Self-report questionnaire for measuring presence: Development and initial validation

E. Kuis, M.A. Goossensen, J. van Dijke, A.J. Baart

    Research output: Contribution to journalArticleAcademicpeer-review

    Abstract

    Background: The concept of ‘presence’ appears frequently
    in the literature and seems to be a highly relevant
    concept in discussing and evaluating quality of
    relations in healthcare practices. However, no existing
    self-report measure of presence for health professionals
    was found.
    Purpose: The purpose of this study was (i) to develop a selfreport
    questionnaire for measuring presence and (ii) to conduct
    initial psychometric testing of the questionnaire.
    Method: The process followed two steps. Phase 1 consisted
    of the development of 64 items that were derived from
    the ‘theory of presence’ (ToP) as developed by Andries
    Baart in the Netherlands in 2001. Face and content validity
    were completed by a panel of experts in ToP. A pilot
    study to test understandability was done (N = 22).
    During Phase 2, 48 remaining items of the Presence
    Questionnaire for Caregivers (PQ-C) were tested among
    723 healthcare professionals. Exploratory principal component
    analysis was conducted, and reliability coefficients
    and known-group validity were assessed.
    Results: Principal component analysis showed three new
    components that were labelled ‘dedicated attitude’,
    ‘openness in perception’ and ‘reciprocal humaneness’.
    Thirty-one items were retained which explain 25.4% of
    the variance. An initial psychometric assessment of the
    shortened scale showed a Cronbach’s alpha of 0.82 and a
    Spearman–Brown coefficient (for equal length) of 0.63.
    There were significant differences in sum scores between
    groups based on age, years of experience and familiarity
    with ToP.
    Conclusion: It appeared possible to develop a self-report
    questionnaire for measuring presence and establish face
    and content validity. In initial exploratory factor analysis,
    the eight theoretical principles of ToP used to develop
    the questionnaire were not reflected, and three new
    components appeared. Further research is needed to
    examine the value of the three new dimensions, and
    investigation into the construct validity and reliability of
    the three new components is recommended.
    Original languageEnglish
    Pages (from-to)173-182
    JournalScandinavian Journal of Caring Sciences
    Volume2014
    DOIs
    Publication statusPublished - 2014

    Keywords

    • caring
    • presence
    • theory of presence
    • ethics of care
    • quality of care
    • instrument development
    • psycho-metric properties
    • factor analysis

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