Veras Mirella, Pottie Kevin, Welch Vivian, Labonte Ron, Eslava-Schmalbach Javier, Borkhoff Cornelia M, Kristjansson Elizabeth A, Tugwell Peter
Institute of Population Health, University of Ottawa, Ottawa, Canada.
Glob J Health Sci. 2012 Oct 22;5(1):13-27. doi: 10.5539/gjhs.v5n1p13.
Health professionals are paying increased attention to issues of global health. However, there are no current competency assessment tools appropriate for evaluating their competency in global health. This study aims to assess the validity and reliability of a global health competency survey for different health disciplines.
A total of 429 students participated in the Global Health Competency Survey, drawn from family medicine residency, nursing, physiotherapy and occupational therapy programs of five universities in Ontario, Canada. The surveys were evaluated for face and content validity and reliability.
Factor analysis was used to identify the main factors to be included in the reliability analysis. Content validity was supported with one floor effect in the "racial/ethnic disparities" variable (36.1%), and few ceiling effects. Seven of the twenty-two variables performed the best (between 34% and 59.6%). For the overall rating score, no participants had floor or ceiling effects. Five factors were identified which accounted for 95% of the variance. Cronbach's alpha was >0.8 indicating that the survey items had good internal consistency and represent a homogeneous construct.
The Global Health Competency Survey demonstrated good internal consistency and validity.
卫生专业人员越来越关注全球卫生问题。然而，目前尚无适用于评估其全球卫生能力的能力评估工具。本研究旨在评估针对不同卫生学科的全球卫生能力调查问卷的有效性和可靠性。
共有429名学生参与了全球卫生能力调查，这些学生来自加拿大安大略省五所大学的家庭医学住院医师培训项目、护理、物理治疗和职业治疗项目。对调查问卷进行了表面效度、内容效度和信度评估。
采用因子分析来确定可靠性分析中应纳入的主要因素。内容效度在“种族/族裔差异”变量（36.1%）中有一个地板效应支持，天花板效应较少。22个变量中有7个表现最佳（在34%至59.6%之间）。对于总体评分，没有参与者出现地板效应或天花板效应。确定了五个因素，它们占方差的95%。克朗巴哈系数大于0.8，表明调查项目具有良好的内部一致性，代表了一个同质结构。
全球卫生能力调查显示出良好的内部一致性和效度。
