Yang Luhua, Sun Jiangang, Wang Ruirui, Tao Shaochen, Wei Shanshan, Dong Liang, Gu Yansheng, Wang Jiayue
Department of Rehabilitation Medicine, Anhui College of Traditional Chinese Medicine, Wuhu, 241001, China.
Department of Physical Education, West Anhui University, Lu'an, China.
BMC Med Educ. 2025 Apr 7;25(1):495. doi: 10.1186/s12909-025-07088-9.
This study aimed to evaluate the reliability and validity of an adapted English questionnaire in Chinese medical schools, assessing its cross-cultural applicability in China.
A survey was conducted among clinical medical interns from four medical schools in China, collecting 216 valid responses. The questionnaire, based on the latest version of CLEQ, consisted of four dimensions and 18 items. It was translated into Chinese through a six-step forward and backward translation process. Data were analyzed using IBM SPSS Statistics 26 and IBM SPSS AMOS 28 Graphics.
The findings demonstrate that the translated questionnaire is suitable for Chinese clinical medical interns. Except for the "Learning Motivation" dimension with a reliability coefficient of 0.760, all other dimensions scored between 0.8 and 1, indicating strong internal consistency and reliability. Correlation coefficients exceeded 0.5, confirming good test-retest reliability. Model fit indices indicated good compatibility (CMIN/DF = 1.749, RMSEA = 0.057, and IFI, TLI, CFI > 0.9). Validity testing showed that all dimensions, except "Learning Motivation," had AVE values above 0.5 and CR values above 0.7,indicating good convergent validity and composite reliability. The discriminant validity of all dimensions was confirmed, as standardized correlation coefficients between each pair remained below the square root of their respective average variance extracted (AVE) values.
The four-factor CLEQ questionnaire shows good validity and reliability among Chinese clinical interns.
Not applicable.
本研究旨在评估一份改编后的英文问卷在中国医学院校中的信效度，评估其在中国的跨文化适用性。
对中国四所医学院校的临床医学实习生进行了一项调查，共收集到216份有效回复。该问卷基于最新版的CLEQ，由四个维度和18个项目组成。通过六步正向和反向翻译过程将其翻译成中文。使用IBM SPSS Statistics 26和IBM SPSS AMOS 28 Graphics进行数据分析。
研究结果表明，翻译后的问卷适用于中国临床医学实习生。除“学习动机”维度的信度系数为0.760外，其他所有维度的得分均在0.8至1之间，表明具有很强的内部一致性和信度。相关系数超过0.5，证实了良好的重测信度。模型拟合指数表明具有良好的兼容性（CMIN/DF = 1.749，RMSEA = 0.057，IFI、TLI、CFI > 0.9）。效度检验表明，除“学习动机”外，所有维度的AVE值均高于0.5，CR值均高于0.7，表明具有良好的收敛效度和组合信度。所有维度的区分效度均得到证实，因为每对之间的标准化相关系数均低于各自提取的平均方差（AVE）值的平方根。
四因素CLEQ问卷在中国临床实习生中显示出良好的效度和信度。
不适用。
