中国医学生抗生素使用知识、态度和实践量表的开发与验证。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2024-10-23 DOI:10.1111/jep.14209

Hui Sun, Linghui Xiang, Jiajia Zhang, Xin Xiong, Xuemei Sun, Yinyan Gao, Jinlu Song, Han Luo, Dingkui Sun, Xiangfeng Lin, Boya Xu, Irene X Y Wu, Wenjie Dai

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引用次数: 0

摘要

目的和目标本研究旨在开发和验证中国医学生抗生素使用的知识、态度和实践量表：方法：采用五阶段程序：（a）文献综述后建立项目库；（b）采用德尔菲法完善项目；（c）进行试点研究以明确项目；（d）采用项目分析和探索性因子分析最终确定量表；（e）分析量表的内容效度、建构效度和信度：结果：最终确定的量表包含 32 个项目，知识、态度和实践项目分别为 15、9 和 8。项目层面的内容效度在 0.80 至 1.00 之间。量表内容效度为 0.90。总量表和三个维度的模型拟合指数均符合标准。总量表的 Cronbach's α 和分半系数分别为 0.81 和 0.65。各维度的 Cronbach's α 在 0.68 至 0.89 之间变化，分半系数在 0.64 至 0.83 之间变化：该量表既可整体使用，也可单独使用，是测量医学生抗生素使用知识、态度或实践的有效工具。

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Development and validation of knowledge, attitude, and practice scale regarding antibiotic use for Chinese medical students.

Aims and objectives: This study aimed to develop and validate a knowledge, attitude, and practice scale of antibiotic use for Chinese medical students.

Method: A five-phased procedure was adopted: (a) A item pool was constructed after literature review; (b) Delphi method was used to refine the items; (c) A pilot study was conducted to clarify the item; (d) Item analysis and exploratory factor analysis were used to finalize the scale; (e) Content validity, construct validity and reliability of the scale were analysed.

Results: The scale of 32 items, respectively 15, 9, and 8 for knowledge, attitude, and practice, was finalized. The item-level content validity ranged from 0.80 to 1.00. The scale-level content validity of the scale was 0.90. Model fit indices of total scale and the three dimensions met the criteria. Cronbach's α and the split-half coefficient were respectively 0.81 and 0.65 for the total scale. For each dimension, Cronbach's α varied from 0.68 to 0.89 and the split-half coefficient varied from 0.64 to 0.83.

Conclusion: The scale can be used as a whole or separately, serving as an effective tool to measure medical students' knowledge, attitude, or practice regarding antibiotic use.

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.