A New Competency-Based Instrument to Assess Resident Knowledge and Self-Efficacy in Primary Palliative Care

2019 ◽  
Vol 37 (2) ◽  
pp. 117-122 ◽  
Author(s):  
Kristen M. Moyer ◽  
Laura J. Morrison ◽  
John Encandela ◽  
Catherine Kennedy ◽  
Matthew S. Ellman
Keyword(s):  
Palliative Care ◽  
Factor Analysis ◽  
Psychometric Properties ◽  
Self Efficacy ◽  
Item Analysis ◽  
Educational Interventions ◽  
Management Communication ◽  
Cultural Aspects ◽  
Internal Medicine Residents ◽  
Competency Based

Context: There is a need to improve both primary palliative care (PPC) education and its assessment in graduate medical education (GME). We developed an instrument based on published palliative care (PC) competencies to assess resident competency and educational interventions. Objectives: To describe the development and psychometric properties of a novel, competency-based instrument to measure resident knowledge and self-efficacy in PPC. Methods: We created a 2-part instrument comprised of a knowledge test (KT) and a self-efficacy inventory (SEI) addressing 18 consensus, core PC resident competencies across 5 domains: pain and symptom management; communication; psychosocial, spiritual, and cultural aspects of care; terminal care and bereavement; and PC principles and practice. The instrument was distributed to 341 internal medicine residents during academic years 2015 to 2016 and 2016 to 2017. A standard item analysis was performed on the KT. Internal consistency (Cronbach α) and variable relationships (factor analysis) were measured for the SEI. Results: One hundred forty-four residents completed the survey (42% response). For 15 KT items, difficulty ranged from 0.17 to 0.98, with 7 items ranging 0.20 to 0.80 (typical optimum difficulty); discrimination ranged from 0.03 to 0.60 with 10 items ≥0.27 (good to very good discrimination). Cronbach α was 0.954 for 35 SEI items. Factor analysis of combined 2015 to 2016 items yielded 4 factors explaining the majority of variance for the entire set of variables. Conclusion: Our instrument demonstrates promising psychometric properties and reliability in probing the constructs of PC and can be further utilized in PC GME research to assess learners and evaluate PPC educational interventions.

Are Internal Medicine Residents Meeting the Bar? Comparing Resident Knowledge and Self-Efficacy to Published Palliative Care Competencies

2020 ◽  
pp. 104990912095480
Author(s):  
Kristen M. Moyer ◽  
Matthew S. Ellman ◽  
John Encandela ◽  
Laura J. Morrison
Keyword(s):  
Internal Medicine ◽  
Palliative Care ◽  
Self Efficacy ◽  
Rank Analysis ◽  
Cultural Aspects ◽  
Internal Medicine Residents ◽  
Significant Difference ◽  
New Instrument ◽  
The Mean ◽  
One Way Anova

Background: There is a need for improved primary palliative care (PC) education and resident comfort with providing end-of-life care. Objective: Utilize a new instrument derived from published PC competencies to assess baseline Internal Medicine (IM) resident knowledge and self-efficacy in PC to identify educational gaps and create new PC curricula. Design: We created a 2-part instrument including a Knowledge Test (KT) and a Self-Efficacy Inventory (SEI) addressing 18 PC resident competencies across 5 domains: Pain and Symptom Management (PSM), Communication (COMM), Psychosocial, Spiritual, and Cultural Aspects of Care (PSC), Terminal Care and Bereavement (TCB), and Palliative Care Principles and Practice (PCPP). Setting/Subjects: The instrument was emailed to IM residents at our institution during academic years 2015-2016 and 2016-2017. Measurements: Basic descriptive statistics were performed for the KT and SEI. Mean Rank Analysis and One-way ANOVA were utilized for the KT and SEI, respectively. Congruence was calculated between knowledge and self-efficacy. Results: The mean score on the KT was 73% (range 33-80%). There was no significant difference in knowledge among post-graduate year cohorts. Self-efficacy scores were lower for interns overall and in PCPP, TCB, and COMM domains. Knowledge was concordant with self-efficacy in 42% of participants, higher than self-efficacy in 10% of participants, and lower than self-efficacy in 48% of participants. Conclusions: For approximately half of respondents, high self-efficacy in PC did not correlate with high PC knowledge. A more focused curriculum is needed to help IM residents facilitate mastery of PC competencies by graduation.

Adaptation of the tool to measure parenting self-efficacy (topse) in Bangladesh

2021 ◽  
Vol 30 (2) ◽  
pp. 169-177
Author(s):  
Nafiza Ferdowshi ◽  
Mostak Ahamed Imran ◽  
Tasmim Alam Trishna
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Self Efficacy ◽  
Convergent Validity ◽  
Item Analysis ◽  
Self Esteem ◽  
Parenting Programs ◽  
Measuring Instruments ◽  
Test Retest Reliability ◽  
Acceptable Internal Consistency

Measuring parental self-efficacy has influenced the children and their environment for reaching optimal development. The current study aimed to adapt the Tool to Measure Parenting Self-Efficacy (TOPSE) scale and to determine its psychometric properties for using in the context of Bangladesh. A total of 180 mothers of children aged 0 to 6 years were conveniently selected for this study. The TOPSE and Rosenberg’s Self-Esteem scale were used as measuring instruments. Collected data were analyzed to determine psychometric properties by using Cronbach’s alpha, Pearson product moment correlation coefficient, item analysis, and factor analysis. TOPSE had acceptable internal consistency (Coefficient alpha=0.89) and test-retest reliability (r=0.96). The convergent validity of TOPSE showed a highly positive correlation (r=0.91) with the Bangla Rosenberg’s Self-Esteem scale. The factor analysis resulted in 4 factors with Eigenvalues > 1, explaining 87% of the variances and the four factors showed Cronbach’s coefficient values ranging from 0.50 to 0.99. TOPSE has reasonably good psychometric properties. Further research may wish to require to see the implication of TOPSE in evaluating parenting programs in Bangladesh. Dhaka Univ. J. Biol. Sci. 30(2): 169-177, 2021 (July)

Psychometric Properties of Chen, Gully, and Eden's “New General Self-Efficacy Scale” in a Greek Sample

2009 ◽  
Vol 105 (1) ◽  
pp. 245-254 ◽  
Author(s):  
Demetrios S. Alexopoulos ◽  
Sofia Asimakopoulou
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Self Efficacy ◽  
Factor Model ◽  
Item Analysis ◽  
Confirmatory Factor ◽  
The One ◽  
General Self Efficacy

The aim of the present study was to translate and investigate the psychometric properties of the New General Self-Efficacy Scale with a group of 551 Greek children (269 girls, 282 boys; ages 9 to 12 years, Grades 4, 5, and 6). A confirmatory factor analysis was performed which verified the one-factor model. The reliability, validity, and item analysis appeared to be adequate.

scholarly journals Creative Solution for Implementation of Experiential, Competency-Based Palliative Care Training for Internal Medicine Residents

2011 ◽  
Vol 26 (3) ◽  
pp. 436-443 ◽  
Author(s):  
Douglas D. Ross ◽  
Deborah W. Shpritz ◽  
Susan D. Wolfsthal ◽  
Ann B. Zimrin ◽  
Timothy J. Keay ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Palliative Care ◽  
Internal Medicine Residents ◽  
Competency Based ◽  
Care Training

scholarly journals Developing the scale of writing, speaking, listening, reading self-efficacy for learners of Turkish as a foreign language

2019 ◽  
Vol 14 (4) ◽  
pp. 676-693
Author(s):  
Dilek Unveren
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Foreign Language ◽  
Self Efficacy ◽  
Foreign Students ◽  
Item Analysis ◽  
The Self ◽  
Listening Skills ◽  
Sample Group ◽  
Confirmatory Factor

The aim of this study is to develop a scale to measure Turkish reading, listening, speaking and writing self-efficacy of foreign students in Turkey. The sample group of this study consists of 412 foreign students studying in TOMER. At the first phase, four sets of items consisting of 200 items were prepared as a data collecting tool. Eliminating 90 of the items upon expert evaluations, a draft scale consisting of 110 items was applied to mentioned foreign students. The data obtained from the study were analysed by item analysis, exploratory and confirmatory factor analysis methods. At the end of the study, the self-efficacy scale of Turkish reading, writing, speaking and listening skills, which consists of 94 items and targets foreigners who learn Turkish as a foreign language, was found to be a reliable and valid scale. Keywords: Self-efficacy scale, learning Turkish as a foreign language.

scholarly journals Modification and Psychometric Evaluation of the Peterson War Scale

2007 ◽  
Vol 101 (2) ◽  
pp. 519-524 ◽  
Author(s):  
D. Gabrielle Jones-Wiley ◽  
Alberto F. Restori ◽  
Howard B. Lee
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Internal Consistency ◽  
Longitudinal Research ◽  
Item Analysis ◽  
Psychometric Evaluation ◽  
Internal Consistency Reliability ◽  
Point Scale ◽  
Attitudes Toward War

A measure on attitudes toward war was administered to 125 student participants at a California university to assess psychometric properties for this scale for possible use in current research. A 5-point scale was substituted for the 2-point one originally. Item analysis indicated 23 of 32 items were viable. Using Cronbach reliability coefficient α and factor analysis, the shortened measure had an internal consistency reliability of .85. Factor analysis yielded a 4-factor structure: (1) War is Bad, (2) War is Necessary, (3) Positive Aspects of War, and (4) No Justification. These results indicate this seemingly outdated measure of war attitudes remains useful for current research purposes involving measuring attitudes toward war. However, longitudinal research is necessary.

scholarly journals Validation and reliability of the scale Self-efficacy and their child's level of asthma control

2018 ◽  
Vol 71 (2) ◽  
pp. 406-412
Author(s):  
Ana Lúcia Araújo Gomes ◽  
Emanuella Silva Joventino ◽  
Kamila Ferreira Lima ◽  
Regina Cláudia Melo Dodt ◽  
Paulo César de Almeida ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Asthma Control ◽  
Self Efficacy ◽  
Validity And Reliability ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Brazilian Version ◽  
Children With Asthma ◽  
Test Of Hypothesis

ABSTRACT Objective: To evaluate the psychometric properties in terms of validity and reliability of the scale Self-efficacy and their child's level of asthma control: Brazilian version. Method: Methodological study in which 216 parents/guardians of children with asthma participated. A construct validation (factor analysis and test of hypothesis by comparison of contrasted groups) and an analysis of reliability in terms of homogeneity (Cronbach's alpha) and stability (test-retest) were carried out. Results: Exploratory factor analysis proved suitable for the Brazilian version of the scale (Kaiser-Meyer-Olkim index of 0.879 and Bartlett's sphericity with p < 0.001). The correlation matrix in factor analysis suggested the removal of item 7 from the scale. Cronbach's alpha of the final scale, with 16 items, was 0.92. Conclusion: The Brazilian version of Self-efficacy and their child's level of asthma control presented psychometric properties that confirmed its validity and reliability.

scholarly journals Psychometric Properties of Diabetes Management Self-Efficacy in Thai Type 2 Diabetes Mellitus Patients: A Multicenter Study

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Monthida Sangruangake ◽  
Chananya Jirapornkul ◽  
Cameron Hurst
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Construct Validity ◽  
Psychometric Properties ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Second Phase ◽  
University Hospitals ◽  
Confirmatory Factor ◽  
Hba1c Control

Objective. The aims of this study were to translate and psychometrically evaluate the Thai version of diabetes management self-efficacy scale (T-DMSES) and to examine its association with HbA1c control in diabetic individuals. Methods. This study recruited patients from outpatient diabetes clinics of both community and university hospitals. The first phases of this study involved translation of the existing DMSES into Thai, and in the second phase, we evaluated its psychometric properties. The construct validity was evaluated using confirmatory factor analysis. Criterion validity of DMSES was subsequently evaluated by examining DMSES’s association with HbA1c control. Results. The T-DMSES contains 20 items across four factors. Confirmatory factor analysis demonstrated the construct validity of T-DMSES (χ2=645.142, df = 164, p<0.001, CFI = 0.98, RMSEA = 0.065, TLI = 0.977, and AGFI = 0.981). The T-DMSES was also shown to be criterion valid with most subscales highly associated with HbA1c control. Conclusion. The T-DMSES was shown to have good psychometric properties. It is likely to provide valuable insights into the epidemiology of diabetes management self-efficacy and may also prove useful in evaluating interventions for raising diabetes management self-efficacy, which in turn, improve both patient self-management and blood sugar control.

scholarly journals Psychological Capital: Convergent and discriminant validity of a reconfigured measure

2018 ◽  
Vol 21 (1) ◽  
Author(s):  
Anton Grobler ◽  
Yvonne T. Joubert
Keyword(s):  
Factor Analysis ◽  
Construct Validity ◽  
Psychometric Properties ◽  
Self Efficacy ◽  
Discriminant Validity ◽  
Psychological Capital ◽  
Specific Reference ◽  
Psychological Resources ◽  
Convergent And Discriminant Validity ◽  
Organisational Behaviour

Background: Although attention has been given to the importance of positivity in the workplace, it has only recently been proposed as a new way in which to focus on organisational behaviour. The psychological resources which meet the criteria for positive organisational behaviour best are hope, self-efficacy, optimism and resilience. Aim: The purpose of this study was to investigate the construct validity of the Psychological Capital Questionnaire (PCQ), with specific reference to its psychometric properties. Setting: The sample included a total of 1749 respondents, 60 each from 30 organisations in South Africa. Methods: A multi-factorial model was statistically explored and confirmed (with exploratory factor analysis and confirmatory factor analysis, respectively). Results: The results support the original conceptualisation and empirically-confirmed factorial composition of Psychological Capital (PsyCap) by four elements, namely Hope, Optimism, Resilience and Self-efficacy. However, the study yielded a three-factor solution, with Hope and Optimism as a combined factor and Resilience and Self-efficacy made up of a reconfigured set of substantively justifiable items (three of the original 24 items were found not to be suitable). The three reconfigured factors showed good psychometric properties, good fit (in support of construct validity) and acceptable levels of convergent and discriminant validity. Recommendations were made for further studies. Conclusion: Based on the results obtained, it seems that the PCQ is a suitable (valid and reliable) instrument for measuring PsyCap. This study could thus serve as a reference for the accurate measurement of PsyCap.

Attitudes to doctors and medicine: a failure to replicate

2000 ◽  
Vol 17 (2) ◽  
pp. 50-53 ◽  
Author(s):  
Ronán M Conroy ◽  
Ruwani Siriwardena ◽  
Olive Smyth ◽  
Hannah M McGee ◽  
Paula Fernandes
Keyword(s):  
General Practice ◽  
Factor Analysis ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Item Analysis ◽  
Research Interest ◽  
Potential Importance ◽  
Valid Measure ◽  
Negative Attitudes ◽  
Clear Cut

AbstractObjectives: Despite their potential importance in affecting interactions between doctors and patients, there have been few attempts to measure attitudes to doctors and medicine. One scale, developed by Marteau, had shown a promising factor structure in a UK antenatal setting. The present study assessed its characteristics in Dublin general practice attenders.Method: Patients aged over 16 waiting for a self-initiated consultation were recruited. The Attitudes to Doctors and Medicine Scale was administered by interview. Item analysis and factor analysis were used to examine its psychometric properties.Results: Of 200 respondents, with a median age of 31, 144 were women. Item analysis showed lower reliabilities for the subscales of Marteau's scale than the original UK study, especially the subscales measuring negative attitudes to doctors and to medicine. Factor analysis failed to confirm a clear-cut distinction between attitudes to doctors and attitudes to medicine, and between positive and negative attitudes. Furthermore, factors which loaded in opposite directions in the original UK study loaded in the same direction in the Irish sample.Conclusions: The differences found may reflect the differences either in culture or setting between the two studies. They strongly suggest that the Attitudes to Doctors and Medicine Scale does not have desirable psychometric properties. They also underline the need for a reliable and valid measure of attitudes to doctors and medicine, and for a more serious research interest in the area.

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