Curriculum and Institutional Effectiveness Evaluation Division, School of Pharmacy, University of Puerto Rico, San Juan, PR 00936, USA.
Department of Pharmacy Practice, School of Pharmacy, University of Puerto Rico, San Juan, PR 00936, USA.
Int J Environ Res Public Health. 2020 Oct 1;17(19):7192. doi: 10.3390/ijerph17197192.
The objective of this study was to develop an assessment instrument to measure the effects of a continuing education intervention on 3 domains in pharmacists' knowledge needed to provide pharmaceutical care for transgender patients: (1) foundations of gender-affirming care, (2) health disparities and the specific needs of transgender patients, and (3) hormone treatments for transgender patients. Multiple-choice questions were developed, and an initial item bank of 47 items was drafted. Item bank revision was conducted by content matter experts, while feedback from 8 practicing pharmacists was provided for face validity and further insights. A preliminary test, containing 42 items was administered to 64 pharmacists before and after a three-hour continuing education intervention. Cronbach's alpha coefficient yielded a value of 0.65 as a pre-test and 0.77 as a post-test. Items were less difficult to answer by participants after taking the three-hour continuing education, showing better discrimination among high and low performers in the instrument administration as post-test, as well as better correlation when comparing participants' performance in the overall score against item-level performance. Psychometric evidence supports further instrument examination, which can improve this tool to measure gains in pharmacists' knowledge related to the care of transgender patients.
本研究旨在开发一种评估工具，以衡量继续教育干预对药剂师提供跨性别患者药物治疗所需的三个领域的知识的影响：（1）性别肯定护理的基础，（2）健康差异和跨性别患者的具体需求，以及（3）跨性别患者的激素治疗。制定了多项选择题，并起草了一个最初包含 47 个项目的初始项目库。内容专家对项目库进行了修订，同时为了确认项目的表面有效性和获取更多的见解，还征求了 8 名执业药剂师的反馈意见。在三个小时的继续教育干预之前和之后，对 64 名药剂师进行了包含 42 个项目的初步测试。Cronbach's alpha 系数在预测试中为 0.65，在测试后为 0.77。在参加了三个小时的继续教育后，参与者对这些项目的回答变得更容易了，这表明在仪器管理中，高绩效者和低绩效者之间的区分度更好，并且在将参与者的整体表现与项目水平表现进行比较时，相关性更好。心理计量学证据支持进一步的工具检查，这可以改进该工具，以衡量药剂师在跨性别患者护理方面的知识增长。
