Translating and validating a Japanese version of the instrument for patient assessment of medical professionalism (J-IPAMP): a cross-sectional survey.
Translating and validating a Japanese version of the instrument for patient assessment of medical professionalism (J-IPAMP): a cross-sectional survey.
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DOI：
10.1186/s12909-022-03699-8
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发表时间：
2022-08-23
影响因子：
3.6
通讯作者：
Eto M
中科院分区：
文献类型：
--
作者：
Fujikawa H;Son D;Aoki T;Kondo K;Takemura Y;Saito M;Den N;Eto M
尽管有许多评估医疗专业精神的工具，但它们很少涉及患者的角度。医疗专业精神患者评估工具(IPAMP)由11个项目组成，已被确立和验证为从患者角度评估受训人员专业精神的有价值的工具。然而，在日本，没有从患者的角度评估专业水平的工具。本研究的目的是开发一个日文版的IPAMP(J-IPAMP)，并对其进行效度和信度检验。我们在日本的两家医院(城市和农村各一家)进行了一项横断面调查，以检验J-IPAMP的可靠性和有效性。接待员或调查员向276名住院患者分发了匿名问卷；所有参与者年龄均在20岁以上，并分配给医学实习生。我们评估了该量表的结构效度和效标相关效度，以及内部一致性信度。对235例(85.1%)患者的资料进行了分析。使用分半验证技术，我们进行了探索性因素分析(EFA)和验证性因素分析(CFA)。全民教育显示了一个单因素的解决方案。然后，为了比较两个模型(原始英文版的双因素模型和EFA建议的单维模型)之间的模型适合性，进行了CFA。终审法院显示，几乎所有的拟合指数都达到了各自的标准，两种模型的拟合指数大致相同。因此，我们采用了单因素模型。J-IPAMP总分与全球评分之间的皮尔逊相关系数为0.738，具有良好的标准相关效度。11个条目的Cronbach‘sα为0.96(95%可信区间：0.96-0.97)，omega值为0.96，显示出可接受的内部一致性信度。我们开发了日语版的IPAMP。通过分析验证了该量表的效度和信度。该工具可用于研究生培养环境中的职业化教育。
Although there are many tools to assess medical professionalism, they rarely address patients’ perspectives. The instrument for patient assessment of medical professionalism (IPAMP) comprises 11 items and has been established and validated as a valuable tool for assessing trainees’ professionalism from the patient’s perspective. However, there is no instrument to assess professionalism from the patient’s perspective in Japan. The purpose of the present study was to develop a Japanese version of the IPAMP (J-IPAMP) and test its validity and reliability. We conducted a cross-sectional survey to examine the reliability and validity of the J-IPAMP in two hospitals (one each in an urban and rural area) in Japan. Receptionists or surveyors distributed the anonymous questionnaire to 276 inpatients; all participants were aged above 20 years and assigned to medical trainees. We evaluated its structural and criterion-related validity, as well as internal consistency reliability. Data of 235 (85.1%) patients were analyzed. Using the split-half validation technique, we performed an exploratory factor analysis (EFA) along with a confirmatory factor analysis (CFA). The EFA showed a one-factor solution. Then, to compare the model fitness between two models (the two-factor model from the original English version vs. unidimensional model suggested by the EFA), the CFA was performed. The CFA showed that almost all of the fit indices met their respective criteria and were approximately the same for the two models. Thus, we adopted a single-factor model. The Pearson correlation coefficients between the total J-IPAMP scores and the global ratings were 0.738, indicating adequate criterion-related validity. The Cronbach’s alpha of the 11 items of the instrument was 0.96 (95% confidence interval: 0.96–0.97) and the omega value was 0.96, demonstrating acceptable internal consistency reliability. We developed the Japanese version of the IPAMP. Its validity and reliability were verified through analysis. This instrument can be utilized for professionalism education in the postgraduate training setting.
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影响因子：
4.7
作者：
Hodges, Brian;Paul, Robert;Wade, Winnie
通讯作者：
Wade, Winnie
影响因子：
3.6
作者：
Fujikawa H;Son D;Kondo K;Djulbegovic M;Takemura Y;Eto M
通讯作者：
Eto M
影响因子：
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通讯作者：
Wass, Val
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4.7
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通讯作者：
Goldie, John
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作者：
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通讯作者：
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