# Validation of the Primary Care Team Creativity Tool (PCTC)

> **NIH AHRQ R03** · COLUMBIA UNIVERSITY HEALTH SCIENCES · 2021 · $55,427

## Abstract

1. PROJECT SUMMARY/ABSTRACT
The goal of this project is to validate a new survey measuring primary care team creativity. Primary care teams
(e.g., consisting of primary care providers, nurses, medical assistants) must often be creative, or generate
novel and useful ides to solve complex primary care challenges. Delivering primary care demands that
teams manage significant change, including but not limited to managing care to increasingly complex patient
populations, inter-organizational relationships, and new value-based payment systems, and the success of
transformation efforts such as the patient-centered medical home rests on primary care teams working
together cohesively to provide high-quality patient care. However, research on how teams work together, or
team process, lags behind that of who makes a team, or team design, and there is little current data to assess
primary care team creativity.
We seek to validate a newly developed survey tool, the Primary Care Team Creativity (PCTC) tool, designed
to measure primary care team creativity. This tool was developed from extensive literature review of existing
instruments in all industries. We will validate the tool to ensure its widespread use by primary care practitioners
and leaders. Our work will proceed in three steps, each corresponding to a study aim. In Aim 1, we will
establish face and content validity of PCTC. We will work with an expert panel of primary care professionals
and researchers to evaluate each item, sub-scale and overall scale to assess if PCTC measures primary care
team creativity and includes all content. Next, in Aim 2, we will conduct item analysis and reliability testing of
PCTC in a pilot study. A sample of 125 primary care team members in one system will be surveyed using
PCTC, and the data will be used for item analysis and reliability testing. Finally, in Aim 3, a sample of 2,525
primary care team members will be surveyed using PCTC. Using a split sample design, the data will be used
for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to assess the tool’s factorial
structure and establish construct validity.
Improved measurement in primary care team science has been recognized as an essential step in innovative
research in primary care. This work begins a planned research program to measure primary care team
creativity and understand its impact on patient and provider outcomes and experiences. We expect that
measuring primary care team creativity will benefit patients who seek customized care and empower
professionals who seek latitude to provide that customized care in a complex and changing environment. Our
application is in response to the AHRQ Notice for Innovative Research in Primary Care (NOT-HS-16-011).

## Key facts

- **NIH application ID:** 10133052
- **Project number:** 5R03HS027502-02
- **Recipient organization:** COLUMBIA UNIVERSITY HEALTH SCIENCES
- **Principal Investigator:** Yuna Swatlian Hiratsuka Lee
- **Activity code:** R03 (R01, R21, SBIR, etc.)
- **Funding institute:** AHRQ
- **Fiscal year:** 2021
- **Award amount:** $55,427
- **Award type:** 5
- **Project period:** 2020-04-01 → 2023-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10133052

## Citation

> US National Institutes of Health, RePORTER application 10133052, Validation of the Primary Care Team Creativity Tool (PCTC) (5R03HS027502-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10133052. Licensed CC0.

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