Ortega-Avila Ana Belen, Cervera-Garvi Pablo, Jimenez-Cebrian Ana Maria, Chicharro-Luna Esther, Garcia-Paya Irene, Gijon-Nogueron Gabriel
Department of Nursing and Podiatry, University of Malaga, Malaga, Spain.
Department of Behavioural Sciences and Health, Faculty of Medicine, University Miguel Hernandez, San Juan de Alicante, Spain.
PeerJ. 2020 Dec 9;8:e10439. doi: 10.7717/peerj.10439. eCollection 2020.
The study aim was to develop a linguistic-cultural adaptation of the KEZKAK questionnaire to be completed during the practicum of podiatric medical students in Spain, to validate the questionnaire and to evaluate its psychometric properties.
The cross-sectional study was carried out in two stages: 1. Cross-cultural adaptation; 2. Clinimetric validation based on assessments of interobserver reliability, test-retest reliability and internal consistency. The participants were podiatric medical students at the universities of Malaga and Miguel Hernandez, Alicante (Spain) and were recruited during the period February-October 2019. The following inclusion criteria were applied: aged at least 18 years, studying the third or fourth year of a university degree in Podiatry. All gave signed informed consent and completed the State-Trait Anxiety Inventory and the Podiatry version of the KEZKAK questionnaire. No sampling was performed and thus the entire eligible population was included in the study.
The analysis was based on 205 participants (33.5% male, 66.5% female), with a mean age of 23.05 (SD 5.37) years. Internal consistency was excellent, with a Cronbach's alpha of 0.95. This version of the questionnaire had five factorial structures (61.18%). No floor/ceiling effect was observed in any item. The KEZKAK presented high test-retest reliability after 21 days, with an overall ICC of 0.95 (95% CI [0.93-0.98]).
For university students of podiatry in Spain, the KEZKAK Podiatry version questionnaire is a valid, reliable instrument for measuring stressors during the practicum.
本研究旨在对KEZKAK问卷进行语言文化适应性调整，以便西班牙足病医学专业学生在实习期间填写，对该问卷进行验证，并评估其心理测量特性。
横断面研究分两个阶段进行：1. 跨文化适应；2. 基于观察者间信度、重测信度和内部一致性评估的临床计量学验证。参与者为西班牙马拉加大学和阿利坎特米格尔·埃尔南德斯大学的足病医学专业学生，于2019年2月至10月期间招募。采用以下纳入标准：年龄至少18岁，正在攻读足病医学专业本科第三年或第四年。所有参与者均签署知情同意书，并完成状态-特质焦虑量表和足病医学版KEZKAK问卷。未进行抽样，因此整个符合条件的人群都纳入了研究。
分析基于205名参与者（男性占33.5%，女性占66.5%），平均年龄为23.05（标准差5.37）岁。内部一致性极佳，克朗巴哈系数为α0.95。该版本问卷有五个因子结构（61.18%）。任何项目均未观察到地板效应/天花板效应。KEZKAK在21天后呈现出较高的重测信度，总体组内相关系数为0.95（95%置信区间[0.93 - 0.98]）。
对于西班牙足病医学专业的大学生而言，KEZKAK足病医学版问卷是一种有效、可靠的工具，可用于测量实习期间的压力源。
