Multischool, international survey of medical students' attitudes toward "holism".
Multischool, international survey of medical students' attitudes toward "holism".
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对医学生对“整体主义”态度的多学校、国际调查。
DOI：
10.1097/00001888-200510000-00017
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发表时间：
2005
期刊：
影响因子：
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通讯作者：
Boon,Heather
中科院分区：
文献类型：
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作者：
Schmidt,Katja;Rees,Charlotte;Greenfield,Sheila;Wearn,AndyM;Dennis,Ian;Patil,NivrittiG;Amri,Hakima;Boon,Heather
补充和替代医学（CAM）的核心和选修课程正在纳入医学课程。作者进行了这项研究，以验证一个工具，以检查学生的态度，整体和CAM和探索他们的态度和其他人口统计和教育相关的特征之间的关系，在一个大的，多学校，2003年，作者使用了综合医学态度问卷（IMAQ）的修改版本，调查了英国、新西兰、加拿大、美国和中国香港共六所医学院的学生。三因素模型进行了验证性因素分析，并确定内部一致性的因素，使用Cronbach的α系数。多指标多原因（MIMIC）进行分析，以确定IMAQ因素和学生的特征之间的关系。ResultsThe作者验证了IMAQ的三因素模型：（1）对整体主义的态度，（2）对CAM的有效性的态度，和（3）对内省和医患关系的态度。Cronbach α系数范围为。41到。71. MIMIC模型显示各种背景变量与IMAQ因子相关（性别、种族/民族和学校），这取决于学生以前是否拜访过CAM从业者，以及学生是否愿意在CAM中进行特殊的学习模块。结论IMAQ需要进一步的开发工作和定性研究来验证和检查本研究中发现的学生之间关系背后的原因。对整体论的态度及其人口和教育相关特征。
PurposeCore and optional courses of study in complementary and alternative medicine (CAM) are being incorporated into medical curricula. The authors carried out this study to validate a tool to examine students’ attitudes toward holism and CAM and explore the relationships between their attitudes and other demographic and education-related characteristics in a large, multischool, international sample of medical students.MethodIn 2003 the authors used a modified version of the Integrated Medicine Attitude Questionnaire (IMAQ) to survey students at a total of six medical schools in the United Kingdom, New Zealand, Canada, the United States, and Hong Kong, China. A three-factor model was tested using confirmatory factor analysis, and the internal consistency of the factors were identified using Cronbach’s alpha coefficients. A multiple-indicator multiple-cause (MIMIC) analysis was carried out to determine the relationship between IMAQ factors and student characteristics.ResultsThe authors validated a three-factor model for the IMAQ:(1) attitudes toward holism,(2) attitudes toward the effectiveness of CAM, and (3) attitudes toward introspection and the doctor–patient relationship. Cronbach’s α coefficients ranged from. 41 to. 71. The MIMIC model indicated that various background variables were associated with IMAQ factors (gender, race/ethnicity, and school), depending on whether students had previously visited a CAM practitioner and whether students were willing to undertake a special study module in CAM.ConclusionsFurther development work on the IMAQ is required and qualitative research to verify and examine the reasons behind the relationships found in this study between students’ attitudes to holism and their demographic and education-related characteristics.