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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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PEN-13: A New Generic 13-Item Questionnaire for Measuring Patient Enablement (German Version).

Achim Siegel¹, Anna T Ehmann¹, Ingo Meyer²

¹Institute of Occupational and Social Medicine and Health Services Research, University Hospital Tübingen, Wilhelmstraße 27, 72074 Tübingen, Germany.

International Journal of Environmental Research and Public Health

|December 11, 2019

Summary

A new German survey, the Patient Enablement Scale-13 items (PEN-13), was developed and validated. It effectively measures patient enablement, showing good psychometric properties for health services research.

Keywords:

patient activation patient empowerment patient enablement standardized questionnaire validation

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Area of Science:

Health Services Research
Psychometrics
Patient Empowerment

Background:

Existing patient enablement instruments lacked detail and a German-language version.
Developing a comprehensive tool is crucial for understanding patient engagement in healthcare.

Purpose of the Study:

To develop and psychometrically test a German-language survey instrument (PEN-13) for measuring patient enablement.
To create a tool that captures individual aspects of patient enablement in greater detail.

Main Methods:

A multidisciplinary team developed 13 items for the Patient Enablement Scale-13 items (PEN-13).
Exploratory and confirmatory factor analyses were used to determine the factor structure.
Internal consistency (Cronbach's alpha) and construct validity were evaluated using hypothesis testing and correlations with established scales.

Main Results:

Confirmatory factor analysis confirmed two factors: self-management and patient-practitioner interaction.
The PEN-13 demonstrated good internal consistency (Cronbach's alpha = 0.90 and 0.82).
Construct validity was supported by significant correlations with general self-efficacy (0.57) and health literacy (0.60).

Conclusions:

The German version of the Patient Enablement Scale-13 items (PEN-13) possesses acceptable psychometric properties.
PEN-13 is suitable for health services research and requires further validation and responsiveness evaluation.