Informatics Publishing Limited

Younghee Jun ¹, Youngshin Song ¹, Jeonghwa Cho ¹, Yoonhee Lee ¹, Jong-Im Kim ¹

Affiliations
1 College of Nursing, Chungnam National University, 266 Munwha-ro Jung-gu, Daejeon, 301-747, KR

Abstract

Objectives: To test the psychometric of the Korean version of the Interpersonal Process of Care-18 (IPC-18) for health care providers. Methods/Statistical Analysis: To test the psychometric properties, this tool was translated into Korean and then back-translated into English by bilingual nurses independently. A total of 159 patients with diabetes enrolled in a cross-sectional survey. Reliability and validity of the Korean IPC-18 were tested. Exploratory factor analysis was conducted to assess content, concurrent, and construct validity. In content validity and item analysis, six items were deleted due to low item-total correlations. Findings: For confirming the content validity, content validity index (CVI) was calculated. Results showed that three items were deleted because of scored below 80%. The mean CVI was 85% for the remaining 15 items. Item-analysis was performed for 15 items. During this analysis, three items were deleted because of low valued in term-total correlation. Remained 12 items were entered into exploratory factor analysis. The finding showed that a twofactor 12-item solution that explained 61.8% of variance provided the best-defined factor structure. Factor 1 consisted of 10 items and explained 48.3% of variance; it was named “Health Care Provider” (HCP). Factor 2 included 2 items and explained 13.5% of variance; it was named “Staff Helper”. To confirm concurrent validity, the correlation between the diabetes self-efficacy and the Korean version of the IPC was analyzed. The 12-item Korean version of the IPC was significantly correlated with the diabetes self-efficacy. Patients who scored higher on the IPC had better diabetes self-efficacy. It provided appropriate concurrent validity. Improvements/Applications: Therefore, it can be considered a valid and reliable scale to assess the interpersonal process of care using communication between health care providers and patients with diabetes.

Keywords

Communication, Cultural Adaptation, Interpersonal, Reliability, Validation.

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Jeonghwa Cho ¹, Youngshin Song ¹, Younghee Jun ¹, Yoonhee Lee ¹, Jong-Im Kim ¹

Affiliations
1 College of Nursing, Chungnam National University, 266 Munwha-ro Jung-gu, Daejeon, 301-747, KR

Abstract

Objectives: The present study examined the role of unmet social support needs on the relationship between health care providers’ communication efforts and self-efficacy among patients with diabetes. Methods/Statistical Analysis: Patients with diabetes, who were outpatients from an endocrinology department at C University Hospital, participated in a cross-sectional survey. A total 303 patients were enrolled and assessed. Descriptive statistics, Pearson’s correlations, and Structural Equation Modeling (SEM) analyses were performed. Findings: Results showed that interpersonal care processes with health care providers was significantly correlated with diabetes self-efficacy. Unmet needs in terms of health care providers’ support was also significantly and negatively correlated with interpersonal care processes and diabetes self-efficacy. SEM results revealed that unmet needs regarding health care providers’ support mediated the relationship between interpersonal care processes and diabetes self-efficacy. Improvements/ Applications: Therefore, diabetes self-efficacy is likely enhanced when interpersonal care processes include adequate communication between providers and patients, which in turn boosts support for patients with diabetes.

Keywords

Health Care Provider, Interpersonal Process, Mediation Analysis, Self-efficacy, Support.

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