Validity and reliability of the Patient Assessment on Chronic Illness Care (PACIC) questionnaire among patients with type 2 diabetes mellitus in Malaysia: English version
- Author:
Pauline Siew Mei Lai
;
Ahmad Fithri Azam
;
Adina Abdullah
;
Nik Sherina Haidi Hanafi
- Publication Type:Journal Article
- Keywords:
chronic care model;
diabetes mellitus;
validation;
Malaysia;
chronic illness care
- From:Malaysian Family Physician
2020;15(2):10-18
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: The Patient Assessment on Chronic Illness Care (PACIC) was developed to assess
patients’ perspectives on the alignment of primary care to the chronic care model. The Malay PACIC
has been validated; however, Malaysia is a multicultural society, and English is spoken by many
Malaysians and expatriates. We sought to validate the English version of the PACIC among patients
with diabetes mellitus in Malaysia, as Malaysians may interpret a questionnaire that was originally
developed for Americans in a different way.
Method: This study was conducted between November and December 2016 at two primary
care clinics that offered integrated diabetes care at the time. These sites were selected to assess the
discriminative validity of the PACIC. Site 1 is a Malaysian Ministry of Health-run primary care clinic
while site 2 is a university-run hospital-based primary care clinic. Only site 1 annually monitors
patient performance and encourages them to achieve their HbA1c targets using a standard checklist.
Patients with diabetes mellitus who understood English were recruited. Participants were asked to fill
out the PACIC at baseline and two weeks later.
Results: A total of 200 out of the 212 invited agreed to participate (response rate=94.3%).
Confirmatory factor analysis confirmed the 5-factor structure of the PACIC. The overall PACIC score
and the score in two of the five domains were significantly higher at site 1 than at site 2. The overall
Cronbach’s alpha was 0.924. At test-retest, intra-class correlation coefficient values ranged from 0.641
to 0.882.
Conclusion: The English version of the PACIC was found to be a valid and reliable instrument to
assess the quality of care among patients with diabetes mellitus in Malaysia.
- Full text:2.2019my0078.pdf
