Adaptação cultural e validação da versão brasileira do questionário autopercepção do desempenho da medicina centrada na pessoa em medicina geral e familiar

Isadora Machado Valle; Isabelle Faoro Glaser; Jessica Heloise Camargo de Lima; Camila Ament Giuliani dos Santos Franco; Renato Soleiman Franco; André Bisetto

doi:10.5712/rbmfc18(45)3881

Authors

Isadora Machado Valle Pontifícia Universidade Católica do Paraná – Curitiba (PR), Brasil. https://orcid.org/0009-0003-5814-6918
Isabelle Faoro Glaser Pontifícia Universidade Católica do Paraná – Curitiba (PR), Brasil. https://orcid.org/0000-0003-2384-329X
Jessica Heloise Camargo de Lima Pontifícia Universidade Católica do Paraná – Curitiba (PR), Brasil. https://orcid.org/0000-0001-6259-5490
Camila Ament Giuliani dos Santos Franco Pontifícia Universidade Católica do Paraná – Curitiba (PR), Brasil. https://orcid.org/0000-0002-3686-5044
Renato Soleiman Franco Pontifícia Universidade Católica do Paraná – Curitiba (PR), Brasil. https://orcid.org/0000-0003-1176-480X
André Bisetto Pontifícia Universidade Católica do Paraná – Curitiba (PR), Brasil. https://orcid.org/0000-0001-6858-6181

DOI:

https://doi.org/10.5712/rbmfc18(45)3881

Keywords:

Patient-centered care, Surveys and questionnaires, Self efficacy.

Abstract

Introduction: The person-centered clinical method (PCCM) aims to provide humanized, patient-centered care. The application of PCCM improves the doctor-patient relationship and has an impact on clinical outcome. However, there are challenges and there can be barriers to carrying out a patient-centered consultation, from the application of the technique to limitations due to the clinical context. Given the relevance of PCCM in clinical practice and the growing encouragement to teach this method, it is essential to measure doctors’ self-assessment of the practice of person-centered care. This makes it possible to develop teaching strategies that are better adapted to the difficulties pointed out, especially for Family Practice (FP) residents. Objective: To culturally adapt and validate the Brazilian version of the questionnaire "Self-perception of the Performance of Person-Centered Medicine in General Practice". Methods: The questionnaire consists of 22 self-reflective questions related to the use of PCCM by professionals. Initially, the questionnaire was culturally adapted into Brazilian Portuguese and then applied to FP resident doctors, recruited using the “snowball” sampling method, which applies reference chains for recruitment. Data was collected online and analyzed using means, standard deviation, content analysis, exploratory factor analysis and Cronbach’s alpha. Factor loadings greater than 0.3 and p-values lower than or equal to 0.05 were considered to be significant. Results: The questionnaire was answered by 76 FP resident doctors, 50% from the first and 50% from the second year. Factor analysis suggested that the questionnaire had one component, and all the questions were retained as they achieved factor loadings greater than 0.3. The reliability through Cronbach’s alpha value of the questionnaire was 0.913. The items that resident doctors found most difficult were those related to asking about patients’ perspectives and expectations. Conclusions: The version adapted from Portuguese for Brazil had good validity, presented a different number of dimensions to the original scale, but had high reliability. Thus, we can recommend the use of the scale which initially presents adequate psychometric values for one dimension. This is an initial study, all the items were well understood by the participants, however, further studies are needed to confirm the dimensionality of the scale for Brazil.

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Author Biographies

Camila Ament Giuliani dos Santos Franco, Pontifícia Universidade Católica do Paraná – Curitiba (PR), Brasil.

Family Physician, MD, PhD. Professor at the School of Medicine (discipline of family medicine), Pontifical University of Paraná, Curitiba, Brazil. Public Health and Forensic Sciences, and Medical Education Department, University of Porto, Portugal.

Renato Soleiman Franco, Pontifícia Universidade Católica do Paraná – Curitiba (PR), Brasil.

Psychiatrist, MD, PhD. Professor at the School of Medicine (discipline of psychiatry), Post-Graduate Program in Bioethics - Pontifical University of Paraná, Curitiba, Brazil, and at Public Health and Forensic Sciences, and Medical Education Department, University of Porto, Portugal. In addition, director of the Psychiatry Residency Program – FEAES/PMC, Curitiba.

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