Evaluating change: Using the Measure of Processes of Care-Service Provider as an outcome measure for performance and confidence in family-centred care

Liat R. Gafni Lachter, Naomi Josman, Ayelet Ben-Sasson

Research output: Contribution to journalArticlepeer-review


Background: Family-centred care (FCC) is considered the best practice in paediatric care but it is not always implemented sufficiently. Effective training programmes that enhance health care providers' knowledge and self-efficacy have the potential to improve FCC implementation in their daily practice. The goal of the study was to evaluate the sensitivity of the measure of processes of care (MPOC)-service provider (MPOC-SP) version and MPOC confidence (MPOC-Con) in detecting changes following an FCC training. Methods: The MPOC-Con was developed for this study as a sequel to MPOC-SP to measure self-efficacy related to specific FCC practices. Twenty-four health care providers (occupational and physical therapists, speech pathologist, and special education teacher) participated in a 6-month FCC provider training. The training included 30 contact hours on FCC principles and techniques through experiential learning, reflective exercises, peer mentoring, and case-study analyses. The MPOC-SP and MPOC-Con were administered preparticipation and postparticipation. Results: Repeated multivariate analysis of variance and reliable change index (RCI) analyses indicated a significant group increase in performance and confidence following the training in two of the four MPOC-SP factors and in all MPOC-Con factors, F(1, 7) = 5.17, P =.003, η2 =.68; RCI > 1.96. Individual change patterns in FCC performance indicated patterns of increased, decreased, or stable performance, with the highest increased performances reported for treating people respectfully (79%) and communicating specific information (71%), mostly stable performance in providing general information (75%) and similar levels of increase and stability (41% and 39%, respectively) for interpersonal sensitivity. The Pearson's correlation between MPOC-SP and MPOC-Con were significant, moderate-strong, and positive (r =.42–.69, P <.05). Conclusions: The MPOC-SP and the MPOC-Con are sensitive measures suitable for evaluating individual and group changes following training. When designing professional development programmes, managers and educators should consider the interrelation between self-efficacy and implementing acquired knowledge and skills in FCC.

Original languageEnglish
Pages (from-to)592-599
Number of pages8
JournalChild: Care, Health and Development
Issue number4
StatePublished - Jul 2019

Bibliographical note

Publisher Copyright:
© 2019 John Wiley & Sons Ltd


  • family-centred services
  • measure of processes of care (MPOC)
  • measurement
  • self-efficacy
  • training

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Developmental and Educational Psychology
  • Pediatrics, Perinatology, and Child Health


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