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Patient Assessment of Chronic Illness Care+
  • Basic Information
  • Detailed Information
  • Domains
  • Psychometrics

Basic Information

Abbreviated name
PACIC+
Full name
Patient Assessment of Chronic Illness Care+
Items ?
The number of questions in the survey
26
Short description
Patient experience of chronic illness care. This extended version of the PACIC includes the same 20 items as the original measure, but adds six items to the original instrument. These 6 questions derive from the 5As model (ask, advise, agree, assist, and arrange), a patient centered model of behavioral counseling that is congruent with the CCM and has been frequently used to enhance self management support and linkages to community resources.
PCCC or QoL? ?
This compendium contains patient-reported measures that are either designed to specifically measure aspects of Person Centred Co-Ordinated Care (P3C), or alternatively tools that are designed to measure some aspect of Quality of Life (QoL) or Health Related Quality of Life (hrQoL). All the measures in this compendium have been broadly categorised into one of those two concepts.
Person Centred Coordinated Care
Main Domains Measured ?
This is the key domains that the measure is targeting.
Patient experience of chronic illness care
Type of measure ?
The measures in this compendium can take a variety of forms. Generally, they will be either Patient Reported Outcome Measure (PROM) or Patient Reported Experience Measure (PREM). However, we have also included a few measures that are completed by proxy-individual (PROXY), which are useful in instances where the respondent cannot answer directly (e.g. dementia or end of life). Sometimes, these measures can even be a composite of these types, and target both experiences and outcomes – we have labelled these measures “PROEMs”.
PREM
Respondent ?
The person that fills in the questionnaire - e.g. patient, Health Care Professional, or proxy (normally a carer or family member)
Patients
Permissive licence ?
Whether the measure is free to use without major restrictions, or instead permission and/or licensing fees are required. E.g. if "Yes", you should seek authorisation/permission prior to using the instrument.
Freely available in the public domain.
Copy of questionnaire
http://www.improvingchroniccare.org/downloads/pacicplus.pdf

Detailed Information

Year developed ?
The year in which the measure was first published.
2005
Country developed in ?
The main country[s] in which the measure was first developed.
US
Original publication ?
The publication in which the measure was originally published.
Search Citations of Original Reference
http://www.ncbi.nlm.nih.gov/pubmed/15838407
Website link ?
A link to the developer of the measure, if they have a website.
http://www.improvingchroniccare.org/index.php?p=PACIC_survey&s=36 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3601510/
Target condition ?
The measures can be either generic or disease specific (e.g. Diabetes, Heart Failure)
Long term conditions
Main context tested in ?
The main context in which the measure has been developed and used (E.g. Hopital, General Practice etc).
Primary Care, Hospitals
Main countries used in ?
The main countries in which the measure has been developed and used.
US
Target age ?
e.g. Adults, Children, Elderly
Adults
Main uses of measure ?
The context in which the measure is most often used – e.g. clinical trials; national surveys.
It was designed to assess patient perspectives of the implementation of the Chronic Care Model (CCM). It focuses on the receipt of patient-centred care and self-management behaviours. It asks patient to evaluate their care within the past 6 months. Scales address: (1) patient activation (2) delivery system design/decision support (3) goal setting (4) problem-solving/contextual counselling and 5) follow up/coordination
Used in UK? ?
Whether the instrument has been tested and validated within a UK healthcare context.
Yes
Impact ?
A crude indication of the impact of the measure on academia. This is the number of times the original publication has been cited on PubMed, divided/normalised to the years since publication.
12.81818182
Language
English
Other versions available
20 Items, 26 items (PACIC+) and translated versions. It has also been applied to diabetic patient populations.
Flesch-Kincaid readability tests ?
A rating that corresponds approximately to US school grade level. For example, a score of 8.0 means that an eighth grader can understand the document. Generally, a score of 7 or 8 should be appropriate.
2.1

Domains

Domain description
Patient experience of chronic illness care

Psychometrics

Brief description ?
A brief description of the initially reported psychometric properties of the measure.
An evaluation of the psychometric qualities of the PACIC in a large sample of UK patients with long-term conditions (Rick et al. 2012) reported that the PACIC scale had demonstrated potential utility for improving care for long-term conditions, but further assessment was necessary in order to ascertain why there were low levels of completion and to explore how effective the scale was at predicting outcomes and assessing the effects of interventions. Face, construct, and concurrent validity, as well as measurement performance were demonstrated, characterising the PACIC as a reliable instrument. Test-re-test reliability was moderately stable over a three month interval. Most items strongly related to their retrospective subscale(s) and the overall model had moderate goodness of fit.
Co-developed with patients ?
Whether the measure was co-developed with patients, a critical stage in the design and implementation of truly person-centred measures.
Yes