Validation of the Rainbow Model of Integrated Care Measurement Tool in Parkinson's Disease

MDS Study Group on Management of Movement Disorders: Interdisciplinary and Integrated Care

doi:10.1002/mds.29413

Validation of the Rainbow Model of Integrated Care Measurement Tool in Parkinson's Disease

MDS Study Group on Management of Movement Disorders: Interdisciplinary and Integrated Care

Value-based Healthcare (VBHC)

Maastricht University, Faculty of Health, Medicine, and Life Sciences
Essenburgh Research & Consultancy
University Hospital of Marburg
University of Cologne
Radboud University Medical Centre
Radboud University, Donders Institute for Brain, Cognition, and Behaviour
The Ottawa Hospital
Northwestern University Feinberg School of Medicine
Melbourne School of Population and Global Health
Struthers Parkinson's Center
University of São Paulo
University of Pennsylvania, School of Nursing
Thomas Jefferson University
Clinical Research Centre for Movement Disorders and Gait
University of Pecs
Tel Aviv Medical Center
All India Institute of Medical Sciences

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Integrated care is essential for improving the management and health outcomes for people with Parkinson's disease (PD); reliable and objective measures of care integration are few.

OBJECTIVE: The aim of this study was to test the psychometric properties of the Rainbow Model of Integrated Care Measurement Tool (RMIC-MT, provider version) for healthcare professionals involved in PD care.

METHODS: A cross-sectional survey was administered online to an international network representing 95 neurology centers across 41 countries and 588 healthcare providers. Exploratory factor analysis with principal axis extraction method was used to assess construct validity. Confirmatory factor analysis was used to evaluate model fit of the RMIC-MT provider version. Cronbach's alpha was used to assess the internal consistency reliability.

RESULTS: Overall, 371 care providers (62% response rate) participated in this study. No item had psychometric sensitivity problems. Nine factors (professional coordination, cultural competence, triple aims outcome, system coordination, clinical coordination, technical competence, community-centeredness, person-centeredness, and organizational coordination) with 42 items were determined by exploratory factor analysis. Cronbach's alpha ranged from 0.76 (clinical coordination) to 0.94 (system coordination) and showed significant correlation among all items in the scale (>0.4), indicating good internal consistency reliability. The confirmatory factor analysis model passed most goodness-of-fit tests, thereby confirming the factor structure of nine categories with a total of 40 items.

CONCLUSIONS: The results provide evidence for the construct validity and other psychometric properties of the provider version of the RMIC-MT to measure integrated care in PD. © 2023 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Original language	English
Pages (from-to)	1253-1261
Number of pages	9
Journal	Movement disorders : official journal of the Movement Disorder Society
Volume	38
Issue number	7
DOIs	https://doi.org/10.1002/mds.29413
Publication status	Published - 6 May 2023

Keywords

humans
reproducibility of results
parkinson disease/therapy
cross-sectional studies
surveys and questionnaires
psychometrics
delivery of health care, integrated/methods

Research Focus Areas Hanze University of Applied Sciences * (mandatory by Hanze)

Healthy Ageing

Research Focus Areas Research Centre or Centre of Expertise * (mandatory by Hanze)

Frailty and adequate care

Publinova themes

Other
Health

Access to Document

10.1002/mds.29413Licence: CC BY-NC-ND

Cite this

@article{e29f030d079542909a1fc61d16765d58,

title = "Validation of the Rainbow Model of Integrated Care Measurement Tool in Parkinson's Disease",

abstract = "BACKGROUND: Integrated care is essential for improving the management and health outcomes for people with Parkinson's disease (PD); reliable and objective measures of care integration are few.OBJECTIVE: The aim of this study was to test the psychometric properties of the Rainbow Model of Integrated Care Measurement Tool (RMIC-MT, provider version) for healthcare professionals involved in PD care.METHODS: A cross-sectional survey was administered online to an international network representing 95 neurology centers across 41 countries and 588 healthcare providers. Exploratory factor analysis with principal axis extraction method was used to assess construct validity. Confirmatory factor analysis was used to evaluate model fit of the RMIC-MT provider version. Cronbach's alpha was used to assess the internal consistency reliability.RESULTS: Overall, 371 care providers (62\% response rate) participated in this study. No item had psychometric sensitivity problems. Nine factors (professional coordination, cultural competence, triple aims outcome, system coordination, clinical coordination, technical competence, community-centeredness, person-centeredness, and organizational coordination) with 42 items were determined by exploratory factor analysis. Cronbach's alpha ranged from 0.76 (clinical coordination) to 0.94 (system coordination) and showed significant correlation among all items in the scale (>0.4), indicating good internal consistency reliability. The confirmatory factor analysis model passed most goodness-of-fit tests, thereby confirming the factor structure of nine categories with a total of 40 items.CONCLUSIONS: The results provide evidence for the construct validity and other psychometric properties of the provider version of the RMIC-MT to measure integrated care in PD. {\textcopyright} 2023 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.",

keywords = "humans, reproducibility of results, parkinson disease/therapy, cross-sectional studies, surveys and questionnaires, psychometrics, delivery of health care, integrated/methods, mensen, reproduceerbaarheid van resultaten, ziekte van Parkinson/therapie, cross-sectionele studies, vragenlijsten en enqu{\^e}tes, psychometrie, levering van gezondheidszorg, ge{\"i}ntegreerd/methoden",

author = "\{MDS Study Group on Management of Movement Disorders: Interdisciplinary and Integrated Care\} and Valentijn, \{Pim P\} and Carsten Eggers and Bloem, \{Bastiaan R\} and David Grimes and Jennifer Goldman and Jennifer McGinley and Joan Gardner and Piemonte, \{Maria Elisa Pimentel\} and Nabila Dahodwala and Laura Brennan and Robert Iansek and Norbert Kovacs and Sotirios Parashos and Ariela Hilel and Roopa Rajan",

note = "{\textcopyright} 2023 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.",

year = "2023",

month = may,

day = "6",

doi = "10.1002/mds.29413",

language = "English",

volume = "38",

pages = "1253--1261",

journal = "Movement disorders : official journal of the Movement Disorder Society",

issn = "0885-3185",

publisher = "John Wiley \& Sons Inc.",

number = "7",

}

Validation of the Rainbow Model of Integrated Care Measurement Tool in Parkinson's Disease. / MDS Study Group on Management of Movement Disorders: Interdisciplinary and Integrated Care.
In: Movement disorders : official journal of the Movement Disorder Society, Vol. 38, No. 7, 06.05.2023, p. 1253-1261.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Validation of the Rainbow Model of Integrated Care Measurement Tool in Parkinson's Disease

AU - MDS Study Group on Management of Movement Disorders: Interdisciplinary and Integrated Care

AU - Valentijn, Pim P

AU - Eggers, Carsten

AU - Bloem, Bastiaan R

AU - Grimes, David

AU - Goldman, Jennifer

AU - McGinley, Jennifer

AU - Gardner, Joan

AU - Piemonte, Maria Elisa Pimentel

AU - Dahodwala, Nabila

AU - Brennan, Laura

AU - Iansek, Robert

AU - Kovacs, Norbert

AU - Parashos, Sotirios

AU - Hilel, Ariela

AU - Rajan, Roopa

PY - 2023/5/6

Y1 - 2023/5/6

N2 - BACKGROUND: Integrated care is essential for improving the management and health outcomes for people with Parkinson's disease (PD); reliable and objective measures of care integration are few.OBJECTIVE: The aim of this study was to test the psychometric properties of the Rainbow Model of Integrated Care Measurement Tool (RMIC-MT, provider version) for healthcare professionals involved in PD care.METHODS: A cross-sectional survey was administered online to an international network representing 95 neurology centers across 41 countries and 588 healthcare providers. Exploratory factor analysis with principal axis extraction method was used to assess construct validity. Confirmatory factor analysis was used to evaluate model fit of the RMIC-MT provider version. Cronbach's alpha was used to assess the internal consistency reliability.RESULTS: Overall, 371 care providers (62% response rate) participated in this study. No item had psychometric sensitivity problems. Nine factors (professional coordination, cultural competence, triple aims outcome, system coordination, clinical coordination, technical competence, community-centeredness, person-centeredness, and organizational coordination) with 42 items were determined by exploratory factor analysis. Cronbach's alpha ranged from 0.76 (clinical coordination) to 0.94 (system coordination) and showed significant correlation among all items in the scale (>0.4), indicating good internal consistency reliability. The confirmatory factor analysis model passed most goodness-of-fit tests, thereby confirming the factor structure of nine categories with a total of 40 items.CONCLUSIONS: The results provide evidence for the construct validity and other psychometric properties of the provider version of the RMIC-MT to measure integrated care in PD. © 2023 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

AB - BACKGROUND: Integrated care is essential for improving the management and health outcomes for people with Parkinson's disease (PD); reliable and objective measures of care integration are few.OBJECTIVE: The aim of this study was to test the psychometric properties of the Rainbow Model of Integrated Care Measurement Tool (RMIC-MT, provider version) for healthcare professionals involved in PD care.METHODS: A cross-sectional survey was administered online to an international network representing 95 neurology centers across 41 countries and 588 healthcare providers. Exploratory factor analysis with principal axis extraction method was used to assess construct validity. Confirmatory factor analysis was used to evaluate model fit of the RMIC-MT provider version. Cronbach's alpha was used to assess the internal consistency reliability.RESULTS: Overall, 371 care providers (62% response rate) participated in this study. No item had psychometric sensitivity problems. Nine factors (professional coordination, cultural competence, triple aims outcome, system coordination, clinical coordination, technical competence, community-centeredness, person-centeredness, and organizational coordination) with 42 items were determined by exploratory factor analysis. Cronbach's alpha ranged from 0.76 (clinical coordination) to 0.94 (system coordination) and showed significant correlation among all items in the scale (>0.4), indicating good internal consistency reliability. The confirmatory factor analysis model passed most goodness-of-fit tests, thereby confirming the factor structure of nine categories with a total of 40 items.CONCLUSIONS: The results provide evidence for the construct validity and other psychometric properties of the provider version of the RMIC-MT to measure integrated care in PD. © 2023 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

KW - humans

KW - reproducibility of results

KW - parkinson disease/therapy

KW - cross-sectional studies

KW - surveys and questionnaires

KW - psychometrics

KW - delivery of health care, integrated/methods

KW - mensen

KW - reproduceerbaarheid van resultaten

KW - ziekte van Parkinson/therapie

KW - cross-sectionele studies

KW - vragenlijsten en enquêtes

KW - psychometrie

KW - levering van gezondheidszorg, geïntegreerd/methoden

U2 - 10.1002/mds.29413

DO - 10.1002/mds.29413

M3 - Article

C2 - 37148424

SN - 0885-3185

VL - 38

SP - 1253

EP - 1261

JO - Movement disorders : official journal of the Movement Disorder Society

JF - Movement disorders : official journal of the Movement Disorder Society

IS - 7

ER -

Validation of the Rainbow Model of Integrated Care Measurement Tool in Parkinson's Disease

Abstract

Keywords

Research Focus Areas Hanze University of Applied Sciences * (mandatory by Hanze)

Research Focus Areas Research Centre or Centre of Expertise * (mandatory by Hanze)

Publinova themes

Access to Document

Fingerprint

Cite this