Patient-Physician Communication in the Context of Persistent Pain: Validation of a Modified Version of the Patients' Perceived Involvement in Care Scale

Meredith Y. Smith, Gary Winkel, Jennifer Egert, Mariana Diaz-Wionczek, Katherine N. DuHamel

Research output: Contribution to journalArticlepeer-review

65 Scopus citations

Abstract

The purpose of this study was to evaluate the psychometric properties of a modified version of the Perceived Involvement in Care Scale (M-PICS), a measure designed to assess pain patients' perceptions of patient health care provider communication during the medical consultation. Eighty-seven breast cancer outpatients with persistent pain completed a battery of questionnaires, including the M-PICS. A factor analysis supported four factors. Factor 1 reflected health care provider information behaviors; Factor 2, health care provider facilitation of patient involvement; Factor 3, patient information provision; and Factor 4, patient participation in decision making. The M-PICS total had an internal consistency of 0.87; alphas for subscales ranged from 0.80 to 0.90. M-PICS scores related to measures of patient characteristics and outcomes, including pain-related communication barriers, psychological status, quality of life, and health care satisfaction, in predicted ways. The M-PICS is a reliable and valid measure of perceived patient-provider communication in the context of persistent pain.

Original languageEnglish
Pages (from-to)71-81
Number of pages11
JournalJournal of Pain and Symptom Management
Volume32
Issue number1
DOIs
StatePublished - Jul 2006

Keywords

  • Validity
  • pain
  • patient and provider participatory styles
  • patient beliefs
  • patient satisfaction
  • patient-provider communication
  • psychometric evaluation
  • quality of life
  • reliability

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