Assessing patient-centeredness among medical students: The Italian translation and validation of the Patient-Practitioner Orientation Scale

Stefano Ardenghi, Giulia Rampoldi, Alessandro Pepe, Marco Bani, Paolo Gritti, Maria Grazia Strepparava

Accepted August 31, 2019

First published August 31, 2019


This study aimed to evaluate the psychometric proprieties of the Italian version of the Patient-
Practitioner Orientation Scale (PPOS) in a large sample (N = 854) of Italian second-year medical students from six
consecutive academic years. The 18 items of the PPOS were translated into Italian using a standard translation/backtranslation
process. The construct validity of the PPOS was established with Confirmatory Factor Analyses. Multi-group
measurement invariance between males and females was also performed. Finally, convergent validity and Raykov’s
composite reliability were used as indicators of PPOS internal consistency. Results supported the two original factors
labeled Caring and Sharing, but the validated Italian version of the PPOS includes 8 items out of the 18 of the original
questionnaire. The PPOS-8-IT resulted in a reliable and valid self-report measure of patient-centeredness among Italian
undergraduate medical students. The PPOS-8-IT might be used for assessing and monitoring the attitudes of Italian
medical students towards the doctor-patient relationship for educational, evaluative, and research purposes.

Assessing patient-centeredness among medical students: The Italian translation and validation of the Patient-Practitioner Orientation Scale


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Author Surname Author Initial. Title. Publication Title. Year Published;Volume number(Issue number):Pages Used. doi:DOI Number.

Ardenghi Stefano . Rampoldi Giulia . Pepe Alessandro . Bani Marco . Gritti Paolo . Strepparava Maria Grazia . Assessing patient-centeredness among medical students: The Italian translation and validation of the Patient-Practitioner Orientation Scale. BPA Applied Psychology Bulletin. 2019;285(1):51-61. doi:10.26387/bpa.285.1.

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Author Surname Author Initial. Title. Publication Title. Year Published;Volume number(Issue number):Pages Used. doi:DOI Number.

Ardenghi Stefano . Rampoldi Giulia . Pepe Alessandro . Bani Marco . Gritti Paolo . Strepparava Maria Grazia . Assessing patient-centeredness among medical students: The Italian translation and validation of the Patient-Practitioner Orientation Scale. BPA Applied Psychology Bulletin. 2019;285(1):51-61. doi:10.26387/bpa.285.1.