Table 3 Final confirmatory factor analysis model
Factors and items | |||
|---|---|---|---|
Factor 1. Information and support in survivorship | Factor-based score: Mean (SD): 3.38 (1.13), Cronbach’s α= 0.93, McDonald's omega =0.93, AVE=0.66 | ||
Standardized factor loading | Standardized residual variance (1-R2) | Explained variance (R2) | |
Clinician discusses screening needs and recommendations for follow up carea | 0.81 (0.02) | .338 | .662 |
Clinician discusses late/long-term side effects of cancer and treatmenta | 0.83 (0.03) | .318 | .682 |
Clinician helps patient follow through on recommendations for follow-up | 0.81 (0.03) | .340 | .660 |
Clinician provides patient with written treatment summaryb | 0.76 (0.03) | .422 | .578 |
Clinician provides patient with written survivorship care plan with recommendations for FU careb | 0.81 (0.02) | .340 | .660 |
Clinician and patient decide together when and how to transition from oncologist to PCP | 0.82 (0.03) | .327 | .673 |
Clinician explains things about cancer follow up care in a way easy to understand | 0.84 (0.02) | .296 | .704 |
Factor 2. Medical home | Factor-based score: Mean (SD): 3.53 (0.96), Cronbach’s α=0.94, McDonald’s omega=0.94, AVE=0.62 | ||
Standardized factor loading | Standardized residual variance (1-R2) | Explained variance (R2) | |
Clinician explains reason for medical tests related to follow-up care | 0.80 (0.04) | .359 | .641 |
Clinician addresses patient emotional concerns when discussing follow-up care | 0.72 (0.03) | .481 | .519 |
Patient has enough time to ask questions/voice concerns during visitsc | 0.82 (0.02) | .327 | .673 |
Clinician listens carefully to concerns related to patient health that may be related to cancer after treatmentc | 0.84 (0.02) | .296 | .704 |
Clinician shows respect for what patient has to say about follow up care | 0.83 (0.02) | .304 | .626 |
Clinician helps figure out reasons for new health care problems and whether they are related to cancer | 0.80 (0.04) | .355 | .645 |
Patient has regular clinician/place to get healthcare needs met including follow-up care | 0.84 (0.02) | .297 | .703 |
Patient has a point of contact to answer questions/concerns about follow-up care | 0.84 (0.02) | .291 | .709 |
All clinicians can access medical records online or through EHR | 0.67 (0.04) | .547 | .453 |
Patient has team of clinicians who all work together to address follow-up health care | 0.68 (0.04) | .543 | .457 |
Factor 3. Patient engagement | Factor-based score: Mean (SD): 4.14 (0.82) Cronbach’s α=0.86, McDonald’s omega =0.86 AVE=0.67 | ||
Standardized factor loading | Standardized residual variance (1-R2) | Explained variance (R2) | |
Patient is included in decision-making about your cancer-related follow-up care | 0.72 (0.04) | .479 | .521 |
Patient is informed about what to do every day to take care of health and healthcare needs | 0.88 (0.02) | .221 | .779 |
Patient feels in control of health and can manage health care needs | 0.84 (0.03) | .303 | .697 |
Factor 4. Care coordination | Factor-based score Mean (SD): 4.17 (0.86) Cronbach’s α=0.90, McDonald’s omega =0.91 AVE=0.66 | ||
Standardized factor loading | Standardized residual variance (1-R2) | Explained variance (R2) | |
All clinicians involved in care know patient’s medication | 0.83 (0.02) | .314 | .686 |
All clinicians have medical files on cancer care | 0.89 (0.02) | .205 | .795 |
All clinicians share information with each other about follow-up care | 0.85 (0.03) | .284 | .716 |
Clinicians can give patient the name of a doctor to make an appointment with if they need more follow-up care | 0.88 (0.02) | .221 | .779 |
Patient receives complete physical exam with medical history | 0.56 (0.05) | .685 | .315 |
Factor 5. Help navigating insurance | Factor-based score Mean (SD): 3.59 (1.11) Cronbach’s α=0.89, McDonald's omega =0.89 AVE=0.73 | ||
Standardized factor loading | Standardized residual variance (1-R2) | Explained variance (R2) | |
Patient has help understanding insurance coverage options for medical services | 0.86 (0.02) | .266 | .734 |
Patient has help understanding insurance coverage options for Rx and OTC drugs | 0.92 (0.02) | .161 | .839 |
Patient has help with insurance problems, e.g. rejected claims | 0.79 (0.04) | .373 | .627 |
Factor 6. Care transitions | Factor-based score Mean (SD): 3.49 (1.12) Cronbach’s α=0.86, McDonald's omega =0.88 AVE=0.71 | ||
Standardized factor loading | Standardized residual variance (1-R2) | Explained variance (R2) | |
Receive instructions on when and how to transition care from oncologist back to PCP | 0.82 (0.02) | .324 | .676 |
Patient remains under care of cancer doctor until ready to move care back to primary care doctor | 0.87 (0.03) | .237 | .763 |
Cancer doctor stays informed of patient health after patient transfers care to primary care doctor | 0.83 (0.03) | .311 | .689 |
Factor 7. Prevention and wellness services | Factor-based score Mean (SD): 3.06 (1.00) Cronbach’s α=0.84, McDonald's omega =0.81 AVE=0.45 | ||
Standardized factor loading | Standardized residual variance (1-R2) | Explained variance (R2) | |
Patient has regular access to exercise and physical activity servicesd | 0.47 (0.05) | .781 | .219 |
Patient has regular access to nutrition and dietary servicesd | 0.63 (0.05) | .606 | .394 |
Patient has regular access to risk reduction programs (e.g. weight loss, smoking cessation) | 0.72 (0.04) | .482 | .518 |
Clinicians can provide referrals to patient for mental health effects related to cancer treatment | 0.76 (0.03) | .423 | .577 |
Patient has support to manage roles and relationships with partner, family, and others | 0.75 (0.03) | .436 | .564 |