Poster can be found in location 140.

Objective: To evaluate the content and usability of a new direct observation tool for assessing competency in delivering person-centred care (PCC) based on the Gothenburg Centre for Person-Centred Care framework (gPCC). Design:  A qualitative study using think aloud techniques and retrospective probing interviews. Setting: Sessions were conducted remotely via Zoom with participants in their homes or offices. Participants: Eleven participants with lengthy experience of receiving, delivering and/or implementing gPCC were recruited using purposeful sampling and selected to represent a broad variety of stakeholders and potential end-users. Results: Participants generally considered the content of the four main domains of the tool, i.e., PCC activities, Clinician manner, Clinician skills and PCC goals, to be comprehensive and relevant for assessing PCC in general and gPCC in particular. Some participants pointed to the need to expand PCC activities to better reflect the emphasis on eliciting patient resources/ capabilities and psychosocial needs in the gPCC framework. Think aloud analyses revealed some usability issues primarily regarding difficulties or uncertainties in understanding several words and in using the rating scale. Probing interviews indicated that these problems could be mitigated by improving written instructions regarding response options and by replacing some words with more common synonyms. Participants generally were satisfied with the layout and structure of the tool, but some suggested enlarging font size and text spacing to improve readability. Conclusion:  The tool appears to satisfactorily cover major PCC activities outlined in the gPCC framework. The inclusion of content concerning clinician manner and skills was seen as a relevant embellishment of the framework and as contributing to a more comprehensive assessment of clinician performance in the delivery of PCC. A revised version addressing observed content and usability issues will be tested for inter- and intra-rater reliability and for feasibility of use in healthcare education and quality improvement efforts.