Validation of the Scale of Assertiveness in the Patient-Physician Relationship in Mexican pregnant women
Abstract
The medical model has put aside the paternalistic relationship between physician and patient to give way to the patient-centered model, where the patient occupies an active role in their health care, so the establishment of adequate communication becomes relevant. Assertiveness is a tool that favors effective communication and is also capable of being trained. Effective communication between the health professional and pregnant women is a key element for the optimal delivery of obstetric care. Objective: To analyze the psychometric properties of the Scale of Assertivity of Patients-Medical Personnel (SAPMP) in pregnant Mexican women. Method: 716 pregnant women aged between 13 and 46 years (M = 26.55; SD = 6.56) were recruited, who answered an identification form and the SAPMP. The construct validity of the SAPMP was assessed by exploratory and confirmatory factor analysis. Its internal consistency was determined by calculating Cronbach's α and McDonald's ω. Results: The validation of the SAPMP with Mexican pregnant women detected that it has a bifactorial structure, with uncorrelated factors, each one with an internal consistency from acceptable to very high, which together explain 64% of the variance. The two factors showed adequate discriminant validity, although the internal convergent validity was unacceptable. The internal consistency of the No assertiveness factor indicates the redundancy of some of its items. Conclusions: The SAPMP validated in pregnant Mexican women has adequate psychometric properties to evaluate assertive communication between the physician and the woman user of obstetrical-gynecological care services. However, new studies must be carried out in order to address the problem of internal convergent validity detected, as well as internal consistency for the No assertiveness factor.
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