Medical students' attitudes to complementary and alternative medicine: further validation of the IMAQ and findings from an international longitudinal study.
Medical students' attitudes to complementary and alternative medicine: further validation of the IMAQ and findings from an international longitudinal study.
复制标题
医学生对补充和替代医学的态度：IMAQ 的进一步验证和国际纵向研究的结果。
DOI：
10.1080/01421590802139724
复制
发表时间：
2009
期刊：
影响因子：
4.7
通讯作者：
Greenfield,SheilaM
中科院分区：
文献类型：
--
作者：
Rees,CharlotteE;Wearn,AndyM;Dennis,Ian;Amri,Hakima;Greenfield,SheilaM
背景：目前的研究主要采用横断面设计来考察医学生对补充和替代医学（CAM）态度的变化。目的：本文报告了一项纵向研究的结果，以进一步验证整合医学态度问卷（IMAQ），并考察医学生3年来态度的变化。方法：来自3个国家的4所学校的154名医学生在第一年（T1）和第四年（T2）完成了IMAQ的修订版。结果：我们建立了IMAQ的三因素模型：（1）对整体主义的态度;（2）对CAM治疗有效性的态度;（3）对内省和医患关系的态度。我们发现，IMAQ因子得分没有显着差异，从T1到T2，强调在整个时间的态度相对稳定。各种学生特征与IMAQ因子得分在T2显著相关：年龄，性别，CAM的使用，CAM教育和学校;和两个变量（性别和CAM的使用）预测的变化，医学生的态度之间的T1和T2。结论：我们敦促医学教育工作者继续探索医学生的态度变化CAM，我们提供的例子，需要进一步的研究。
Background:Current research mainly employs cross-sectional designs to examine changes in medical students’ attitudes towards complementary and alternative medicine (CAM).Aims:This paper reports the findings of a longitudinal study to further validate the Integrative Medicine Attitude Questionnaire (IMAQ) and examine changes in medical students’ attitudes over 3 years.Methods:A total of 154 medical students from four schools in three countries completed a modified version of the IMAQ during their first (T1) and fourth year (T2).Results:We established the validity of a three-factor model for the IMAQ: (1) attitudes towards holism; (2) attitudes towards the effectiveness of CAM therapies, and (3) attitudes towards introspection and the doctor–patient relationship. We found that IMAQ factor scores did not differ significantly from T1 to T2, emphasizing the relative stability in attitudes across time. Various student characteristics were significantly associated with IMAQ factor scores at T2: age, gender, CAM use, CAM education and school; and two variables (gender and CAM use) predicted changes in medical students’ attitudes between T1 and T2.Conclusions:We urge medical educators to continue exploring medical students’ attitude changes towards CAM and we provide examples of what further research is needed.