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REVIEW Measurement Tools in Patient Education provides a critique of eighty-six
patient education measurement instruments. The author perceived a
need for a centralized source of information regarding the use and applicability
of such tools in order to improve the quality of assessing patient needs
and evaluating the effectiveness of patient education and care. This
new (2nd) edition reflects an updated and expanded compilation of instruments
over the first issue and proves useful for health care practitioners, researchers
and students.
The first part of the book offers an overview of measurement in patient
education and general information on tool selection and psychometrics.
The second part of the book is divided into nine domains related to conditions
and health related topics. The domains reviewed are:
a) Basic Patient Education Needs,
b) Diabetes,
c) Arthritis and Other Rheumatic Diseases,
d) Asthma,
e) Cardiovascular Illness,
f) Cancer,
g) Pregnancy, Childbirth and Parenting,
h) Other Clinical Topics, and
i) Health Promotion, Disease Prevention and Increasing Quality of Life
Within each of these sections, the author reviews several tools by describing
the instruments, the psychometric properties and the research using the
instruments. The author also critiques each tool and includes a copy
of each instrument. In general, the patient education measurements
in this text address the constructs of beliefs, attitudes, behaviors, decision
making, knowledge, learning assessment, and self-efficacy.
As an example of the content of the book, consider the Falls Efficacy
Scale; a tool designed to measure fear of falling developed by
Tinetti,
Richman and Powell in 1990.
Redman (2003)
provides a synopsis of the development, administration and scoring guidelines
of the instrument. In addition, she provides a review of the research
conducted to describe the psychometric properties of the Falls Efficacy
Scale. She concludes the overview with a critique of her perspective
on the quality of the tool's psychometrics and applications. Other
tools reviewed include the Toddler Care Questionnaire (Gross
& Rocissano, 1988), which measures maternal confidence during toddlerhood;
the Arthritis Self-Efficacy Scale (Lorig,
Chastain, Ung, Shoor & Holman, 1989) measuring client perceived
self-efficacy to cope with consequences of chronic arthritis; and the HIV
Prevention Attitude Scale (Torabi &
Yarber, 1992), which evaluates educational approaches to HIV control
among adolescents.
This text could serve as an important resource in clinical and community
settings to stimulate program development or facilitate patient education
program evaluation. Researchers and students would likely find this
book helpful when designing investigations and outcome studies. The
information on each instrument is current, clearly written and well organized.
The appendix consists of a table summarizing essential characteristics
of each tool. The array of instruments is applicable to a broad spectrum
of health care disciplines and practice arenas. This book is highly
relevant to health care practitioners and researchers interested in a resource
for determining applicable methods to measure patient education.
References
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Gross, D., & Rocissano, L.
(1988). Maternal confidence during toddlerhood: Comparing preterm
and full-term groups. Research in Nursing and Health, 12, 1-9.
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Lorig,
K., Chastain, R. L., Ung, E., Shoor, S., & Holman, H. R. (1989).
Development and evaluation of a scale to measure perceived self-efficacy
in people with arthritis. Arthritis and Rheumatism, 32, 27-34.
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Redman, B.K. (2003). Measurement tools in
patient education (2nd edition). New York, NY: Springer Publishing
Company.
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Tinetti, M. E.,
Richman, D., & Powell, L. (1990). Falls efficacy as a measure
of fear of falling. Journals of Gerontology: Psychological Sciences,
45, P239-243.
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Torabi, M.R. & Yarber, W. (1992).
Alternate forms of HIV Prevention Attitude Scales for teenagers.
AIDS Education and Prevention, 4, 172-182.
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