Lee Christine, Segal Richard, Kimberlin Carole, Smith W Thomas, Weiler Robert M
Department of Pharmaceutical Outcomes and Policy, University of Florida, USA.
Department of Pharmaceutical Outcomes and Policy, University of Florida, USA.
Res Social Adm Pharm. 2014 Mar-Apr;10(2):297-312. doi: 10.1016/j.sapharm.2013.06.006. Epub 2013 Jul 26.
Social cognitive theory describes a process in which behavior can be disengaged from moral self control through eight different mechanisms. These mechanisms were used for the development of a new scale for measuring moral disengagement (Moral Disengagement Inventory, or MDI) in pharmacists.
The objectives of this study were to assess the reliability and validation of a scale to measure pharmacists' moral disengagement toward patients who exhibit behaviors directly or indirectly leading to their disease condition, such as an asthmatic patient who smokes or a non-compliant asthmatic patient.
A self-administered survey called the Moral Disengagement Instrument (MDI) was developed for this study. Once the MDI was designed, the items were evaluated for content validity, readability and face validity. The reliability of the developed measures was assessed. The convergent and discriminant validity of the moral disengagement constructs were tested using confirmatory factor analysis.
The reliability coefficient for the MDI for the asthmatic smoker was 0.814 and reliability coefficient for the MDI for the non-compliant asthmatic patient was 0.782. Evidence supporting validity of the MDI was provided in a confirmatory factor analysis.
The Moral Disengagement Instrument (MDI), developed as a tool for measuring pharmacists' disengagement beliefs for a smoker asthmatic patient and a non-compliant asthmatic patient, was found to be reliable and valid.
社会认知理论描述了一种行为可通过八种不同机制脱离道德自我控制的过程。这些机制被用于开发一种新的量表，以测量药剂师的道德脱离（道德脱离量表，或MDI）。
本研究的目的是评估一种量表的信效度，该量表用于测量药剂师对表现出直接或间接导致其疾病状况行为的患者（如吸烟的哮喘患者或不依从的哮喘患者）的道德脱离程度。
本研究开发了一种名为道德脱离工具（MDI）的自填式调查问卷。MDI设计完成后，对项目进行内容效度、可读性和表面效度评估。评估所开发测量方法的信度。使用验证性因子分析测试道德脱离结构的收敛效度和区分效度。
吸烟哮喘患者MDI的信度系数为0.814，不依从哮喘患者MDI的信度系数为0.782。验证性因子分析提供了支持MDI效度的证据。
作为测量药剂师对吸烟哮喘患者和不依从哮喘患者脱离信念的工具而开发的道德脱离工具（MDI），被发现具有信度和效度。
