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083 Implementation of the experienced patient- centerdness questionnaire (EPAT) in routine care: an interview study
  1. Hannah Führes,
  2. Stefan Zeh,
  3. Clara Haufschild,
  4. Eva Christalle,
  5. Martin Härter,
  6. Isabelle Scholl
  1. Department of Medical Psychology, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany

Abstract

Introduction In order to promote patient-centeredness, it is essential to be able to measure its current degree. Previously, we developed and psychometrically tested the Experienced Patient-Centerdness Questionnaire (EPAT)1 the first German-language questionnaire to comprehensively assess patient- centeredness from the patients’ perspective. The EPAT can be used both for research purposes and in routine care for quality assurance. The aim of this study is to find out which factors influence the use of the EPAT in routine care.

Methods The EPAT was used in inpatient and outpatient settings from October 2022 to March 2023. Semi-structured interviews were then conducted with the staff responsible for its implementation. The interviews were analysed using qualitative content analysis based on the Consolidated Framework for Implementation Research (CFIR).2

Results A total of n=14 interviews were conducted with clinicians from various disciplines. We identified 5 major themes about factors influencing the implementation: (1) positive characteristics of the EPAT, clear definition of responsibilities within the team, (3) motivation to improve patient-centeredness, (4) lack of resources, and (5) suitable processes for the implementation.

Discussion Due to the natural conditions under which the EPAT was tested in routine care, the results have a high external validity. This way, the needs of those providing treatment can be well mapped. This allows relevant factors to be identified that facilitate implementation in routine care.

Conclusion The results of the study can be used to facilitate the implementation of the EPAT in the future, to map the degree of patient-centeredness experienced, and to identify any need for improvement.

References

  1. Christalle E, Zeh S, …, Scholl I, Health Expect. 2022;25(4):1529–1538.

  2. Damschroder LJ, Reardon CM, …, Lowery J. Implement sci 2022;17(1):1–16.

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