Kruger Jessica S, Kim Isok, Ohtake Patricia J, Brown Michael R, Kruger Daniel J
Dep. of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, 319 Kimball Tower, Buffalo, NY 14214, USA. Tel 716-829-6748.
J Allied Health. 2025 Spring;54(1):e3-e10.
Identification and mitigation of health barriers associated with social determinants of health (SDoH) is an increasingly recognized as an important component of healthcare provided by interprofessional teams. However, valid and reliable tools for assessing healthcare provider SDoH competency are lacking. This study describes the development of the University at Buffalo interprofessional SDoH scale (UB iSDoH scale) and examines its psychometric properties. This 11-item self-report instrument measures perceived skills associated with SDoH assessment and solution implementation to mitigate barriers using an interprofessional approach. Dose-response sensitivity to content and experience was examined, as well as the predictive capacity of a 1-item reflective question. The UB iSDoH scale was completed by 1,775 health professions students during Fall 2021 and Spring 2022 semesters following interprofessional learning experiences. Our analyses confirmed that the UB iSDoH scale 1) exhibited high inter-item reliability, 2) was sensitive to both the extent of SDoH content in IP learning experiences and students' previous experiences, and that 3) the reflective question was predictive of the overall scale score. These findings indicate that the UB iSDoH scale is a valid and reliable measure to assess health professions students' perceived skills associated with SDoH assessment and solution implementation using an interprofessional approach.
识别并缓解与健康的社会决定因素(SDoH)相关的健康障碍,日益被视为跨专业团队提供医疗保健的一个重要组成部分。然而,目前缺乏用于评估医疗保健提供者SDoH能力的有效且可靠的工具。本研究描述了布法罗大学跨专业SDoH量表(UB iSDoH量表)的开发过程,并检验了其心理测量特性。这个由11个项目组成的自我报告工具,测量了与SDoH评估以及使用跨专业方法缓解障碍的解决方案实施相关的感知技能。研究考察了对内容和经验的剂量反应敏感性,以及一个单项反思性问题的预测能力。在2021年秋季和2022年春季学期,1775名健康专业学生在经历跨专业学习体验后完成了UB iSDoH量表。我们的分析证实,UB iSDoH量表1)具有较高的项目间信度,2)对跨专业学习体验中SDoH内容的广度和学生以前的经验都很敏感,并且3)反思性问题可预测量表总分。这些发现表明,UB iSDoH量表是一种有效且可靠的测量工具,可用于评估健康专业学生使用跨专业方法进行SDoH评估和解决方案实施的感知技能。