Pudritz Yvonne M, Fischer Martin R, Eickhoff Jens C, Zorek Joseph A
Apotheke des Klinikums der Universität München, Munich, Germany.
Institut für Didaktik und Ausbildungsforschung in der Medizin am Klinikum der Ludwig-Maximilians-Universität München, Munich, Germany.
Int J Pharm Pract. 2020 Apr;28(2):142-149. doi: 10.1111/ijpp.12568. Epub 2019 Aug 2.
Evaluation of an interprofessional education (IPE) course at a German university was complicated by the lack of validated German versions of IPE assessment instruments. The objectives of this study were to (1) translate version 2 of the Student Perceptions of Physician-Pharmacist Interprofessional Clinical Education (SPICE-2) and (2) test its validity and reliability.
After translation, the SPICE-2D instrument was administered electronically to medical and pharmacy students at four universities in Germany using a convenience sampling design. Confirmatory factor analysis was performed to assess validity of the translated instrument. Goodness-of-fit assessment was conducted by evaluating the standardized root mean square residuals (SRMR), the comparative fit index (CFI) and the root mean square error of approximation (RMSEA). Overall and factor-specific reliabilities of SPICE-2D were assessed using Cronbach's alpha.
Four German universities participated. Response rate was 19.8% (n = 312/1576), mean age of respondents was 25.1 years (SD 3.3), and the majority were female (69%, n = 215). The SRMR of the overall model showed a good fit (0.061). The measured CFI of 0.95 and RMSEA of 0.072 (95% CI 0.053-0.091) can be considered acceptable. Cronbach's alpha indicated overall instrument reliability and composite reliabilities; only the reliability of factor 2 (Roles/responsibilities for Collaborative Practice) was mediocre (α = 0.41). Medical students scored consistently higher across all factors than pharmacy students.
The SPICE-2D instrument demonstrated acceptable reliability, with the exception of the roles/responsibilities factor. A robust evaluation of SPICE-2D's validity and reliability in the context of a more representative sample of German medical and pharmacy students is warranted.
德国一所大学的跨专业教育(IPE)课程评估因缺乏经过验证的IPE评估工具德文版而变得复杂。本研究的目的是:(1)翻译《医学生对医师 - 药剂师跨专业临床教育的认知》(SPICE - 2)第2版;(2)测试其效度和信度。
翻译完成后,采用便利抽样设计,通过电子方式向德国四所大学的医学和药学专业学生发放SPICE - 2D工具。进行验证性因素分析以评估翻译后工具的效度。通过评估标准化均方根残差(SRMR)、比较拟合指数(CFI)和近似均方根误差(RMSEA)进行拟合优度评估。使用克朗巴哈系数评估SPICE - 2D的总体信度和因子特异性信度。
四所德国大学参与了研究。回复率为19.8%(n = 312/1576),受访者的平均年龄为25.1岁(标准差3.3),大多数为女性(69%,n = 215)。总体模型的SRMR显示拟合良好(0.061)。测得的CFI为0.95,RMSEA为0.072(95%置信区间0.053 - 0.091),可认为是可接受的。克朗巴哈系数表明了总体工具信度和综合信度;只有因子2(协作实践中的角色/职责)的信度一般(α = 0.41)。在所有因子上,医学专业学生的得分始终高于药学专业学生。
除角色/职责因子外,SPICE - 2D工具显示出可接受的信度。有必要在更具代表性的德国医学和药学专业学生样本中对SPICE - 2D的效度和信度进行有力评估。