Validation of the English and French versions of the Brief Health Care Climate Questionnaire

Zofia Czajkowska; Hui Wang; Nathan C Hall; Maida Sewitch; Annett Körner

doi:10.1177/2055102917730675

Validation of the English and French versions of the Brief Health Care Climate Questionnaire

Health Psychol Open. 2017 Oct 2;4(2):2055102917730675. doi: 10.1177/2055102917730675. eCollection 2017 Jul-Dec.

Authors

Zofia Czajkowska¹, Hui Wang¹, Nathan C Hall¹, Maida Sewitch², Annett Körner¹

Affiliations

¹ McGill University, Canada.
² McGill University Health Centre, Canada.

Abstract

Patient autonomy is a central value in medicine and critical component of adherence to medical advice. This article reports on a validation of the 6-item version of the Health Care Climate Questionnaire (HCCQ), a measure of autonomy support in health care settings, in a sample of 242 melanoma patients. The HCCQ showed excellent internal consistency (α = .91), structural validity (Tucker-Lewis index = .99; comparative fit index = .99; root mean square error of approximation = .06, 90 per cent confidence interval (.00, .11); standardized root mean square residual = .02; χ² (8, N = 235) = 13.99, p = .08) and construct validity (92.31% of hypothesized correlations with other measures confirmed). Acceptable 3-month test-retest reliability was observed (r = .55, p < .001; intraclass correlation coefficient (A, 1) = .54, p < .001). The French version was found equivalent to the English version.

Keywords: Health Care Climate Questionnaire; Health Care Climate Questionnaire–brief version; Health Care Climate Questionnaire–short version; Health Care Climate Questionnaire–version francaise; melanoma; patient autonomy; skin cancer; validation.