Development of the Italian version of the Consultation and Relational Empathy (CARE) Measure: translation, reliability and factor analysis in patients undergoing rehabilitation after total hip and knee arthroplasty

Humanitas Natali , Laura Corradini , Humanitas Sconza , Humanitas Taylor , Humanitas Furlan, Stewart W Mercer, Roberto Gatti

Research output: Contribution to journalArticlepeer-review

Abstract

Empathy is a key aspect in the clinician-patient relationship because it increases satisfaction, care quality and treatment outcomes. The Consultation and Relational Empathy (CARE) Measure is a self-administered scale, broadly used to evaluate the empathy of a physician perceived by a patient. The aim of this study was to validate the cross-cultural adaptation of the CARE Measure into Italian and examine its psychometric properties in a rehabilitation setting. After the translation process, we gave the Italian version of the CARE measure to 101 patients, hospitalized for rehabilitation after total hip or total knee arthroplasty (THA and TKA). Face validity was high: patients answered all questions and made no use of the “not applicable” option. Internal reliability with a Cronbach's α of 0.962 resulted in line with the original version. The exploratory factor analysis confirmed the unidimensional structure of the CARE measure, with 74.82% of variance explained by the first factor and one significant eigenvalue.

The Italian version of the CARE measure showed similar psychometric properties to the original version. Considering our sample consisted only of patients after THA and TKA, other validation studies of the Italian version of the CARE measure could warrant development in more heterogeneous groups of patients.

Keywords: empathy; translation; reliability; factor analysis; rehabilitation; arthroplasty
Original languageEnglish
JournalDisability and rehabilitation
Early online date22 Feb 2022
DOIs
Publication statusE-pub ahead of print - 22 Feb 2022

Keywords

  • Empathy
  • arthroplasty
  • factor analysis
  • rehabilitation
  • reliability
  • translation

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