Shirazi Mandana, Shariati Mohammad, Zarghi Nazila, Karbasi Motlagh Maryam
Department of Medical Education, Tehran University of Medical Sciences, Tehran, Iran.
Department of Clinical Science and Education, Karolinska Institute, Soder Hospital, Stockholm, Sweden.
J Educ Health Promot. 2020 Feb 28;9:27. doi: 10.4103/jehp.jehp_427_19. eCollection 2020.
Assessment interprofessional collaboration (IPC), in community health-care setting usually has been neglected due to the lack of standard tools and assessors. In the present study, the IPC checklist extracted from CANMEDS collaborator toolkit for teaching and assessing the collaborator role is contextualized in Iranian community healthcare.
According to CANMEDS Toolkit, an instrument extracted for IPC assessment. Using Chavez' toolkit, face and content validity were studied through two rounds of Delphi by 12 experts of TUMS. Qualitative content validity including content validity index (CVI), and content validity ratio (CVR) were assessed following watching a standard video about IPC by them. Construct validity was studied by confirmatory factor analysis through LISREL software. To check reliability, Cronbach's alpha was calculated, and the other 12 experts completed checklists in test-retest process with a 2-week interval.
Face and qualitative content validity were confirmed using the Delphi method. CVI and CVR were calculated as 0.61 and 0.86. In factor analysis, x2/df and RMSEA were calculated as 1.363 and 0.036; CFI, IFI, GFI, and AGFI were >0.7, and hence, the construct validity was confirmed. Cronbach's alpha was 0.953 for internal consistency. Test-retest was also calculated as 0.918 indicated to confirm reliability.
CANMEDS framework as an assessment tool for evaluating IPC in community health setting is not only valid and reliable in the Iranian context but also it is easy to use for respondents resulted from the rational number of items in community.
在社区医疗环境中，由于缺乏标准工具和评估人员，跨专业协作（IPC）的评估通常被忽视。在本研究中，从CANMEDS协作工具包中提取的用于教学和评估协作角色的IPC清单在伊朗社区医疗中得到了应用。
根据CANMEDS工具包，提取了一种用于IPC评估的工具。使用查韦斯工具包，通过两轮德尔菲法由德黑兰医科大学的12名专家研究了表面效度和内容效度。在他们观看关于IPC的标准视频后，评估了包括内容效度指数（CVI）和内容效度比率（CVR）在内的定性内容效度。通过LISREL软件进行验证性因素分析研究结构效度。为检查信度，计算了Cronbach's alpha系数，另外12名专家在两周间隔的重测过程中完成了清单。
使用德尔菲法确认了表面效度和定性内容效度。CVI和CVR分别计算为0.61和0.86。在因素分析中，χ2/df和RMSEA分别计算为1.363和0.036；CFI、IFI、GFI和AGFI均>0.7，因此确认了结构效度。内部一致性的Cronbach's alpha系数为0.953。重测信度也计算为0.918，表明信度得到确认。
CANMEDS框架作为评估社区卫生环境中IPC的工具，在伊朗背景下不仅有效且可靠，而且由于社区中项目数量合理，受访者易于使用。
