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Background <p>Person-centered care (PCC) emphasizes a collaborative, empathetic approach to healthcare, which marks a significant shift from the traditional, hierarchical biomedical model. The Patient-Practitioner Orientation Scale (PPOS) is a validated tool used to assess attitudes toward PCC. However, no prior studies have evaluated such attitudes among medical students in Bahrain or adapted the PPOS to the Arabic language. This study aims to assess patient-centered attitudes among medical students at the Arabian Gulf University (AGU) in Bahrain, examine variations based on socio-demographic factors and academic year, and evaluate the psychometric properties of the Arabic translated PPOS (A-PPOS).</p> Methods <p>A cross-sectional study was conducted at the College of Medicine and Health Sciences, Arabian Gulf University, using the PPOS. The scale was translated into the Arabic language following WHO guidelines. A comprehensive sampling technique was used, targeting medical students of all six medical school years. A total of 540 student questionnaires were included in the study. The internal consistency of the scale was assessed using Cronbach’s alpha, while the underlying structure was checked through exploratory and confirmatory factor analyses.</p> Results <p>The mean PPOS score was 3.90 ± 0.47, suggesting moderate patient-centeredness. Female students scored significantly higher than males across all domains (<i>p</i> &lt; 0.001). No significant differences were found based on academic year or parental background. The internal consistency of the A-PPOS was low (α = 0.517), and factor analyses did not confirm the scale’s original two-factor structure, showing six different underlying factors instead.</p> Conclusion <p>Our sample of medical students shows a moderate orientation toward PCC, with gender differences favoring females. The Arabic PPOS showed limited reliability and construct validity, indicating the need for cultural tailoring and improvement. Incorporating PCC principles into medical education remains vital for encouraging effective, patient-focused healthcare.</p>

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Assessing patient-centeredness among medical students in Bahrain: the Arabic translation and validation of the Patient-Practitioner Orientation Scale (PPOS)

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月29日

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  • Khalid Gaffer Mohamed,
  • Amer Almarabheh,
  • Aya M. Haiba,
  • Leena Khalid,
  • Sara Emad,
  • Abdalrahman Alosaimi,
  • Abdalwahab Alosaimi,
  • Mohamed Hany Shehata,
  • Hany Atwa

摘要

Background

Person-centered care (PCC) emphasizes a collaborative, empathetic approach to healthcare, which marks a significant shift from the traditional, hierarchical biomedical model. The Patient-Practitioner Orientation Scale (PPOS) is a validated tool used to assess attitudes toward PCC. However, no prior studies have evaluated such attitudes among medical students in Bahrain or adapted the PPOS to the Arabic language. This study aims to assess patient-centered attitudes among medical students at the Arabian Gulf University (AGU) in Bahrain, examine variations based on socio-demographic factors and academic year, and evaluate the psychometric properties of the Arabic translated PPOS (A-PPOS).

Methods

A cross-sectional study was conducted at the College of Medicine and Health Sciences, Arabian Gulf University, using the PPOS. The scale was translated into the Arabic language following WHO guidelines. A comprehensive sampling technique was used, targeting medical students of all six medical school years. A total of 540 student questionnaires were included in the study. The internal consistency of the scale was assessed using Cronbach’s alpha, while the underlying structure was checked through exploratory and confirmatory factor analyses.

Results

The mean PPOS score was 3.90 ± 0.47, suggesting moderate patient-centeredness. Female students scored significantly higher than males across all domains (p < 0.001). No significant differences were found based on academic year or parental background. The internal consistency of the A-PPOS was low (α = 0.517), and factor analyses did not confirm the scale’s original two-factor structure, showing six different underlying factors instead.

Conclusion

Our sample of medical students shows a moderate orientation toward PCC, with gender differences favoring females. The Arabic PPOS showed limited reliability and construct validity, indicating the need for cultural tailoring and improvement. Incorporating PCC principles into medical education remains vital for encouraging effective, patient-focused healthcare.