Cross-cultural adaptation and validation of the clinical learning evaluation questionnaire with Chinese clinical interns.

Abstract

Background: 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.

Methods: 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.

Results: 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.

Conclusion: The four-factor CLEQ questionnaire shows good validity and reliability among Chinese clinical interns.

Clinical trial number: Not applicable.