Cultural Adaptation of Patient-Reported Indicator Surveys (PaRIS) Patient and Primary Care Practice Questionnaires to the Slovenian Context

Question content	Round 1			Round 2			Error Type
Question content	N of tests	Tot. diff. score	Ratio	N of tests	Tot. diff. score	Ratio	Error Type
Difficulties in breathing	9	4	0.4	10	5	0.5	Poor source question design.
Emotional problems (anxiety, depression, irritability)	7	4	0.6	9	3	0.3	Poor source question design.
Care for health and healthcare	7	4	0.6	10	5	0.5	Poor source question design.
Health professionals spoken about healthy eating	8	4	0.5	10	5	0.5	Poor source question design.
Information about health issues	8	11	1.4	/	/	/	Translation error.
Experience with healthcare	9	6	0.7	9	5	0.6	Cultural portability.
Consulted with a doctor	8	4	0.5	9	5	0.6	Poor source question design, Translation error.
Diagnosed with disease by a doctor	7	4	0.6	/	/	/	Poor source question design, Poor introduction / section design (text after diagnosed with disease by doctor).
Healthcare professional coordinating health services	9	11	1.2	10	7	0.7	Translation error / Cultural portability, Poor introduction / section design (Experience in family medicine practice, text after Diagnosed by doctor with disease).
Same health professional for most problems	7	7	1.0	/	/	/	Poor introduction / section design (Single healthcare professional for coordination, Experience with family medicine practice, text after Diagnosed with disease by doctor).
Who is this health worker?	7	10	1.4	9	5	0.6	Poor introduction / section design (Experience with care in family medicine practice, text after Diagnosed with disease by doctor, questions Is there a single professional responsible for coordinating care, Is it the same professional as for most health problems), Translation error (response option 3).
Health professional for most health problems	8	4	0.5	10	6	0.6	Cultural portability, Poor introduction / section design (Realationship with care in your family medicine practice, Diagnosed by doctor with any disease).
Setting health goals with health professionals	8	7	0.9	10	6	0.6	Poor section design, Poor source question design. ^* Firstly, question was without introduction.
Questions relate to treatment plan/Treatment plan for health needs	8	10	1.3	10	10	1.0	Poor introduction design, Poor source question design, Cultural portability.
Health care involves family, friends, caregivers	8	1	0.1	8	7	0.9	Poor source question design, Poor introduction / section design.
Reviewing all the medications	7	4	0.6	10	2	0.2	Poor source question design, Poor introduction / section design.
Last consultation/main purpose of consultation	9	11	1.2	9	11	1.2	Poor introduction design (Relate to last consultation in medical clinic), Poor source question design, Translation error, Cultural portability.
Most time spent with healthcare professionals	9	5	0.6	7	8	1.1	Poor introduction / section design, Cultural portability.
Employment of a health worker	9	13	1.4	5	3	0.6	Poor introduction/section design, Cultural portability.
Best describes the type of medical care	8	6	0.8	6	4	0.7	Poor introduction / section design, poor source question design.
How quickly you got the appointment for consultation	8	2	0.3	7	6	0.9	Poor introduction / section design, poor source question design.
Symptoms of COVID-19 in last two months	8	2	0.3	8	7	0.9	Translation error / Cultural portability.
Highest level of education	10	6	0.6	/	/	/	Translation error / Cultural portability.
Your sex	7	7	1.0	/	/	/	Cultural portability.
Your gender	9	8	0.9	/	/	/	Cultural portability.
Current employment status	4	5	1.3	/	/	/	Translation error / Cultural portability.
Enough money for healthy food	8	5	0.6	4	1	0.3	Poor source question design.
Need for emotional care	9	7	0.8	/	/	/	Poor source question design.
Agree or disagree that healthcare system can be trusted	8	1	0.1	8	5	0.6	Poor source question design.
Best describes the live in place	/	/	/	6	5	0.8	Poor source question design (difficult international comparability).

Error types revealed after cognitive testing of the PaRIS-PCPQ_

Question content	Round 1			Round 2			Error Type
Question content	N of tests	Tot. diff. score	Ratio	N of tests	Tot. diff. score	Ratio	Error Type
Type of practice	3	5	1.7	5	7	1.4	Cultural portability.
Practice offers services without an appointment/Which type of patients can come without an appointment	3	2	0.7	5	6	1.2	Poor source question design, Translation error, Cultural portability.
Which of the following out-of-hours options does your practice provide	3	3	1.0	5	9	1.8	Poor source question design, Cultural portability, Translation error.
Roles and functions of the nurses	3	3	1.0	5	5	1.0	Poor source question design, Cultural portability.
Scheduled time in practice	3	3	1.0	5	5	1.0	Poor source question design, Translation error, Cultural portability.
How prepared is a practice to manage care?	3	3	1.0	5	7	1.4	Poor source question design, Translation error, Cultural portability.
Access to equipment for managing chronic patients	4	5	1.3	/	/	/	Poor source question design.
Physicians paid in practice	4	6	1.5	/	/	/	Poor source question design, Cultural portability.
Practice receives dedicated payments	4	5	1.3	5	10	2.0	Cultural portability.
Types of medical record kept	4	4	1.0	5	4	0.8	Poor source question design, Translation error.
How are individual patient care plans developed at your practice?	4	6	1.5	5	5	1.0	Poor source question design, Cultural portability.
Practice produces information using computer system	4	3	0.8	5	7	1.4	Poor source question design, Translation error, Cultural portability.
Tasks routinely performed using computer system	3	3	1.0	5	5	1.0	Cultural portability, Translation error.
Review indicators	3	4	1.3	5	6	1.2	Poor source question design, Translation error, Cultural portability.
In charge of coordinating with chronic conditions	3	5	1.7	5	10	2.0	Poor source question design, Translation error.
Self-management support for patients with chronic conditions	3	1	0.3	4	2	0.5	Cultural portability.
Care in practice following chronic conditions	3	4	1.3	/	/	/	Poor source question design, Translation error.
Info about COVID-19	3	2	0.7	/	/	/	Translation error.
Changes in practice due to COVID-19	2	1	0.5	3	2	0.7	Poor source question design.
Salary in COVID-19	2	1	0.5	/	/	/	Poor source question design.
Stressed when managing patients with covid-19	2	1	0.5	2	1	0.5	Poor source question design.
Professional background	4	5	1.3	3	2	0.7	Cultural portability.
Does your practice offer video, phone, or other online techniques for consultations to patients?	3	0	0.0	5	1	0.2	No major difficulties detected in Slovenia.

Lingua:: Inglese

Frequenza di pubblicazione:: 4 volte all'anno
Argomenti della rivista:: Medicina, Medicina clinica, Medicina dell'igiene e dell'ambiente

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Cultural Adaptation of Patient-Reported Indicator Surveys (PaRIS) Patient and Primary Care Practice Questionnaires to the Slovenian Context

Matija AMBROŽ

Nina ROPRET

Pia VRAČKO

Eva MURKO

Candan KENDIR

Lucija BOSNJAK

Rachel WILLIAMS

Zalika KLEMENC-KETIŠ

Categoria dell'articolo: Original scientific article

Pubblicato online: 28 feb 2025

Pagine: 93 - 102

Ricevuto: 21 ott 2024

Accettato: 27 dic 2024

DOI: https://doi.org/10.2478/sjph-2025-0012

Parole chiavePrimary care, Patient Reported, Outcome Measure, Cognitive testing

© 2025 Matija AMBROŽ et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Error types revealed after cognitive testing of the PaRIS-PQ_

Error types revealed after cognitive testing of the PaRIS-PCPQ_

Parole chiave
Primary care, Patient Reported, Outcome Measure, Cognitive testing