Abstract:
OBJECTIVE:Establish the inter-rater reliability and the concept, convergent and construct validity of an instrument for assessing the competency of physicians in patient education. METHODS:Three raters assessed the quality of patient education in 30 outpatient consultations with the CELI instrument. This instrument is based on a goal-directed model of patient education and assesses distinctive skills for patient education categorized in four subcompetencies. The inter-rater reliability was calculated. The concept validity was explored by factor analysis. The convergent validity was established by a comparison with two measures of patient-centred behaviour. The construct validity was explored by relating the subcompetencies with physician gender and patient satisfaction. RESULTS:The inter-rater reliability for the subcompetencies varied between 0.65 and 0.91. The factor analysis distinguished the four subcompetencies. All subcompetencies correlated with the measures of patient-centred behaviour. Female physicians performed better than male physicians on three subcompetencies. Positive correlations were found for three subcompetencies and patient satisfaction. CONCLUSION:The CELI instrument appears to be a reliable and valid instrument. However, further research is needed to establish the generalizability and construct validity. PRACTICE IMPLICATION:The CELI instrument is a useful tool for assessment and feedback in medical education since it assesses the performance of distinctive skills.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Wouda JC,Zandbelt LC,Smets EM,van de Wiel HBdoi
10.1016/j.pec.2010.09.007subject
Has Abstractpub_date
2011-10-01 00:00:00pages
92-8issue
1eissn
0738-3991issn
1873-5134pii
S0738-3991(10)00555-0journal_volume
85pub_type
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