A questionnaire to measure health practitioners' attitudes to partnership in medicine taking: LATCon II

Knapp, Peter, Raynor, David K., Thistlethwaite, Jill E. and Jones, Marc B. (2009) A questionnaire to measure health practitioners' attitudes to partnership in medicine taking: LATCon II. Health Expectations, 12 2: 175-186. doi:10.1111/j.1369-7625.2009.00545.x

Author Knapp, Peter
Raynor, David K.
Thistlethwaite, Jill E.
Jones, Marc B.
Title A questionnaire to measure health practitioners' attitudes to partnership in medicine taking: LATCon II
Journal name Health Expectations   Check publisher's open access policy
ISSN 1369-6513
Publication date 2009-06
Sub-type Article (original research)
DOI 10.1111/j.1369-7625.2009.00545.x
Open Access Status DOI
Volume 12
Issue 2
Start page 175
End page 186
Total pages 12
Place of publication Oxford, United Kingdom
Publisher Blackwell Science
Language eng
Formatted abstract
Objectives To revise and improve an existing scale to measure health practitioners' attitudes to partnership in medicine taking and to ascertain the views of medical students, nursing students and preregistration pharmacists on concordance.
Background The traditional model of the practitioner-patient interaction incorporates a practitioner-centred approach, focusing on the disease rather than the patient. The philosophy of 'concordance' (or 'partnership in medicine-taking') puts the patient at the centre of the interaction, with the patient interacting reciprocally with the practitioner.
The Leeds Attitude to Concordance (LATCon) scale was developed in 2001 to assess practitioners' and patients' attitudes to concordance. However, thinking on concordance has developed since then and the present study aimed to revise the scale to ensure that it reflected current thinking and also to increase its reliability an dvalidity.
Design A pool of potential items was developed and sent to three subject experts for opinion. An attitudinal Likert scale of 31 items was developed. Its completion was followed by statistical item reduction to 20 items. The shorter scale was completed by the same participants 4–6 weeks later.
Setting and participants The study was set in a university in the UK. Participants were 183 medical students, nursing students, and pre-registration pharmacists.
Results and discussion The study derived a 20 item scale, including five negatively-worded items, with good levels of internal and test retest reliability. Factor analysis suggested five main factors. A statistically significant difference in attitudes was found between student nurses and medical students, and student nurses and preregistration pharmacists, with student nurses being more in agreement with the concordant approach. Overall, participants were in agreement with the concordant approach to medicine taking.

The UK National Health Service advocates partnership in medical care and is encouraging both practitioners and patients to work to introduce this. There is increased awareness of the patients' perspective by practitioners, but its impact on their practice remains unclear. Education and skills teaching must continue for the benefits of a concordant approach to be seen. The LATCon scale could play a useful role in education and training, and in research assessing the movement towards the new approach.
Keyword Adherence
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
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