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Background: In a time of ageing populations, examination of the ability of multimorbid patients to achieve well-being has become increasingly important. Social production function theory is used to characterise people’s ability to achieve well-being. Whereas much research has examined the fulfilment of substantive needs, far less research has investigated the quality of production functions (being in control, avoiding a loss frame, and efficiency) to achieve well-being. Therefore, this study involved the development and validation of the Social Production Function–Quality of production functions (SPF-Q) instrument to assess the quality of production functions via the fulfilment of production needs to achieve well-being.
Methods: The 12-item SPF-Q was used to assess the quality of production functions via the fulfilment of production needs to achieve well-being among patients with multimorbidity from seven health care practices in the region of Tilburg, the Netherlands. A total of 216 patients filled in the questionnaire (55% response rate). To test the validity of the SPF-Q, we used structural equation modelling to specify a measurement model by loading each item on its respective latent factor, and we examined associations between production needs and other measures.
Results: Psychometric results clearly showed that the SPF-Q is a valid and reliable instrument for the assessment of the quality of production functions among multimorbid patients. Confirmatory factor analyses revealed good indices of fit for the instrument. As indicated by the high reliability coefficient, the scale also showed good internal consistency. We found support for construct validity through significant positive correlations between substantive and production well-being needs, as well as with overall well-being and life satisfaction.
Conclusion: This study clearly showed that the SPF-Q is a valid and reliable instrument for the assessment of production needs among multimorbid patients. Given that multimorbidity is becoming the leading threat to population health, such an instrument can help to improve the ability to achieve well-being in this vulnerable population
Presented by: Anna Petra Nieboer
Anna Petra Nieboer is a full professor and department head of Socio-Medical Sciences at the Erasmus School of Health Policy & Management, Erasmus University Rotterdam. Her work has focused on the quality of care, innovation in health and social care, and the well-being of community-dwelling (frail) older people. The author of more than 150 peer-reviewed articles, Nieboer has extensive experience with the evaluation of large-scale, complex and multidisciplinary interventions, as well as mixed-methods research approaches. Nieboer holds a master’s degree in sociology from the University of Groningen, the Netherlands, and a doctorate from the same institution, awarded upon completion of the doctoral programme in sociology at the Interuniversity Center for Social Science, Theory, and Methodology.
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