Measurement of physician-patient communication--a systematic review.

<h4>Background</h4>Effective communication with health care providers has been found as relevant for physical and psychological health outcomes as well as the patients' adherence. However, the validity of the findings depends on the quality of the applied measures. This study aimed...

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Main Authors: Jördis M Zill, Eva Christalle, Evamaria Müller, Martin Härter, Jörg Dirmaier, Isabelle Scholl
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0112637
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author Jördis M Zill
Eva Christalle
Evamaria Müller
Martin Härter
Jörg Dirmaier
Isabelle Scholl
author_facet Jördis M Zill
Eva Christalle
Evamaria Müller
Martin Härter
Jörg Dirmaier
Isabelle Scholl
author_sort Jördis M Zill
collection DOAJ
description <h4>Background</h4>Effective communication with health care providers has been found as relevant for physical and psychological health outcomes as well as the patients' adherence. However, the validity of the findings depends on the quality of the applied measures. This study aimed to provide an overview of measures of physician-patient communication and to evaluate the methodological quality of psychometric studies and the quality of psychometric properties of the identified measures.<h4>Methods</h4>A systematic review was performed to identify psychometrically tested instruments which measure physician-patient communication. The search strategy included three databases (EMBASE, PsycINFO, PubMed), reference and citation tracking and personal knowledge. Studies that report the psychometric properties of physician-patient communication measures were included. Two independent raters assessed the methodological quality of the selected studies with the COSMIN (COnsensus based Standards for the selection of health status Measurement INtruments) checklist. The quality of psychometric properties was evaluated with the quality criteria of Terwee and colleagues.<h4>Results</h4>Data of 25 studies on 20 measures of physician-patient communication were extracted, mainly from primary care samples in Europe and the USA. Included studies reported a median of 3 out of the nine COSMIN criteria. Scores for internal consistency and content validity were mainly fair or poor. Reliability and structural validity were rated mainly of fair quality. Hypothesis testing scored mostly poor. The quality of psychometric properties of measures evaluated with Terwee et al.'s criteria was rated mainly intermediate or positive.<h4>Discussion</h4>This systematic review identified a number of measures of physician-patient communication. However, further psychometric evaluation of the measures is strongly recommended. The application of quality criteria like the COSMIN checklist could improve the methodological quality of psychometric property studies as well as the comparability of the studies' results.
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spelling doaj-art-e1c8d2b69c204e1eae56b1f0ef3994582025-08-20T02:46:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01912e11263710.1371/journal.pone.0112637Measurement of physician-patient communication--a systematic review.Jördis M ZillEva ChristalleEvamaria MüllerMartin HärterJörg DirmaierIsabelle Scholl<h4>Background</h4>Effective communication with health care providers has been found as relevant for physical and psychological health outcomes as well as the patients' adherence. However, the validity of the findings depends on the quality of the applied measures. This study aimed to provide an overview of measures of physician-patient communication and to evaluate the methodological quality of psychometric studies and the quality of psychometric properties of the identified measures.<h4>Methods</h4>A systematic review was performed to identify psychometrically tested instruments which measure physician-patient communication. The search strategy included three databases (EMBASE, PsycINFO, PubMed), reference and citation tracking and personal knowledge. Studies that report the psychometric properties of physician-patient communication measures were included. Two independent raters assessed the methodological quality of the selected studies with the COSMIN (COnsensus based Standards for the selection of health status Measurement INtruments) checklist. The quality of psychometric properties was evaluated with the quality criteria of Terwee and colleagues.<h4>Results</h4>Data of 25 studies on 20 measures of physician-patient communication were extracted, mainly from primary care samples in Europe and the USA. Included studies reported a median of 3 out of the nine COSMIN criteria. Scores for internal consistency and content validity were mainly fair or poor. Reliability and structural validity were rated mainly of fair quality. Hypothesis testing scored mostly poor. The quality of psychometric properties of measures evaluated with Terwee et al.'s criteria was rated mainly intermediate or positive.<h4>Discussion</h4>This systematic review identified a number of measures of physician-patient communication. However, further psychometric evaluation of the measures is strongly recommended. The application of quality criteria like the COSMIN checklist could improve the methodological quality of psychometric property studies as well as the comparability of the studies' results.https://doi.org/10.1371/journal.pone.0112637
spellingShingle Jördis M Zill
Eva Christalle
Evamaria Müller
Martin Härter
Jörg Dirmaier
Isabelle Scholl
Measurement of physician-patient communication--a systematic review.
PLoS ONE
title Measurement of physician-patient communication--a systematic review.
title_full Measurement of physician-patient communication--a systematic review.
title_fullStr Measurement of physician-patient communication--a systematic review.
title_full_unstemmed Measurement of physician-patient communication--a systematic review.
title_short Measurement of physician-patient communication--a systematic review.
title_sort measurement of physician patient communication a systematic review
url https://doi.org/10.1371/journal.pone.0112637
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