Universität zu Köln

Siegel, Achim, Ehmann, Anna T. ORCID: 0000-0002-5898-6066, Meyer, Ingo, Groene, Oliver, Niebling, Wilhelm, Martus, Peter ORCID: 0000-0002-5386-5732 and Rieger, Monika A. ORCID: 0000-0002-7855-3663 (2019). PEN-13: A New Generic 13-Item Questionnaire for Measuring Patient Enablement (German Version). Int. J. Environ. Res. Public Health, 16 (23). BASEL: MDPI. ISSN 1660-4601

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Abstract

Background: The purpose of our study was to develop and psychometrically test a German-language survey instrument that measures patient enablement generically and in greater detail than previous instruments. Methods: A multidisciplinary team developed 13 items to capture individual aspects of patient enablement (PEN-13). A pre-test with 26 subjects was followed by a random sample survey of N = 1168 subjects. An exploratory factor analysis was conducted in a random split-half sample of the data to explore PEN-13's factor structure; a confirmatory factor analysis was conducted in the validation sample. The internal consistency of the factors was evaluated using Cronbach's alpha, PEN-13's construct validity was checked by means of additional hypothesis testing. Results: The two factors self-management and patient-practitioner interaction, detected in the exploratory analysis, were confirmed with a few modifications in the confirmatory factor analysis, with the comparative fit index (CFI) amounting to 0.903. The Cronbach's alpha values of those two factors amounted to alpha = 0.90 and alpha = 0.82, respectively. The correlations of the PEN-13 score with the 'general self-efficacy' and 'health literacy' (HLS-EU-Q16) scores further confirmed its construct validity; the respective correlation coefficients amounted to 0.57 and 0.60. Conclusion: The German version of the survey instrument Patient Enablement Scale-13 items (PEN-13) shows acceptable psychometric properties. Practical implications: PEN-13 seems particularly suitable for health services research purposes. We recommend checking the results in another sample as well as evaluating its responsiveness to enablement-enhancing interventions.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Siegel, Achim UNSPECIFIED UNSPECIFIED UNSPECIFIED Ehmann, Anna T. UNSPECIFIED orcid.org/0000-0002-5898-6066 UNSPECIFIED Meyer, Ingo UNSPECIFIED UNSPECIFIED UNSPECIFIED Groene, Oliver UNSPECIFIED UNSPECIFIED UNSPECIFIED Niebling, Wilhelm UNSPECIFIED UNSPECIFIED UNSPECIFIED Martus, Peter UNSPECIFIED orcid.org/0000-0002-5386-5732 UNSPECIFIED Rieger, Monika A. UNSPECIFIED orcid.org/0000-0002-7855-3663 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-125341
DOI:	10.3390/ijerph16234867
Journal or Publication Title:	Int. J. Environ. Res. Public Health
Volume:	16
Number:	23
Date:	2019
Publisher:	MDPI
Place of Publication:	BASEL
ISSN:	1660-4601
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ACTIVATION MEASURE PAM; COSMIN CHECKLIST; HEALTH LITERACY; INSTRUMENT PEI; PATIENTS TRUST; CARE; VALIDITY; QUALITY; CENTEREDNESS; SATISFACTION Multiple languages Environmental Sciences; Public, Environmental & Occupational Health Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/12534