Kataoka Yoshihiro, Maeno Takami, Kimura Noriyuki, Ono Yuri, Suzuki Masatsune, Maeno Tetsuhiro
Department of Primary Care and Medical Education, Institute of Medicine University of Tsukuba Tsukuba Ibaraki Japan.
J Gen Fam Med. 2024 Nov 25;26(2):143-147. doi: 10.1002/jgf2.759. eCollection 2025 Mar.
The Fresno test is a useful instrument for measuring the evidence-based medicine (EBM) competence of family physicians and others. This study aimed to develop a Japanese version of the Fresno test.
First, the original version of the Fresno test was translated into Japanese following the standard instrument translation procedure. Subsequently, family medicine residents and certified physicians took the Japanese version of the Fresno test to assess its validity and reliability.
Translation of the Fresno test into Japanese was completed successfully. A total of 39 participants took the test to verify reliability and validity. Family medicine specialists scored higher than majors (129.7 ± 36.0 vs. 100.6 ± 45.1, = 0.036), which indicated high construct validity. Intra-class correlation coefficient and Kappa value of all questions were above 0.7, which suggested sufficient reliability. Item difficulty and floor/ceiling effect also fulfilled pre-determined criteria.
This study successfully developed a Japanese version of the Fresno test. This test has sufficient reliability and validity and is expected to be useful as an instrument in EBM education for physicians in the future.
弗雷斯诺测试是一种用于衡量家庭医生及其他人员循证医学（EBM）能力的有用工具。本研究旨在开发弗雷斯诺测试的日语版本。
首先，按照标准的工具翻译程序将弗雷斯诺测试的原始版本翻译成日语。随后，家庭医学住院医师和认证医生参加了弗雷斯诺测试的日语版本，以评估其有效性和可靠性。
弗雷斯诺测试成功翻译成日语。共有39名参与者参加测试以验证其可靠性和有效性。家庭医学专家的得分高于其他专业人员（129.7±36.0对100.6±45.1，P = 0.036），这表明具有较高的结构效度。所有问题的组内相关系数和kappa值均高于0.7，这表明具有足够的可靠性。项目难度和地板/天花板效应也符合预定标准。
本研究成功开发了弗雷斯诺测试的日语版本。该测试具有足够的可靠性和有效性，预计将来可作为医生循证医学教育的一种工具。
