摩洛哥学校健康教育背景下罗特互动分析系统（RIAS）的心理测量特征

Psychometric characteristics of Roter interaction analysis system (RIAS) in the context of health education in a Moroccan school.

作者信息

Daoudi Khadija, Jounaidi Khaoula, Gantare Abdellah

机构信息

Sciences and Engineering of Biomedicals, Biophysics and Health Laboratory, Higher Institute of Health Sciences, Hassan First University, Settat, Morocco.

出版信息

PEC Innov. 2025 May 15;6:100403. doi: 10.1016/j.pecinn.2025.100403. eCollection 2025 Jun.

DOI:10.1016/j.pecinn.2025.100403

PMID:40502437

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12158514/

Abstract

OBJECTIVE

The Roter Interaction Analysis System (RIAS) is widely used to assess communication in clinical settings but has not yet been applied in educational contexts. This study explores the psychometric properties of RIAS in Moroccan school health education, assessing its feasibility, reliability, and validity while examining its potential to improve communication strategies between health educators and students.

METHODS

A cross-sectional study was conducted with 36 Moroccan primary school students. Health education session were recorded and analyzed using RIAS to evaluate communication patterns. Two trained raters independently coded the interactions into eight communication behavior categories. Psychometric analyses, including assessments of feasibility (coding versus session duration), inter-rater reliability (using correlation coefficients), and content validity (based on category usage), were conducted to evaluate RIAS's reliability and validity.

RESULTS

RIAS demonstrated feasibility with extended coding times reflecting its comprehensive nature. High inter-rater reliability (ρ = 0.96-1.00, < 0.01) validated its consistent application. Content validity confirmed adaptability, though challenges with social-emotional utterances and low-frequency categories suggest refinement to align with health education's unique dynamics.Conclusion: This pilot study demonstrates the feasibility, reliability, and validity of RIAS in Moroccan school health education, highlighting its potential to enhance educator-student communication and improve health education outcomes in diverse cultural settings.

INNOVATION

This study pioneers the application of RIAS in Moroccan school health education, extending its use beyond clinical contexts. It highlights RIAS's adaptability to diverse, non-Western settings, bridging a gap in communication analysis. Findings provide a foundation for refining RIAS to align with health education and global health promotion strategies.

摘要

目的

罗特互动分析系统（RIAS）被广泛用于评估临床环境中的沟通，但尚未应用于教育环境。本研究探讨RIAS在摩洛哥学校健康教育中的心理测量特性，评估其可行性、可靠性和有效性，同时考察其改善健康教育工作者与学生之间沟通策略的潜力。

方法

对36名摩洛哥小学生进行了一项横断面研究。使用RIAS对健康教育课程进行记录和分析，以评估沟通模式。两名经过培训的评分者将互动独立编码为八个沟通行为类别。进行了心理测量分析，包括可行性评估（编码与课程时长）、评分者间信度（使用相关系数）和内容效度（基于类别使用情况），以评估RIAS的可靠性和有效性。

结果

RIAS显示出可行性，较长的编码时间反映了其全面性。较高的评分者间信度（ρ = 0.96 - 1.00，< 0.01）验证了其一致的应用。内容效度证实了其适应性，尽管社会情感话语和低频类别存在挑战，表明需要改进以适应健康教育的独特动态。结论：这项试点研究证明了RIAS在摩洛哥学校健康教育中的可行性、可靠性和有效性，突出了其在不同文化背景下增强教育工作者与学生沟通以及改善健康教育成果的潜力。