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. 2014 Oct 14;4(10):e005915. doi: 10.1136/bmjopen-2014-005915

Table 2.

Modified Patient–Practitioner orientation scale (PPOS): Mean scores and SD

All participants (n=191) Portugal (n=55) India (n=78) Iran (n=58)
PPOS Items (Mean±SD)
1. The audiologist is the one who should decide what gets discussed during an appointment 2.4±1.1 2.4±1.2 2.3±1.2 2.5±1.2
2. Although healthcare is less personal these days, this is a small price to pay for audiological advances 3.0±1.4 4.3±1.2 2.7±1.2 2.1±1.0
3. The most important part of the standard audiological appointment is the hearing test 2.7±1.4 3.4±1.2 2.5±1.5 2.3±1.1
4. It is often best for clients if they do not have the full explanation of their audiological condition 4.6±1.3 5.0±1.0 4.5±1.5 4.2±1.3
5. Clients should rely on their audiologist’s knowledge and not try to find out about their conditions on their own 3.2±1.7 4.2±1.4 3.4±1.6 2.0±1.3
6. When audiologists ask a lot of questions about a client's background, they are prying too much into personal matters 4.4±1.3 5.0±1.0 4.0±1.3 4.2±1.4
7. If audiologists are truly good at diagnosis and treatment, the way they relate to clients is not that important 4.8±1.2 5.5±0.7 4.4±1.3 4.6±1.2
8. Many clients continue asking questions even though they are not learning anything new 3.2±1.2 3.4±1.2 3.2±1.2 3.0±1.2
9. Clients should be treated as if they were partners with the audiologist, equal in power and status* 4.1±1.6 4.7±1.6 3.7±1.5 4.0±1.5
10. Clients generally want reassurance rather than information about their audiological condition 2.8±1.1 3.3±1.0 2.7±1.1 2.5±1.1
11. If an audiologist's primary tools are being open and warm, the audiologist will not have a lot of success 4.3±1.4 4.6±1.1 3.8±1.4 4.6±1.3
12. When clients disagree with their audiologist, this is a sign that the audiologist does not have the client's respect and trust 3.8±1.2 4.6±1.0 3.7±1.1 3.1±1.2
13. A management plan cannot succeed if it is in conflict with a client's lifestyle or values* 4.7±1.1 4.7±1.1 4.6±1.0 4.7±1.2
14. Most clients want to get in and out of the audiologist's office as quickly as possible 3.5±1.4 4.4±1.2 3.3±1.2 2.9±1.3
15. The client must always be aware that the audiologist is in charge 2.6±1.3 2.7±1.2 2.4±1.1 2.9±1.5
16. It is not that important to know a client's culture and background in order to treat the client's audiological condition 4.6±1.3 5.3±0.9 4.3±1.4 4.6±1.2
17. Humour is a major ingredient in the audiologist's management of the client* 4.1±1.3 4.8±1.0 3.8±1.3 3.8±1.4
18. When clients look up audiological information on their own, this usually confuses more than it helps 2.9±1.3 2.6±1.0 2.8±1.4 3.4±1.3
PPOS scales (mean±SD)
 Full scale 3.6±0.6 4.2±0.5 3.5±0.6 3.4±0.4
 Sharing subscale 3.6±0.7 4.2±0.6 3.4±0.7 3.2±0.5
 Caring subscale 3.7±0.6 4.1±0.5 3.5±0.5 3.6±0.5

Score of 1 (strongly agree), most clinician-centred; Score of 6 (strongly disagree), most patient-centred. Items 9, 13 and 17 (*) are reversely worded items which were reverse scored.

PPOS,