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Reliability and applicability of the Patient Enablement Instrument (PEI) in a Swedish general practice setting
Mattias Rööst1,2, Andrzej Zielinski3, Christer Petersson4
1Department of Research and Development, Region Kronoberg, Box 1223, SE-351 12, Växjö, Kronoberg, Sweden. mattias.roost@ltkronoberg.se.
BMC Family Practice
|April 17, 2015
Summary
The Patient Enablement Instrument (PEI) shows good reliability in Sweden but isn't recommended for quality of care assessment. Further validation is needed for this patient enablement tool.
Area of Science:
- Primary Care Research
- Patient-Reported Outcome Measures
- Health Services Research
Background:
- The Patient Enablement Instrument (PEI) evaluates core elements of primary care consultations.
- PEI is proposed as an alternative to patient satisfaction surveys.
- This study assesses PEI's reliability and applicability in Sweden.
Purpose of the Study:
- To examine the reliability and applicability of the Patient Enablement Instrument (PEI) in a Swedish primary care setting.
- To evaluate the Swedish version of the PEI for research use.
Main Methods:
- Translation of the original PEI into Swedish.
- Administration of the PEI questionnaire to patients in four primary care settings.
- Analysis of internal consistency, test-retest reliability, and internal construct validity.
Main Results:
- The Swedish PEI demonstrated high internal consistency (Cronbach's alpha >0.85).
- Test-retest reliability showed moderate agreement between baseline and first follow-up (kappa 0.54-0.65), improving between follow-ups (kappa 0.65-0.75).
- A significant proportion of respondents (39%) found questions irrelevant, and mean scores declined over time.
Conclusions:
- The Swedish PEI exhibits high internal consistency and moderate to good reliability.
- While suitable for research, the PEI is not recommended for direct quality of care measurement.
- Further development and validity testing are recommended for the PEI instrument.
