Niewiadomska Iwona, Jurek Krzysztof, Dobrowolska Beata, Deluga Alina, Mamcarz Izabela
Department of Social Psychoprevention, Institute of Psychology, The John Paul II Catholic University of Lublin, Lublin, Poland.
Department of Sociology of Culture, Religion and Social Participation, The John Paul II Catholic University of Lublin, Lublin, Poland.
Front Pharmacol. 2024 Oct 10;15:1287536. doi: 10.3389/fphar.2024.1287536. eCollection 2024.
The aim of the article is to describe the validation process of a research tool used to measure the intensity and direction of medical personnel's attitudes towards immigrant patients.
An instrument validation design with a cross-sectional survey was conducted. The validation process was carried out in two phases. In phase 1, the content validity of the tool was analyzed. The competent judges method was used. The reliability of the judges was verified in terms of the consistency of evaluations (the I-CVI index was calculated). In phase 2, the questionnaire was tested among 340 healthcare professionals who have professional contact with immigrants, in terms of its factorial validity (exploratory and confirmatory factor analysis), internal consistency (reliability measured by Cronbach's alpha coefficient) and absolute stability (measured by the test-retest method).
The research results indicate satisfactory content validity of the tool (I-CVI>0.8). The reliability of the tool measured by Cronbach's alpha coefficient was high (0.86). The reliability study based on the test - retest method (after 3 weeks) showed high consistency of measurements (0.75). Exploratory factor analysis allowed extracting 1 factor, which explains 55.7% of the variance. The validity of the one-factor solution was confirmed by confirmatory factor analysis. Satisfactory goodness of fit indices were obtained (RMSEA = 0.038; PCLOSE = 0.624; AGFI = 0.966; GFI = 0.990; CFI = 0.996).
The presented tool has satisfactory psychometric properties. The AHPI is a tool that can be used for quick assessment of the intensity and direction of attitudes of medical students and healthcare professionals towards immigrant patients, which can help shape educational and training processes.
本文旨在描述一种用于测量医务人员对移民患者态度强度和方向的研究工具的验证过程。
采用横断面调查进行工具验证设计。验证过程分两个阶段进行。在第一阶段，分析该工具的内容效度。采用专家评判法。根据评估的一致性（计算I-CVI指数）来验证评判者的可靠性。在第二阶段，对340名与移民有专业接触的医护人员进行问卷调查，评估其因子效度（探索性和验证性因子分析）、内部一致性（用Cronbach's alpha系数测量可靠性）和绝对稳定性（用重测法测量）。
研究结果表明该工具具有令人满意的内容效度（I-CVI>0.8）。用Cronbach's alpha系数测量的该工具的可靠性较高（0.86）。基于重测法（3周后）的可靠性研究显示测量的一致性较高（0.75）。探索性因子分析提取出1个因子，该因子解释了55.7%的方差。验证性因子分析证实了单因子解决方案的有效性。获得了令人满意的拟合优度指数（RMSEA = 0.038；PCLOSE = 0.624；AGFI = 0.966；GFI = 0.990；CFI = 0.996）。
所呈现的工具具有令人满意的心理测量学特性。AHPI是一种可用于快速评估医学生和医护人员对移民患者态度强度和方向的工具，有助于塑造教育和培训过程。
