Back to Journals » Patient Preference and Adherence » Volume 15

Validation of the Chinese Version of the Patient’s Communication Perceived Self-Efficacy Scale (PCSS) in Outpatients After Total Hip Replacement

Authors Liu J, Zhao H, Capone V, Li Z, Wang J, Luo W

Received 12 January 2021

Accepted for publication 8 March 2021

Published 19 March 2021 Volume 2021:15 Pages 625—633


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Naifeng Liu

Jing Liu,1,* Huiwen Zhao,2,* Vincenza Capone,3 Ziyi Li,1 Jing Wang,1 Wen Luo2

1Traumatic Orthopedics Department, The 3rd Ward of Hip Joint Surgery, Tianjin Hospital, Tianjin, People’s Republic of China; 2The 2nd Ward of Joint Surgery, Tianjin Hospital, Tianjin, People’s Republic of China; 3Department of Humanities, University of Naples ‘Federico II’, Napoli, Italy

*These authors contributed equally to this work

Correspondence: Wen Luo
The 2nd Ward of Joint Surgery, Tianjin Hospital, 406 Jiefangnan Road, Tianjin, 300211, People’s Republic of China
Tel +86 22-13116190054
Email [email protected]

Background: Among older people in the world, older patients’ communication has become a public health issue of vital importance. Such communication could be improved by different interventions. However, a means of measuring patient’s communication confidence in these measures has not been established in China. This study is aimed at translating and introducing the Patient’s Communication Self-Efficacy Scale for communication between doctors and patients after total hip replacement.
Method: (1) A questionnaire was completed after a consultation by 167 patients (mean age = 70.04 years; SD: 6.3 years; females/males: 94/73). Translation of the original English version PCSS into the Chinese; (2) Validation of the final Chinese version of the PCSS. Measurement indexes included item generation, reliability testing, construct validity and test–retest reliability. To actualize the above test, we used SPSS 19.0 software and LISREL 8.7. We build the Bayesian Network Model of the Chinese version of the PCSS and determined predictive variables.
Result: Confirmatory factor analysis showed that the Chinese version of the PCSS has fit a three-dimensional model. Meanwhile, the Chinese version of the PCSS has high internal consistency (Cronbach’s α coefficient 0.929) and test–retest reliability (Kappa coefficient 0.761). Analysis using Bayesian networks shows that the important predictors are education (0.4207), PEPPI 3(0.3951), and PCSS 1(0.1139). The connections between PCSS 3 and other variables do not indicate causality, conditional dependencies or inter-relatedness.
Conclusion: This is the first study to validate the Chinese version of the PCSS in outpatients after total hip replacement. Our results confirmed that the Chinese version of the scale has high internal consistency, construct validity and test–retest reliability. And the patient–doctor interaction and education are important predictors of patient’s communication self-efficacy.

Keywords: communication, self-efficacy, total hip replacement, validation

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]