Psychometric properties of the Persian language person-centered climate questionnaire - Patient version (PCQ-P)

Faeze Kobrai-Abkenar; Parand Pourghane; Fatemeh Jafarzadeh-Kenarsari; Zahra Atrkar Roushan; David Edvardsson

doi:10.1016/j.heliyon.2020.e05154

Psychometric properties of the Persian language person-centered climate questionnaire - Patient version (PCQ-P)

Heliyon. 2020 Oct 13;6(10):e05154. doi: 10.1016/j.heliyon.2020.e05154. eCollection 2020 Oct.

Authors

Faeze Kobrai-Abkenar¹, Parand Pourghane², Fatemeh Jafarzadeh-Kenarsari³, Zahra Atrkar Roushan⁴, David Edvardsson^{5

6}

Affiliations

¹ School of Nursing, Midwifery and Paramedicine, Guilan University of Medical Sciences, Rasht, Iran.
² Department of Nursing, School of Nursing, Midwifery and Paramedicine, Guilan University of Medical Sciences, Rasht, Iran.
³ Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
⁴ Department of Community Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
⁵ School of Nursing and Midwifery, La Trobe University, Melbourne, Australia.
⁶ Department of Nursing, Umea University, Sweden.

Abstract

Background: Person-centered care is a valuable approach to improve the quality of care of the elderly and is a starting point for maintaining the dignity of people needing care.

Objectives: This study aimed at translation, cultural adaptation, and validation of the Persian version of the Person-centered Climate Questionnaire-Patient questionnaire in elderly patients admitted to the Eastern Guilan hospitals from 2017-2018.

Design: This research was a cross-sectional study. The Persian version of Person-centered Climate Questionnaire -Patient version was completed by 200 older adults admitted to different wards of the hospitals. They were selected through convenient sampling. Data were collected in 5 hospitals affiliated to Guilan University of Medical Sciences, East of Guilan located in the north of Iran, from November 2017 to February 2018.

Methods: This study was carried out in two phases. In the first phase, the original questionnaire with 17 items was translated from English into Persian using Forward-Backward translation method. In the second phase, the psychometric properties of the questionnaire were evaluated using face, content, and construct validity, as well as reliability (internal consistency and stability). Data were analyzed via SPSS software v.16.

Results: The results of exploratory factor analysis (EFA) led to retaining 17 items with three factors of "Safety", "Hospitality", and "Everydayness" which explained 47.69% of the total variance. Cronbach's alpha coefficient was calculated for each factor (0.85, 0.70, and 0.64, respectively) as well as the whole instrument (0.85), to ensure internal consistency. Stability was confirmed by calculating the intra-class correlation coefficient as 0.99.

Conclusions: The current study found support for assessing the person-centered climate from the perspective of the elderly patients by using the Persian version of the Person-centered Climate Questionnaire-Patient that has an appropriate cultural adaptation, validity, and reliability.

Keywords: Clinical research; Elderly patient; Health profession; Health promotion; Hospital; Nursing; Person-centered care; Psychometrics; Questionnaire; Translation.