Development and validation of a Malawian version of the primary care assessment tool

BMC Family Practice
Luckson DullieSturla Gjesdal

Abstract

Malawi does not have validated tools for assessing primary care performance from patients' experience. The aim of this study was to develop a Malawian version of Primary Care Assessment Tool (PCAT-Mw) and to evaluate its reliability and validity in the assessment of the core primary care dimensions from adult patients' perspective in Malawi. A team of experts assessed the South African version of the primary care assessment tool (ZA-PCAT) for face and content validity. The adapted questionnaire underwent forward and backward translation and a pilot study. The tool was then used in an interviewer administered cross-sectional survey in Neno district, Malawi, to test validity and reliability. Exploratory factor analysis was performed on a random half of the sample to evaluate internal consistency, reliability and construct validity of items and scales. The identified constructs were then tested with confirmatory factor analysis. Likert scale assumption testing and descriptive statistics were done on the final factor structure. The PCAT-Mw was further tested for intra-rater and inter-rater reliability. From the responses of 631 patients, a 29-item PCAT-Mw was constructed comprising seven multi-item scales, representing five primary...Continue Reading

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Citations

Dec 19, 2019·Revista da Escola de Enfermagem da U S P·Augusto Cezar Antunes de Araujo FilhoLidya Tolstenko Nogueira
Nov 13, 2020·South African Family Practice : Official Journal of the South African Academy of Family Practice/Primary Care·Gulnaz Mohamoud, Robert Mash

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Software Mentioned

Amos Graphics
PCAT
ZA
SPSS Statistics
Mw

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