The Patient Centered Assessment Method (PCAM) for Action-Based Biopsychosocial Evaluation of Patient Needs: Validation and Perceived Value of the Dutch Translation

• Published in: International journal of environmental research and public health Vol. 18; no. 22; p. 11785
• Main Authors: Smeets, Rowan G. M., Hertroijs, Dorijn F. L., Kroese, Mariëlle E. A. L., Hameleers, Niels, Ruwaard, Dirk, Elissen, Arianne M. J.
• Format: Journal Article
• Language: English
• Published: Basel MDPI AG 10.11.2021; MDPI
• Subjects: Decision making; Factor analysis; Health care; Health education; Health literacy; Medical research; Mixed methods research; Patient-centered care; Primary care; Professionals; Quantitative psychology; Reliability analysis; Verbal communication; Netherlands
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph182211785

The Patient Centered Assessment Method (PCAM) is an action-based tool that supports professionals to engage in a biopsychosocial assessment with patients and measure their needs. It is a promising tool for person-centered care. As the Netherlands lacks such a tool, a Dutch version was developed. Furthermore, we aimed to contribute to the relatively limited insights into the psychometric properties and value of the tool when used as part of a needs assessment in primary care. Confirmatory factor analysis was used to study construct validity and Cronbach’s alpha was computed to assess reliability. Furthermore, we interviewed 15 primary care professionals who used the PCAM. It was confirmed that each PCAM domain measures a separate construct, informed by the biopsychosocial model. The tool showed adequate reliability (Cronbach’s alpha = 0.83). Despite face validity concerns, the tool was mainly valued for measurement of patient needs and to facilitate action planning. Criticism of the PCAM pertained to a limited focus on the patient perspective, which is one of the crucial aspects of person-centered care. These rich, mixed-method insights can help to improve the value of the PCAM, as one of the few multifunctional tools to support professionals in holistic assessments.