Validation of the English and French versions of the Brief Health Care Climate Questionnaire

Abstract

Patient autonomy is a central value in medicine and critical component of adherence to medical advice. This article reports on a validation of the 6-item version of the Health Care Climate Questionnaire (HCCQ), a measure of autonomy support in health care settings, in a sample of 242 melanoma patients. The HCCQ showed excellent internal consistency (α =.91), structural validity (Tucker–Lewis index =.99; comparative fit index =.99; root mean square error of approximation =.06, 90 per cent confidence interval (.00,.11); standardized root mean square residual =.02; χ2 (8, N = 235) = 13.99, p =.08) and construct validity (92.31% of hypothesized correlations with other measures confirmed). Acceptable 3-month test–retest reliability was observed (r =.55, p