Related Experiment Video
Updated: Jun 6, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Assessment of physician competency in patient education: reliability and validity of a model-based instrument
Jan C Wouda1, Linda C Zandbelt, Ellen M A Smets
1Wenckebach Institute, University Medical Centre, Groningen, The Netherlands. j.c.wouda@psb.umcg.nl
Objective:
Establish the inter-rater reliability and the concept, convergent and construct validity of an instrument for assessing the competency of physicians in patient education.
Methods:
Three raters assessed the quality of patient education in 30 outpatient consultations with the CELI instrument. This instrument is based on a goal-directed model of patient education and assesses distinctive skills for patient education categorized in four subcompetencies. The inter-rater reliability was calculated. The concept validity was explored by factor analysis. The convergent validity was established by a comparison with two measures of patient-centred behaviour. The construct validity was explored by relating the subcompetencies with physician gender and patient satisfaction.
Results:
The inter-rater reliability for the subcompetencies varied between 0.65 and 0.91. The factor analysis distinguished the four subcompetencies. All subcompetencies correlated with the measures of patient-centred behaviour. Female physicians performed better than male physicians on three subcompetencies. Positive correlations were found for three subcompetencies and patient satisfaction.
Conclusion:
The CELI instrument appears to be a reliable and valid instrument. However, further research is needed to establish the generalizability and construct validity.
Practice Implication:
The CELI instrument is a useful tool for assessment and feedback in medical education since it assesses the performance of distinctive skills.
Related Concept Videos
Data Validation
Nursing assessment guides are generally based on holistic models rather than medical...
Models of Health Promotion and Illness Prevention I
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Self-Evaluation Maintenance Model
Reliability and Validity
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic illness...