Translation, transcultural adaptation, and validation of the role-modeling cost-conscious behaviors scale

Autor: Marilia Menezes Gusmão, Marta Silva Menezes, Rui Nei de Araújo Santana, Carolina Villa Nova Aguiar, Mary Gomes Silva, Rinaldo Antunes Barros, Dilton Rodrigues Mendonça, Liliane Lins-Kusterer
Rok vydání: 2019
Předmět:
Psychometrics
020205 medical informatics
Attitude of Health Personnel
Varimax rotation
lcsh:Medicine
02 engineering and technology
Structural equation modeling
Education
03 medical and health sciences
0302 clinical medicine
Brazilian Portuguese
Health care
0202 electrical engineering
electronic engineering
information engineering
Humans
Students
medical
030212 general & internal medicine
Cultural Competency
Physician's Role
Reliability (statistics)
lcsh:LC8-6691
Medical education
Cultural Characteristics
lcsh:Special aspects of education
business.industry
Medical professionalism
lcsh:R
Reproducibility of Results
General Medicine
Translating
Costs
health care
language.human_language
Exploratory factor analysis
Confirmatory factor analysis
Scale (social sciences)
language
Health Expenditures
Education
medical
Factor Analysis
Statistical
business
Psychology
Brazil
Rating scale
behavioral
Research Article
Zdroj: BMC Medical Education, Vol 19, Iss 1, Pp 1-8 (2019)
BMC Medical Education
ISSN: 1472-6920
DOI: 10.1186/s12909-019-1587-x
Popis: Background Training in the use of cost-conscious strategies for medical students may prepare new physicians to deliver health care in a more sustainable way. Recently, a role-modeling cost-conscious behaviors scale (RMCCBS) was developed for assessing students’ perceptions of their teachers’ attitudes to cost consciousness. We aimed to translate the RMCCBS into Brazilian Portuguese, adapt the scale, transculturally, and validate it. Methods We adopted rigorous methodological approaches for translating, transculturally adapting and validating the original scale English version into Brazilian Portuguese. We invited all 400 undergraduate medical students enrolled in the 5th and 6th years of a medical course in Northeast Brazil between January and March 2017 to participate. Of the 400 students, 281 accepted to take part in the study. We analyzed the collected data using the SPSS software version 21 and structural equation modeling (SEM) was performed using AMOS SPSS version 18. We conducted exploratory factor analysis (EFA), varimax rotation, with Kaiser Normalization and Principal Axis Factoring extraction method. We conducted confirmatory factor analysis (CFA), using the SEM. We used the following indexes of adherence of the model: Comparative fit index (CFI), Goodness-of-fit index (GFI) and Tucker-Lewis Index (TLI). We considered the Bayesian Information Criterion (BIC) for Sample-size adjusted. The root mean square error of approximation was calculated. Values below 0.08 were considered acceptable. Composite reliability analyzes were performed to evaluate the accuracy of the instrument. Values above 0.70 were considered satisfactory. Results Of the 281 undergraduate medical students, 195 (69.3%) were female. Mean age of participants was 25.0 ± 2.6 years. In the EFA, the KMO was 0.720 and the Bartlett sphericity test was significant (p
Databáze: OpenAIRE
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