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AIDS Research and Treatment
Volume 2013, Article ID 706191, 10 pages
Research Article

Psychometric Assessment of a Physician-Patient Communication Behaviors Scale: The Perspective of Adult HIV Patients in Kenya

1Department of Applied Health Sciences, School of Health, Physical Education, and Recreation, Indiana University, 1025 East 7th Street, Bloomington, IN 47405, USA
2Department of Research, USAID-Academic Model Providing Access to Healthcare (AMPATH) Partnership, Nandi Road, P.O. Box 4606, Eldoret 30100, Kenya
3Center for Sexual Health Promotion, Indiana University, 1025 East 7th Street, Bloomington, IN 47405, USA
4Department of Counseling and Educational Psychology, School of Education, Indiana University, 201 North Rose Avenue, Bloomington, IN 47405-1006, USA
5School of Medicine, Moi University, Nandi Road, P.O. Box 4606, Eldoret 30100, Kenya
6Division of Internal Medicine and Geriatrics, School of Medicine, Indiana University, 340 West 10th Street, Indianapolis, IN 46202, USA
7Regenstrief Institute, Inc., 1050 Wishard Boulevard, Indianapolis, IN 46202, USA
8Division of Global Health, Dalla Lana School of Public Health, University of Toronto, 155 College Street Health Science Building, Toronto, ON, Canada M5T 3M7

Received 12 October 2012; Accepted 14 January 2013

Academic Editor: Robert R. Redfield

Copyright © 2013 Juddy Wachira et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. There have been no scales specifically developed to assess physician-patient communication behaviors (PPCB) in the sub-Saharan population. Aim. We revised an existing PPCB scale and tested its psychometric properties for HIV patients in Kenya. Methods. 17 items (five-point scale) measuring PPCB were initially adopted from the Matched Pair Instrument (MPI). Between July and August 2011, we surveyed a convenient sample of 400 HIV adult patients, attending three Academic Model Providing Healthcare program (AMPATH) clinics in Eldoret, Kenya. Of these 400, eight also participated in cognitive interviews, and 200 were invited to return after one week for follow-up interviews; 134 (67%) returned and were interviewed. Construct and content validity were established using an exploratory factor analysis, bivariate analyses, internal consistency, test-retest reliability and cognitive interviews. Results. Construct and content validity supported a one-dimensional measure of 13 PPCB items. Items assessed physicians’ effort to promote a favorable atmosphere for interaction with HIV patients. Biases associated with encoding and comprehension of specific terms, such as “discussion, involvement or concerns,” were noted. Internal consistency (Cronbach’s alpha = .81) and one-week retest reliability scores (.82) supported the reliability of the 13-item scale. Discussion. The revised PPCB scale showed acceptable validity and reliability in Kenya.