Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool

Objective This study aims to test a Chinese cross-cultural adaptation of the English version of the Person-Centred Care Assessment Tool (P-CAT) and evaluate its psychometric properties. Design P-CAT was translated/back-translated using established procedures before the psychometric evaluation of the Chinese version was made. Setting Two hospitals covering urban and suburban areas of Kunming in the Yunnan province of China. Participants 152 female hospital staff completed the survey. Main outcome measure(s) Construct validity and reliability, including internal consistency and test-retest reliability, were assessed among a sample of hospital staff. Results The factor analysis resulted in a two-component solution that consisted of two subscales. The corrected item-total correlations for all of the items ranged from 0.14 to 0.44, with six items not meeting the cut-off level for item-total correlation (>0.3). The Chinese P-CAT demonstrated strong reliability, with a Cronbach's alpha of 0.91-0.94 for the scales and a test-retest reliability coefficient of 0.88 for the overall scale scores. The intraclass correlation was 0.92 (95% CI 0.90 to 0.95). Conclusion P-CAT appears to be a promising measure for evaluating staff perceptions of person-centredness in Chinese hospital environments. The results show that P-CAT can be a useful tool for improving the quality of healthcare in terms of person-centred care in the Chinese context.