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Spanish adaptation of the Patient Health Engagement scale (S.PHE-s)in patients with chronic diseases

Alejandro Magallares1, Guendalina Graffigna2, Serena Barello2, Andrea Bonanomi2 and Edoardo Lozza2

1 UNED and
2 Università Cattolica del Sacro Cuore. Milan (Italy)

Background: The Patient Health Engagement scale is an instrument based on evidence about the experiences and preferences of patients with chronic diseases regarding their engagement with the treatment they receive. Aims: The main goal of this study was to adapt the Patient Health Engagement scale to the Spanish population (S.PHE-s) following the guidelines for cross-cultural adaptations. Methods: The sample comprised 413 patients with different chronic diseases. Results: The confirmatory factor analysis showed a one factor model corresponding to the structure proposed by the original authors. The factor structure was invariant by gender. Furthermore, a Rasch Model showed that the S.PHE-s was unidimensional. In addition, every polychoric correlation coefficient was higher than .60. The Ordinal Alpha of the S.PHE-s was .85. Finally, the S.PHE-s was found to be positively related to life satisfaction, positive affect, and treatment adherence and negatively correlated to negative affect, depression, and anxiety. Conclusions: In light of these results, it may be concluded that the S.PHE-s has good psychometric properties and it may be used by the Spanish-speaking scientific community to measure patient engagement.

Adaptación española de la escala Patient Health Engagement (S.PHE-s) en pacientes con enfermedades crónicas. Antecedentes: la escala Patient Health Engagement es un instrumento construido en base a la experiencia y preferencias de pacientes con enfermedades crónicas en lo que respecta a su compromiso con el tratamiento que reciben. Objetivos: el objetivo del presente estudio fue adaptar al castellano la escala Patient Health Engagement (S.PHE-s) siguiendo las directrices de las adaptaciones transculturales. Método: la muestra estuvo compuesta de 413 pacientes con diferentes enfermedades crónicas. Resultados: el análisis factorial confirmatorio mostró un modelo unifactorial que correspondía a la estructura propuesta por los autores originales. La estructura factorial era invariante por género. Además, el modelo Rasch realizado puso de manifiesto la unidimensionalidad de la escala. Además, los coeficientes de correlación policóricos eran superiores a .60. El Alpha Ordinal de la escala fue de .85. Finalmente, se encontró que la S.PHE-s estaba positivamente relacionada con la satisfacción con la vida, el afecto positivo y la adherencia al tratamiento, y negativamente con el afecto negativo, la depresión y la ansiedad. Conclusiones: a la luz de estos resultados se puede concluir que la S.PHE-s tiene unas propiedades psicométricas adecuadas y que puede ser usada por la comunidad científica hispanohablante para medir el compromiso de los pacientes.


Impact factor 2021:   JCR (WOS): 4.104 (Q1)   |   SJR (Scopus) : 1.308 (Q1)    |  CiteScore 2020: 5,3