Patient assessment of chronic illness care (PACIC) in Type 2 diabetes: a longitudinal study

Aung, Eindra, Ostini, Remo, Dower, Jo, Donald, Maria, Coll, Joseph R., Williams, Gail M. and Doi, Suhail A. R. (2016) Patient assessment of chronic illness care (PACIC) in Type 2 diabetes: a longitudinal study. Evaluation and the Health Professions, 39 2: 185-203. doi:10.1177/0163278714556674

Author Aung, Eindra
Ostini, Remo
Dower, Jo
Donald, Maria
Coll, Joseph R.
Williams, Gail M.
Doi, Suhail A. R.
Title Patient assessment of chronic illness care (PACIC) in Type 2 diabetes: a longitudinal study
Journal name Evaluation and the Health Professions   Check publisher's open access policy
ISSN 1552-3918
Publication date 2016-06
Year available 2014
Sub-type Article (original research)
DOI 10.1177/0163278714556674
Open Access Status Not Open Access
Volume 39
Issue 2
Start page 185
End page 203
Total pages 19
Place of publication Thousand Oaks, CA, United States
Publisher SAGE Publications
Collection year 2017
Language eng
Formatted abstract
The Patient Assessment of Chronic Illness Care (PACIC) was designed to measure care congruent with several elements of the chronic care model (CCM), including self-management support and delivery system design. However, support for the a priori 5-subscale structure of the PACIC in previous research has been conflicting. Thus, we aim to investigate psychometric characteristics of the PACIC including the content and stability of its construct over time. A population-based prospective cohort study of patients with type 2 diabetes was conducted in Queensland, Australia, from 2008 (N = 3,761) to 2010 (N = 3,040). Participants completed annually the 20-item PACIC as well as measures of providers’ adherence to guideline-recommended self-management support activities. We used exploratory factor analysis to determine its factor structure and examined internal consistency as well as agreement between the PACIC at baseline with repeated measurements at follow-up after 1 and 2 years. We also determined a criterion-related validity using multinomial logistic regression to explore PACIC’s association with providers’ self-management support. A one-factor structure was deemed optimal according to our findings. High internal consistency and moderate agreement within the scales over time were observed. Higher PACIC scores predicted better providers’ self-management support. In conclusion, the PACIC is a reliable, valid, and reproducible instrument for assessment of diabetes care, and we recommend its promotion and use as a single scale rather than subscales as originally proposed.
Keyword PACIC
Patient perspectives
Quality assessment
Self-management support
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

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