Communication About Medication by Providers-Adolescent and Young Adult Version: Confirmatory Factor Analyses

• Published in: Journal of pediatric psychology 2021-06, Vol.46 (5), p.599-608
• Main Authors: Feldman, Estée C H, Durkin, Lindsay K, Bugno, Lindsey, Balistreri, Kathryn A, Davies, W. Hobart, Miller, Steven A, Greenley, Rachel Neff
• Format: Article
• Language: English
• ISSN: 0146-8693; 1465-735X
• DOI: 10.1093/jpepsy/jsab009

Abstract Objective To replicate the factor structure of a patient-report measure of provider communication about key medication prescription information, the Communication about Medication by Providers-Adolescent and Young Adult (CAMP-AYA) Version. We evaluated whether the 15-item, two-factor structure identified previously could be replicated via confirmatory factor analysis, and we also examined fit of unidimensional and bifactor models. Associations of CAMP-AYA Total and Factor Scores with provider satisfaction and select patient and medication characteristics were also examined. Methods Participants were 739 AYA (ages 18–25) who completed the CAMP-AYA, a provider satisfaction rating, and provided demographic and medication information. Results  The bifactor model was best fitting (χ2 [75] = 689.60, p < .0001; root mean squared error of approximation = 0.11, 90% CI [0.10, 0.11]; Comparative Fit Index = 0.98; Tucker–Lewis Index = 0.98; Standardized Root Mean Square Residual Index = 0.02). Internal consistency reliabilities for Total and Factor Scores were high (αs > .89) and Total and Factor Scores were associated with provider satisfaction (ps < .001). CAMP-AYA scores varied as a function of type of prescription (short vs. long term; new vs. refill), with higher scores reported in the context of long term (>30-day course) or refilled prescriptions (ps < .007) in most cases. Conclusions  This study provides additional support for the reliability of the CAMP-AYA as a tool to assess AYA perceptions of provider key information coverage about medication prescriptions.