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...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2025-12-01
|
| Series: | Annals of Medicine |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2025.2468255 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849763199930335232 |
|---|---|
| author | Christian Heuser Nicole Ernstmann André Karger Andrea Petermann-Meyer Franziska Geiser Frank Vitinius Luisa Ernsten Robert Zachariae Kati Hiltrop |
| author_facet | Christian Heuser Nicole Ernstmann André Karger Andrea Petermann-Meyer Franziska Geiser Frank Vitinius Luisa Ernsten Robert Zachariae Kati Hiltrop |
| author_sort | Christian Heuser |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-8274e5ab4fd74f408e8e0e10a309e4e0 |
| institution | DOAJ |
| issn | 0785-3890 1365-2060 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj-art-8274e5ab4fd74f408e8e0e10a309e4e02025-08-20T03:05:29ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2025.2468255Measuring 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)Christian Heuser0Nicole Ernstmann1André Karger2Andrea Petermann-Meyer3Franziska Geiser4Frank Vitinius5Luisa Ernsten6Robert Zachariae7Kati Hiltrop8Chair of Health Services Research, Institute of Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, GermanyChair of Health Services Research, Institute of Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, GermanyCenter for Integrated Oncology Aachen, Bonn, Cologne, Düsseldorf (CIO ABCD), Cologne, GermanyCenter for Integrated Oncology Aachen, Bonn, Cologne, Düsseldorf (CIO ABCD), Cologne, GermanyCenter for Integrated Oncology Aachen, Bonn, Cologne, Düsseldorf (CIO ABCD), Cologne, GermanyCenter for Integrated Oncology Aachen, Bonn, Cologne, Düsseldorf (CIO ABCD), Cologne, GermanyCenter for Integrated Oncology Aachen, Bonn, Cologne, Düsseldorf (CIO ABCD), Cologne, GermanyUnit for Psychooncology and Health Psychology, Department of Oncology, Aarhus University Hospital and Department of Psychology, Aarhus University, DenmarkChair of Health Services Research, Institute of Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, GermanyIntroduction 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.https://www.tandfonline.com/doi/10.1080/07853890.2025.2468255Patient-centered communicationpatient-centerednessself-efficacyvalidationpsychometric propertiesphysicians |
| spellingShingle | Christian Heuser Nicole Ernstmann André Karger Andrea Petermann-Meyer Franziska Geiser Frank Vitinius Luisa Ernsten Robert Zachariae Kati Hiltrop 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) Annals of Medicine Patient-centered communication patient-centeredness self-efficacy validation psychometric properties physicians |
| title | 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) |
| title_full | 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) |
| title_fullStr | 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) |
| title_full_unstemmed | 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) |
| title_short | 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) |
| title_sort | 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 |
| topic | Patient-centered communication patient-centeredness self-efficacy validation psychometric properties physicians |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2025.2468255 |
| work_keys_str_mv | AT christianheuser measuringselfefficacyinpatientcenterednessofphysiciansinoncologytranslationadaptationandevaluationofpsychometricpropertiesofthesepcq27germanversionsepcq24ger AT nicoleernstmann measuringselfefficacyinpatientcenterednessofphysiciansinoncologytranslationadaptationandevaluationofpsychometricpropertiesofthesepcq27germanversionsepcq24ger AT andrekarger measuringselfefficacyinpatientcenterednessofphysiciansinoncologytranslationadaptationandevaluationofpsychometricpropertiesofthesepcq27germanversionsepcq24ger AT andreapetermannmeyer measuringselfefficacyinpatientcenterednessofphysiciansinoncologytranslationadaptationandevaluationofpsychometricpropertiesofthesepcq27germanversionsepcq24ger AT franziskageiser measuringselfefficacyinpatientcenterednessofphysiciansinoncologytranslationadaptationandevaluationofpsychometricpropertiesofthesepcq27germanversionsepcq24ger AT frankvitinius measuringselfefficacyinpatientcenterednessofphysiciansinoncologytranslationadaptationandevaluationofpsychometricpropertiesofthesepcq27germanversionsepcq24ger AT luisaernsten measuringselfefficacyinpatientcenterednessofphysiciansinoncologytranslationadaptationandevaluationofpsychometricpropertiesofthesepcq27germanversionsepcq24ger AT robertzachariae measuringselfefficacyinpatientcenterednessofphysiciansinoncologytranslationadaptationandevaluationofpsychometricpropertiesofthesepcq27germanversionsepcq24ger AT katihiltrop measuringselfefficacyinpatientcenterednessofphysiciansinoncologytranslationadaptationandevaluationofpsychometricpropertiesofthesepcq27germanversionsepcq24ger |