Measuring self-efficacy in patient-centeredness of physicians in oncology – translation, adaptation and evaluation of psychometric properties of the SEPCQ-27 German version (SEPCQ-24-GER)
Introduction Providers’ self-efficacy in patient-centeredness, defined as their confidence in their ability to communicate in a patient-centered manner, is linked to their patient-centered attitudes and behaviors. The SEPCQ-27 is a validated instrument to measure medical students’ and physicians’ se...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2025-12-01
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| Series: | Annals of Medicine |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2025.2468255 |
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| Summary: | Introduction Providers’ self-efficacy in patient-centeredness, defined as their confidence in their ability to communicate in a patient-centered manner, is linked to their patient-centered attitudes and behaviors. The SEPCQ-27 is a validated instrument to measure medical students’ and physicians’ self-efficacy in patient-centered communication. The aim of this study was to produce a German adaptation of the SEPCQ-27 and evaluate its psychometric properties in a sample of physicians in oncology.Materials and methods The SEPCQ-27 was professionally translated and adapted into German. Descriptive analyses, exploratory and confirmatory factor analyses, and internal consistency, convergent, discriminant and construct validity were conducted using data from a sample of n = 258 physicians collected during the three-arm cluster-randomized intervention trial ‘KommRhein Interpro’ conducted from 2019–2023.Results Exploratory factor analysis led to a modified three-dimensional German version with 24 items (SEPCQ-24-GER), which showed acceptable fit in confirmatory factor analysis (χ2/df = 1.8, CFI = 0.92, TLI = 0.91, SRMR = 0.05, RMSEA = 0.06). The SEPCQ-24-GER demonstrated good internal consistency (Cronbach’s alpha > 0.7 for all three dimensions) and acceptable convergent (CR for all dimensions is > 0.7), discriminant (√AVE is higher than the factor intercorrelations for all but one factor), and construct validity (regarding occupational group (F = 4.741, p < .001), occupational experience (r =.240, p < .001) and between factor 3 and sex (t = 2.575, p = .011)).Discussion The SEPCQ-24-GER demonstrated satisfactory psychometric properties. Future research should focus on further measures of reliability, sensitivity to change and validation within different samples.Trial Registration DRKS (German Clinical Trials Register) - ID: DRKS00022563, registered 29/07/2020. |
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| ISSN: | 0785-3890 1365-2060 |