Fiedorowicz Jess G, Dantz Bezalel, Blazek Mary C
University of Iowa, Carver College of Medicine and College of Public Health, Iowa City, IA, USA.
Rush University Medical Center, Chicago, IL, USA.
Acad Psychiatry. 2016 Apr;40(2):218-23. doi: 10.1007/s40596-015-0401-2. Epub 2015 Aug 19.
The authors sought to measure attitudes and confidence in the integration of psychiatry into other fields of medicine.
The Attitudes and Confidence in Integration of Psychiatry in Medicine (ACIP) scale was developed through discussion with content experts across disciplines and pilot testing of items and administered to third- and fourth-year medical students at University of Iowa, University of Michigan, Rush University for validation, focused on assessment of variability, internal consistency, factor structure, and test-retest reliability.
A total of 310 medical students completed the survey (35% participation rate). The scale had a high internal consistency (Cronbach's alpha = 0.88) and was without ceiling or floor effects. Students rated the integration of psychiatry into the practice of surgery and its subspecialties as less relevant than its integration into other specialties; however, scores were not biased by students' interest in procedural vs. non-procedural specialties. Test-retest reliability was high (Cronbach's alpha = 0.90).
The ACIP may serve a useful role in determining the outcome of educational efforts toward integrated care.
作者试图衡量将精神病学融入其他医学领域的态度和信心。
通过与各学科内容专家讨论并对项目进行预测试，开发了“医学中精神病学整合的态度与信心”（ACIP）量表，并将其施测于爱荷华大学、密歇根大学、拉什大学的三、四年级医学生以进行验证，重点评估变异性、内部一致性、因子结构和重测信度。
共有310名医学生完成了调查（参与率35%）。该量表具有较高的内部一致性（克朗巴哈系数α = 0.88），且无天花板效应或地板效应。学生们认为精神病学融入外科及其亚专业的实践不如融入其他专业相关；然而，分数并未因学生对程序性与非程序性专业的兴趣而产生偏差。重测信度较高（克朗巴哈系数α = 0.90）。
ACIP可能在确定综合护理教育努力的结果方面发挥有益作用。
