Validation of the Spanish translation of the Patient Assessment of Chronic Illness Care (PACIC) survey.
BACKGROUND
The Patient Assessment of Chronic Illness Care (PACIC) survey is a patient-centered instrument for evaluating the quality and patient-centeredness of chronic illness care received according to the Chronic Care Model paradigm. This study validates the Spanish translation of the PACIC in an urban, Spanish-speaking population.


METHODS
One hundred Spanish-speaking patients with diabetes completed the translated PACIC and sociodemographic and cultural questionnaires. Test-retest reliability was assessed in a subset of 20 patients who completed the questionnaire 2 to 4 months later. Internal consistency was evaluated with Cronbach alpha. PACIC score and subscale associations with sociodemographic characteristics were examined.


RESULTS
Test-retest reliability for the overall translated PACIC scale was 0.77. Scores were not associated with patient sociodemographic characteristics, including age, country of birth, years living in the United States, or education level (P >.05).


CONCLUSIONS
The Spanish translation of the PACIC survey demonstrated high reliability, internal consistency, and test-retest reliability. Scores showed no association with sociodemographic or cultural characteristics. The Spanish version can reliably be used to assess care delivered according to the Chronic Care Model in a heterogeneous Spanish-speaking population.
Aragones
Abraham
A
Division of General Internal Medicine, New York University School of Medicine, 423 E 23rd St-15N, New York, NY 10010, USA.
Schaefer
Eric W
EW
Stevens
David
D
Gourevitch
Marc N
MN
Glasgow
Russell E
RE
Shah
Nirav R
NR
D002908:Chronic Disease; D003430:Cross-Sectional Studies; D003625:Data Collection; D003695:Delivery of Health Care / Q000592:standards*; D003920:Diabetes Mellitus; D006801:Humans; D007802:Language; D017060:Patient Satisfaction; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires
Ann Behav Med. 2002 Spring;24(2):80-7
12054323
Healthc Pap. 2005;5(4):56-9
16088311
Patient Educ Couns. 2000 Jan;39(1):17-25
11013544
Diabetes Care. 2005 Nov;28(11):2655-61
16249535
Health Serv Res. 2002 Jun;37(3):791-820
12132606
Health Policy. 1991 Sep;19(1):33-44
10117390
N Engl J Med. 2003 Jun 26;348(26):2635-45
12826639
Manag Care Q. 1996 Spring;4(2):12-25
10157259
Med Care. 2005 May;43(5):436-44
15838407
Milbank Q. 1996;74(4):511-44
8941260
Manag Care. 2006 Nov;15(11):38-41
17168069
Jt Comm J Qual Improv. 2001 Feb;27(2):63-80
11221012
J Fam Pract. 2000 Sep;49(9):796-804
11032203
J Natl Med Assoc. 2002 Aug;94(8):666-8
12152921
Diabetes Care. 2006 Apr;29(4):811-7
16567820
Ann Intern Med. 1997 Dec 15;127(12):1097-102
9412313
J Am Geriatr Soc. 2002 Mar;50(3):416-23
11943034
Med Care. 2003 Jan;41(1 Suppl):I61-70
12544817
Can J Public Health. 1994 Jan-Feb;85(1):67-70
8180931