Mayo Clinic Multidisciplinary Simulation Center, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Med Educ. 2017 Oct;51(10):1061-1074. doi: 10.1111/medu.13405.
Measurement of motivation and cognitive load has potential value in health professions education. Our objective was to evaluate the validity of scores from Dweck's Implicit Theories of Intelligence Scale (ITIS), Elliot's Achievement Goal Questionnaire-Revised (AGQ-R) and Leppink's cognitive load index (CLI).
This was a validity study evaluating internal structure using reliability and factor analysis, and relationships with other variables using the multitrait-multimethod matrix. Two hundred and thirty-two secondary school students participated in a medical simulation-based training activity at an academic medical center. Pre-activity ITIS (implicit theory [mindset] domains: incremental, entity) and AGQ-R (achievement goal domains: mastery-approach, mastery-avoidance, performance-approach, performance-avoidance), post-activity CLI (cognitive load domains: intrinsic, extrinsic, germane) and task persistence (self-directed repetitions on a laparoscopic surgery task) were measured.
Internal consistency reliability (Cronbach's alpha) was > 0.70 for all domain scores except AGQ-R performance-avoidance (alpha 0.68) and CLI extrinsic load (alpha 0.64). Confirmatory factor analysis of ITIS and CLI scores demonstrated acceptable model fit. Confirmatory factor analysis of AGQ-R scores demonstrated borderline fit, and exploratory factor analysis suggested a three-domain model for achievement goals (mastery-approach, performance and avoidance). Correlations among scores from conceptually-related domains generally aligned with expectations, as follows: ITIS incremental and entity, r = -0.52; AGQ-R mastery-avoidance and performance-avoidance, r = 0.71; mastery-approach and performance-approach, r = 0.55; performance-approach and performance-avoidance, r = 0.43; mastery-approach and mastery-avoidance, r = 0.36; CLI germane and extrinsic, r = -0.35; ITIS incremental and AGQ-R mastery-approach, r = 0.34; ITIS incremental and CLI germane, r = 0.44; AGQ-R mastery-approach and CLI germane, r = 0.48 (all p < 0.001). We found no correlation between the number of task repetitions (i.e. persistence) and mastery-approach scores, r = -0.01.
ITIS and CLI scores had appropriate internal structures and relationships with other variables. AGQ-R scores fit a three-factor (not four-factor) model that collapsed avoidance into one domain, although relationships of other variables with the original four domain scores generally aligned with expectations. Mastery goals are positively correlated with germane cognitive load.
动机和认知负荷的测量在健康职业教育中有潜在的价值。我们的目的是评估德韦克内隐理论智力测验(ITIS)、埃利奥特成就目标问卷修订版(AGQ-R)和莱平克认知负荷指数(CLI)的分数的有效性。
这是一项使用可靠性和因子分析评估内部结构的有效性研究,以及使用多特质-多方法矩阵评估与其他变量的关系。232 名中学生在学术医学中心参加了一项基于医学模拟的培训活动。在活动前测量 ITIS(内隐理论[思维模式]领域:增量、实体)和 AGQ-R(成就目标领域:掌握-接近、掌握-回避、表现-接近、表现-回避),活动后测量 CLI(认知负荷领域:内在、外在、相关)和任务坚持性(在腹腔镜手术任务上的自我指导重复次数)。
除了 AGQ-R 表现回避(alpha 0.68)和 CLI 外在负荷(alpha 0.64)外,所有领域的分数的内部一致性可靠性(Cronbach's alpha)均大于 0.70。ITIS 和 CLI 分数的验证性因子分析显示出可接受的模型拟合度。AGQ-R 分数的验证性因子分析显示出边缘拟合,探索性因子分析表明成就目标的三因素模型(掌握-接近、表现和回避)。概念相关领域的分数之间的相关性通常与预期一致,如下所示:ITIS 增量和实体,r=-0.52;AGQ-R 掌握回避和表现回避,r=0.71;掌握-接近和表现-接近,r=0.55;表现-接近和表现回避,r=0.43;掌握-接近和掌握回避,r=0.36;CLI 相关和外在,r=-0.35;ITIS 增量和 AGQ-R 掌握-接近,r=0.34;ITIS 增量和 CLI 相关,r=0.44;AGQ-R 掌握-接近和 CLI 相关,r=0.48(均 p<0.001)。我们没有发现任务重复次数(即坚持性)与掌握-接近分数之间存在相关性,r=0.01。
ITIS 和 CLI 分数具有适当的内部结构和与其他变量的关系。AGQ-R 分数适合三因素(而非四因素)模型,即将回避合并为一个领域,尽管其他变量与原始四领域分数的关系通常与预期一致。掌握目标与相关认知负荷呈正相关。