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

PLoS One. 2016 Aug 26;11(8):e0161595. doi: 10.1371/journal.pone.0161595. eCollection 2016.

Authors

Anke Lenferink^{1

2

3}, Tanja Effing^{3

4}, Peter Harvey⁵, Malcolm Battersby⁵, Peter Frith^{3

4}, Wendy van Beurden¹, Job van der Palen^{1

2}, Muirne C S Paap⁶

Affiliations

¹ Department of Pulmonary Medicine, Medisch Spectrum Twente, Enschede, The Netherlands.
² Department of Research Methodology, Measurement, and Data-Analysis, Faculty of Behavioural, Management and Social sciences, University of Twente, Enschede, The Netherlands.
³ School of Medicine, Flinders University, Adelaide, South Australia, Australia.
⁴ Department of Respiratory Medicine, Repatriation General Hospital, Adelaide, South Australia, Australia.
⁵ Flinders Human Behaviour and Health Research Unit, Flinders University, Adelaide, Australia.
⁶ Centre for Educational Measurement at the University of Oslo (CEMO), Faculty of Educational Sciences, University of Oslo, Oslo, Norway.

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.

Publication types

Validation Study

MeSH terms

Aged
Comorbidity
Factor Analysis, Statistical
Female
Health Knowledge, Attitudes, Practice*
Humans
Language
Male
Middle Aged
Netherlands
Patient Compliance
Patient Education as Topic
Psychometrics*
Pulmonary Disease, Chronic Obstructive / complications
Pulmonary Disease, Chronic Obstructive / diagnosis*
Pulmonary Disease, Chronic Obstructive / psychology*
Reproducibility of Results
Self Care
Self Report*
Surveys and Questionnaires

Grants and funding

This study was supported by the Lung Foundation Netherlands (grant number 3.4.11.061). URL: https://www.longfonds.nl/. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.