutch COPD sample to investigate the psychometric properties of the Dutch PIH; and to determine whether the four-subscale solution previously found for the original Australian PIH could be replicated for the Dutch PIH.

Results

Two subscales were found for the Dutch PIH data (n = 118); 1) knowledge and coping; 2) recognition and management of symptoms, adherence to treatment. The correlation between the two Dutch subscales was 0.43. The lower-bound of the reliability of the total scale equalled 0.84. Factor analysis indicated that the first two factors explained a larger percentage of common variance (39.4% and 19.9%) than could be expected when using random data (17.5% and 15.1%).

Conclusion

We recommend using two PIH subscale scores when assessing self-management in Dutch COPD patients. Our results did not support the four-subscale structure as previously reported for the original Australian PIH.

Original language	English
Article number	e0161595
Number of pages	16
Journal	PLoS ONE
Volume	11
Issue number	8
DOIs	https://doi.org/10.1371/journal.pone.0161595
Publication status	Published - 26-Aug-2016
Externally published	Yes

Keywords

CROSS-CULTURAL ADAPTATION
QUALITY-OF-LIFE
EXPLORATORY FACTOR-ANALYSIS
PSYCHOLOGICAL DISTRESS
SAMPLE-SIZE
COPD
NUMBER
DIMENSIONALITY
QUESTIONNAIRE
VALIDATION

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Lenferink, A., Effing, T., Harvey, P., Battersby, M., Frith, P., van Beurden, W., van der Palen, J., & Paap, M. C. S. (2016). Construct validity of the Dutch version of the 12-item Partners in Health scale: Measuring patient self-management behaviour and knowledge in patients with Chronic Obstructive Pulmonary Disease. PLoS ONE, 11(8), Article e0161595. https://doi.org/10.1371/journal.pone.0161595

@article{d5b611d4a996479dba199ea92f57176e,

title = "Construct validity of the Dutch version of the 12-item Partners in Health scale: Measuring patient self-management behaviour and knowledge in patients with Chronic Obstructive Pulmonary Disease",

abstract = "ObjectiveThe 12-item Partners in Health scale (PIH) was developed in Australia to measure self-management behaviour and knowledge in patients with chronic diseases, and has undergone several changes. Our aim was to assess the construct validity and reliability of the latest PIH version in Dutch COPD patients.MethodsThe 12 items of the PIH, scored on a self-rated 9-point Likert scale, are used to calculate total and subscale scores (knowledge; coping; recognition and management of symptoms; and adherence to treatment). We used forward-backward translation of the latest version of the Australian PIH to define a Dutch PIH (PIH(Du)). Mokken Scale Analysis and common Factor Analysis were performed on data from a Dutch COPD sample to investigate the psychometric properties of the Dutch PIH; and to determine whether the four-subscale solution previously found for the original Australian PIH could be replicated for the Dutch PIH.ResultsTwo subscales were found for the Dutch PIH data (n = 118); 1) knowledge and coping; 2) recognition and management of symptoms, adherence to treatment. The correlation between the two Dutch subscales was 0.43. The lower-bound of the reliability of the total scale equalled 0.84. Factor analysis indicated that the first two factors explained a larger percentage of common variance (39.4% and 19.9%) than could be expected when using random data (17.5% and 15.1%).ConclusionWe recommend using two PIH subscale scores when assessing self-management in Dutch COPD patients. Our results did not support the four-subscale structure as previously reported for the original Australian PIH.",

keywords = "CROSS-CULTURAL ADAPTATION, QUALITY-OF-LIFE, EXPLORATORY FACTOR-ANALYSIS, PSYCHOLOGICAL DISTRESS, SAMPLE-SIZE, COPD, NUMBER, DIMENSIONALITY, QUESTIONNAIRE, VALIDATION",

author = "Anke Lenferink and Tanja Effing and Peter Harvey and Malcolm Battersby and Peter Frith and {van Beurden}, Wendy and {van der Palen}, Job and Paap, {Muirne C. S.}",

year = "2016",

month = aug,

day = "26",

doi = "10.1371/journal.pone.0161595",

language = "English",

volume = "11",

journal = "PLoS ONE",

issn = "1932-6203",

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}

Lenferink, A, Effing, T, Harvey, P, Battersby, M, Frith, P, van Beurden, W, van der Palen, J & Paap, MCS 2016, 'Construct validity of the Dutch version of the 12-item Partners in Health scale: Measuring patient self-management behaviour and knowledge in patients with Chronic Obstructive Pulmonary Disease', PLoS ONE, vol. 11, no. 8, e0161595. https://doi.org/10.1371/journal.pone.0161595

Construct validity of the Dutch version of the 12-item Partners in Health scale: Measuring patient self-management behaviour and knowledge in patients with Chronic Obstructive Pulmonary Disease. / Lenferink, Anke; Effing, Tanja; Harvey, Peter et al.
In: PLoS ONE, Vol. 11, No. 8, e0161595, 26.08.2016.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Construct validity of the Dutch version of the 12-item Partners in Health scale

T2 - Measuring patient self-management behaviour and knowledge in patients with Chronic Obstructive Pulmonary Disease

AU - Lenferink, Anke

AU - Effing, Tanja

AU - Harvey, Peter

AU - Battersby, Malcolm

AU - Frith, Peter

AU - van Beurden, Wendy

AU - van der Palen, Job

AU - Paap, Muirne C. S.

PY - 2016/8/26

Y1 - 2016/8/26

N2 - ObjectiveThe 12-item Partners in Health scale (PIH) was developed in Australia to measure self-management behaviour and knowledge in patients with chronic diseases, and has undergone several changes. Our aim was to assess the construct validity and reliability of the latest PIH version in Dutch COPD patients.MethodsThe 12 items of the PIH, scored on a self-rated 9-point Likert scale, are used to calculate total and subscale scores (knowledge; coping; recognition and management of symptoms; and adherence to treatment). We used forward-backward translation of the latest version of the Australian PIH to define a Dutch PIH (PIH(Du)). Mokken Scale Analysis and common Factor Analysis were performed on data from a Dutch COPD sample to investigate the psychometric properties of the Dutch PIH; and to determine whether the four-subscale solution previously found for the original Australian PIH could be replicated for the Dutch PIH.ResultsTwo subscales were found for the Dutch PIH data (n = 118); 1) knowledge and coping; 2) recognition and management of symptoms, adherence to treatment. The correlation between the two Dutch subscales was 0.43. The lower-bound of the reliability of the total scale equalled 0.84. Factor analysis indicated that the first two factors explained a larger percentage of common variance (39.4% and 19.9%) than could be expected when using random data (17.5% and 15.1%).ConclusionWe recommend using two PIH subscale scores when assessing self-management in Dutch COPD patients. Our results did not support the four-subscale structure as previously reported for the original Australian PIH.

AB - ObjectiveThe 12-item Partners in Health scale (PIH) was developed in Australia to measure self-management behaviour and knowledge in patients with chronic diseases, and has undergone several changes. Our aim was to assess the construct validity and reliability of the latest PIH version in Dutch COPD patients.MethodsThe 12 items of the PIH, scored on a self-rated 9-point Likert scale, are used to calculate total and subscale scores (knowledge; coping; recognition and management of symptoms; and adherence to treatment). We used forward-backward translation of the latest version of the Australian PIH to define a Dutch PIH (PIH(Du)). Mokken Scale Analysis and common Factor Analysis were performed on data from a Dutch COPD sample to investigate the psychometric properties of the Dutch PIH; and to determine whether the four-subscale solution previously found for the original Australian PIH could be replicated for the Dutch PIH.ResultsTwo subscales were found for the Dutch PIH data (n = 118); 1) knowledge and coping; 2) recognition and management of symptoms, adherence to treatment. The correlation between the two Dutch subscales was 0.43. The lower-bound of the reliability of the total scale equalled 0.84. Factor analysis indicated that the first two factors explained a larger percentage of common variance (39.4% and 19.9%) than could be expected when using random data (17.5% and 15.1%).ConclusionWe recommend using two PIH subscale scores when assessing self-management in Dutch COPD patients. Our results did not support the four-subscale structure as previously reported for the original Australian PIH.

KW - CROSS-CULTURAL ADAPTATION

KW - QUALITY-OF-LIFE

KW - EXPLORATORY FACTOR-ANALYSIS

KW - PSYCHOLOGICAL DISTRESS

KW - SAMPLE-SIZE

KW - COPD

KW - NUMBER

KW - DIMENSIONALITY

KW - QUESTIONNAIRE

KW - VALIDATION

U2 - 10.1371/journal.pone.0161595

DO - 10.1371/journal.pone.0161595

M3 - Article

C2 - 27564410

SN - 1932-6203

VL - 11

JO - PLoS ONE

JF - PLoS ONE

IS - 8

M1 - e0161595

ER -

Construct validity of the Dutch version of the 12-item Partners in Health scale: Measuring patient self-management behaviour and knowledge in patients with Chronic Obstructive Pulmonary Disease

Abstract

Keywords

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