tailieunhanh - báo cáo khoa học:" Development and validation of a short version of the Assessment of Chronic Illness Care (ACIC) in Dutch Disease Management Programs"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Development and validation of a short version of the Assessment of Chronic Illness Care (ACIC) in Dutch Disease Management Programs | Cramm et al. Health and Quality of Life Outcomes 2011 9 49 http content 9 1 49 HEALTH AND QUALITY OF LIFE OUTCOMES RESEARCH Open Access Development and validation of a short version of the Assessment of Chronic Illness Care ACIC in Dutch Disease Management Programs Jane M Cramm Mathilde MH Strating Apostolos Tsiachristas and Anna P Nieboer Abstract Background In the Netherlands the extent to which chronically ill patients receive care congruent with the Chronic Care Model is unknown. The main objectives of this study were to 1 validate the Assessment of Chronic Illness Care ACIC in the Netherlands in various Disease Management Programmes DMPs and 2 shorten the 34-item ACIC while maintaining adequate validity reliability and sensitivity to change. Methods The Dutch version of the ACIC was tested in 22 DMPs with 218 professionals. We tested the instrument by means of structural equation modelling and examined its validity reliability and sensitivity to change. Results After eliminating 13 items the confirmatory factor analyses revealed good indices of fit with the resulting 21-item ACIC ACIC-S . Internal consistency as represented by Cronbach s alpha ranged from acceptable for the clinical information systems subscale to excellent for the organization of the healthcare delivery system subscale. Correlations between the ACIC and ACIC-S subscales were also good ranging from .87 to indicating acceptable coverage of the core areas of the CCM. The seven subscales were significantly and positively correlated indicating that the subscales were conceptually related but also distinct. Paired t-tests results show that the ACIC scores of the original instrument all improved significantly over time in regions that were in the process of implementing DMPs all components at p . Conclusion We conclude that the psychometric properties of the ACIC and the ACIC-S are good and the ACIC-S is a promising alternate instrument to assess chronic illness care. .