title: Inter-Rater Reliability of the Measure of Patient-Centered Communication in Health Promotion Clinic Visits with Youth.
abstract: Patient-centered communication during clinic visits is critical for a patient and provider to establish a relationship that explores the patient's needs and desires and tailors health care accordingly. However, there are currently limitations to measuring patient-centered communication within the clinic visit. This study will examine the inter-rater reliability of a modified version of the Measure of Patient-Centered Communication (MPCC) for use with youth in health promotion clinic visits. Transcripts from actual patient-provider interactions (n=11) with 17-23 year old participants and providers (n=6; NPs and MDs) were analyzed for inter-rater reliability of a modified version of the MPCC. The MPCC demonstrated satisfactory inter-rater reliability among the five components of patient-centered communication (kappa=0.78) and good mean inter-rater reliability among the five provider responses (percent agreement=87.5%). Measuring patient-centered communication presents challenges. This study demonstrated that the MPCC could be a potential tool in this endeavor; however, adjustments are needed for it to be a reliable measure of patient-centered communication during clinic visits with youth. In order to provide patient-centered communication and care we must be able to accurately measure the communication and techniques being implemented in all patient visits.
authors.affiliation: University of Michigan, School of Nursing, 400 North Ingalls Building, Room 3188, Ann Arbor, MI 48109-5482, Telephone: 734-647-0154.
authors.forename: Michelle L
authors.initials: ML
authors.lastname: Munro
authors.affiliation: Emory University, Nell Hodgson Woodruff School of Nursing.
authors.forename: Kristy K
authors.initials: KK
authors.lastname: Martyn
authors.affiliation: Wayne State University, Merrill Palmer Skillman Institute.
authors.forename: Nicole M
authors.initials: NM
authors.lastname: Fava
authors.affiliation: Case Western School of Nursing.
authors.forename: Abigail
authors.initials: A
authors.lastname: Helman