Divisió d'Avaluació, Servei Català de Salut, Barcelona, Spain.
BMC Med Educ. 2010 Jun 16;10:45. doi: 10.1186/1472-6920-10-45.
Validated instruments are needed to evaluate the programmatic impact of Evidence Based Practice (EBP) training and to document the competence of individual trainees. This study aimed to translate the Fresno test into Spanish and subsequently validate it, in order to ensure the equivalence of the Spanish version against the original English version.
Before and after study performed between October 2007 and June 2008. Three groups of participants: (a) Mentors of family medicine residents (expert group) (n = 56); (b) Family medicine physicians (intermediate experience group) (n = 17); (c) Family medicine residents (novice group) (n = 202); Medical residents attended an EBP course, and two sets of the test were administered before and after the course. The Fresno test is a performance based measure for use in medical education that assesses EBP skills. The outcome measures were: inter-rater and intra-rater reliability, internal consistency, item analyses, construct validity, feasibility of administration, and responsiveness.
Inter-rater correlations were 0.95 and 0.85 in the pre-test and the post-test respectively. The overall intra-rater reliability was 0.71 and 0.81 in the pre-test and post-test questionnaire, respectively. Cronbach's alpha was 0.88 and 0.77, respectively. 152 residents (75.2%) returned both sets of the questionnaire. The observed effect size for the residents was 1.77 (CI 95%: 1.57-1.95), the standardised response mean was 1.65 (CI 95%:1.47-1.82).
The Spanish version of the Fresno test is a useful tool in assessing the knowledge and skills of EBP in Spanish-speaking residents of Family Medicine.
需要经过验证的工具来评估循证实践（EBP）培训的计划影响，并记录个体受训者的能力。本研究旨在将 Fresno 测试翻译成西班牙语，随后对其进行验证，以确保西班牙语版本与原始英语版本等效。
在 2007 年 10 月至 2008 年 6 月期间进行的前后研究。三组参与者：（a）家庭医学住院医师的导师（专家组）（n=56）；（b）家庭医学医生（中级经验组）（n=17）；（c）家庭医学住院医师（新手组）（n=202）。医学住院医师参加了循证实践课程，并在课程前后进行了两套测试。Fresno 测试是一种用于医学教育的基于表现的衡量标准，用于评估循证实践技能。主要的观察指标包括：评分者间信度和评分者内信度、内部一致性、项目分析、结构有效性、管理可行性和反应性。
预测试和后测试的评分者间相关性分别为 0.95 和 0.85。预测试和后测试问卷的整体评分者内信度分别为 0.71 和 0.81。克朗巴赫的 α 值分别为 0.88 和 0.77。152 名住院医师（75.2%）返回了两套问卷。居民的观察到的效果大小为 1.77（95%置信区间：1.57-1.95），标准化反应均值为 1.65（95%置信区间：1.47-1.82）。
西班牙语版 Fresno 测试是评估家庭医学西班牙语住院医师 EBP 知识和技能的有用工具。
