Validation of the Communication Skills Attitude Scale (CSAS) Questionnaire in a Cohort of Malaysian Medical Students

2017 ◽  
Vol 2 (2) ◽  
pp. 46 ◽  
Author(s):  
Noorhida Baharudin ◽  
Mohamed Syarif Mohamed Yassin ◽  
Siti Fatimah Badlishah Sham ◽  
Zamros Yuzadi Mohd Yusof ◽  
Anis Safura Ramli

Introduction: The Communication Skills Attitude Scale (CSAS) assesses medical students’ attitudes towards learning communication skills and had been widely utilised all over the world. This questionnaire has 26 items framed within two subscales. This study aimed to examine the validity and reliability of the CSAS among medical students in Universiti Teknologi MARA (UiTM). Methods: This was a cross sectional questionnaire validation study among 171 first year medical students from UiTM. The CSAS had undergone content and face validation, followed by psychometric analysis using principal component analysis to assess construct validity. Internal consistency was evaluated using Cronbach alpha. Results: Factor analysis confirmed the original two-subscale structure of the CSAS (positive attitude scale, PAS and negative attitude scale, NAS). A total of 4 items were removed due to poor factor loading (1 item from PAS and 3 items from NAS). The final validated CSAS consisted of 22 items, 14 and 8 items for the PAS and NAS respectively. Cronbach alphas calculated were 0.862 for the PAS and 0.565 for the NAS. Conclusion: This study produced a validated and reliable CSAS to measure the attitude of UiTM medical students towards learning communication skills. Given the low internal reliability of the NAS in this study, future studies should include translating and validating the CSAS into the Malay language to improve its psychometric properties. Future studies should also include medical students from the three major ethnic groups and other medical schools in Malaysia to improve the generalisability of the CSAS.

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e020931 ◽  
Author(s):  
Yang Zhang ◽  
Gurong Jiang ◽  
Yihan Sun ◽  
Xia Zhao ◽  
Xiaosong Yu

ObjectivesThe aims of this study were to develop the Chinese version of the Communication Skills Attitude Scale (CSAS-Ch) in order to test the psychometric properties of the modified instrument.DesignA cross-sectional study was conducted in September 2016 to evaluate the attitudes of Chinese medical students towards communication skills learning using CSAS at China Medical University.ParticipantsThe study recruited 510 fifth-year medical students by cluster sampling.MethodsCronbach’s α coefficients were calculated for the entire questionnaire and for the subscales to evaluate the internal consistency of the CSAS-Ch. In order to determine the structure underlying the CSAS, the scale was factor analysed using maximum likelihood extraction and the oblique rotation method.ResultsOf the 510 medical students, 492 (96.5%) completed the questionnaire. Cronbach’s α coefficient for the CSAS scale was 0.897. Exploratory factor analysis showed that the four-factor structure accounted for 59.8% of the variance and produced an acceptable fit to the data.ConclusionsThe modified CSAS-Ch can be used to evaluate attitudes towards communication skills. Further Future research for improving the teaching methods for communication skills should explore the relationship between medical students’ attitudes and the demographic characteristics.


2020 ◽  
Vol 3 (1) ◽  
pp. 96-104
Author(s):  
Suneel Piryani ◽  
Rano Mal Piryani ◽  
Gopendra Prasad Deo

Introduction: Medical students’ attitude towards communication skills is crucial for curriculum planners, teachers and health professionals. Chitwan Medical College (CMC) is a private medical school admitting students mainly from the Nepal. Objective: To assess the attitudes of medical students towards learning communication skills. Methods: A cross-sectional study was conducted among third and fifth year medical (MBBS) undergraduates at Chitwan Medical College (CMC), Nepal in April 2018 using the 26-itemCommunication Skills Attitude Scale (CSAS) developed by Rees, Sheard, and Davies. Participants ‘age, sex, year of study, nationality, religion, relationship status, the occupation of father and mother, place of residence of a family, were noted. The CSAS scores were computed. Student’s t-test and ANOVA test were used to compare the scores among subgroups of participants. Results: The mean positive attitudes scale (PAS), negative attitudes scale (NAS) and overall CSAS scores were 51.77  5.21, 35.68  4.43, and 83.97  5.77 respectively. PAS score was statistically significantly higher among the respondents whose mothers were not in the health-related profession. Whereas NAS score was statistically significantly lower among females, self-rated outstanding students, and good self-reported written communication skills. Conclusion: Medical undergraduates had strong positive attitudes towards learning communication skills, but negative attitudes were also noted. Hence, faculty members need to change these attitudes through improving teaching and assessment strategies.


2018 ◽  
Vol 56 (6) ◽  
pp. 1191-1217 ◽  
Author(s):  
Fatma Duygu Kaya Yertutanol ◽  
Selçuk Candansayar ◽  
Gülşah Seydaoğlu

The aims of this study were to develop a sexual orientation attitude scale and use it to investigate the attitudes of psychiatrists, other physicians and first year medical students toward homosexuals and homosexuality in Ankara, Turkey. A cross-sectional study was performed with three groups including psychiatrists (n = 147), non-psychiatric physicians (n = 224) and first year medical students (n  =  280). A scale with 43 items consisting of four subscales (heterosexism, homophobia, homonegativity, neutrality) was developed which showed high internal consistency, validity and reliability in this sample of Turkish individuals. The internal consistency coefficients (Cronbach's alpha) for the subscales were 0.85-0.86, 0.95-0.95, 0.95-0.95, and 0.85-0.86, respectively. Being male, single, a graduate of a religious (Imam Hatip) or vocational high school, of rural origin, a student, more religious, heterosexual and studying at university hospitals were found to be related to higher scores (indicating more negative attitudes) on all subscales and the total scale and these differences were significant. Students had the highest scores and psychiatrists had the lowest scores in all subscales and the total scale. The results of this study indicate that physicians and medical students have negative attitudes toward homosexuals and that medical training on sexual health issues should be improved in Turkey.


Author(s):  
Mohamad-Zikri Mohamad-Isa ◽  
Mohamed-Syarif Mohamed-Yassin ◽  
Siti Fatimah Badlishah-Sham ◽  
Noorhida Baharudin ◽  
Anis Safura Ramli

Communication is one of the fundamental skills in the medical profession. The Communication Skills Attitude Scale (CSAS) is a widely used questionnaire to measure the attitudes of medical students toward learning communication skills. It has been adapted and translated into many languages. The objective of this study was to adapt and translate the CSAS into the Malay language and determine its psychometric properties in medical students. This is a cross-sectional study involving 218 first-year Universiti Teknologi MARA students. Content validation, cross-cultural adaptation, translation, and face validation of the 26-item CSAS were performed according to established guidelines. Principal component analysis with direct oblimin rotation was used to determine the underlying structure of the CSAS-Malay. The reliability was assessed using Cronbach’s α coefficient for internal consistency and using the intraclass correlation coefficient for the test–retest reliability. Although the contents of the CSAS-Malay and the original version were conceptually equivalent, item 11 was removed during the content validation stage due to a low item content validity index (I-CVI < 1.00). Two subscales were derived from the remaining 25 items, which were the Positive Attitude Scale and the Negative Attitude Scale. Items 1 and 15 were removed due to poor factor loadings. The total variance explained by the final two-factor solution with three items removed was 30.8%. Cronbach’s α coefficients for both the Positive and Negative Attitude Scales in the final questionnaire were 0.815 and 0.614, respectively. It also showed a good reproducibility with intraclass correlation coefficient (ICC) values of 0.725–0.950 for all the items. This study provided preliminary information about the psychometric properties of the CSAS-Malay. The final 23-item questionnaire had a good construct validity, an acceptable internal consistency, and at least a moderate test–retest reproducibility. It can be used to assess the attitudes of medical students toward learning communication skills. Future research to improve the generalizability of the questionnaire should include medical students from other universities with diverse backgrounds.


Author(s):  
Ahmed Abed Elwahab Nourein ◽  
Rubayyi Faris Shahadah ◽  
Marwan Abdulrahman Alnemer ◽  
Saif Saud Al-Harbi ◽  
Hani T. Fadel ◽  
...  

Background: Communication skills (CS) learning is a core skill in medical and dental education. The comparison of attitudes towards CS between dental and medical students based on the taught curriculum (problem-based learning vs. traditional teaching) in Saudi Arabia awaits investigation. Aims: (1) To assess the attitudes of both undergraduate dental and medical students towards communication skills (CS) learning and (2) to compare the attitudes towards CS between Medical and Dental students in relation to sociodemographic and education-related characteristics. Methods and Materials: A cross-sectional study, using an online survey, invited 260 conveniently sampled Taibah university medical and dental undergraduate students. The survey collected data on sociodemographic characteristics, education-related factors, and CS using Communication Skills Attitude Scale (CSAS) that assess positive and negative attitudes (PAS, NAS). Data analysis included descriptive statistics and the Mann–Whitney U test. Results: Of the distributed questionnaire 91% responded (145 dental and 91 medical students). There were, overall, non-significant scores’ differences between medical and dental students on PAS (Medicine Median 51 vs. Dentistry Median 50, p = 0.059) and NAS (Medicine Median 32 vs. Dentistry Median 32, p = 0.596). Older medical students, those at clinical levels and those who reported they need to improve their communication skills and student whose parents were not doctors, tended to score statistically significantly (p = 0.032, 0.017, 0.034, and 0.004, respectively) on PAS compared with dental students; on the other hand, medical students with doctor parents scored significantly high in NAS compared to dental students (p = 0.015). Conclusion: Demographic and education-related characteristics underpinned medical student positive attitude towards CS compared to dental students. Although medical and dental students showed no differences in self-rating their attitudes towards (CS). Different factors influence medical and dental students’ attitudes towards CS learning.


Author(s):  
Sabika Saeed ◽  
Khalid Esmael ◽  
Fatima Jassim ◽  
Ashwin Shetty

The aim of the study was to determine the attitude of dentist toward learning communication skills and to recognize the factors influencing attitude toward learning communication skills. A cross-sectional study using a self-administered, 26-item, adapted Communication Skills Attitude Scale (CSAS) was carried out among dentist working in a public sector hospital in Qatar. Overall, two scores could be ascertained from the adapted CSAS: the mean positive attitude score (PAS) and negative attitude score (NAS). Non-parametric tests for statistical significance were utilized to assess relation between PAS and NAS scores and demographics. Fifty-nine dentists completed the survey giving an overall response rate of 53.6%. The mean (SD) PAS and NAS scores were 3.98 (SD=0.54) and 3.26 (SD=0.49) respectively. Female dentist was more positive towards learning communication skills than male. No statistically significant correlation was found between both PAS and NAS scores and respondents&rsquo; age. Dentists&rsquo; had both positive and negative attitudes towards learning communication skills. Considering the high NAS scores, it is recommended to introduce communication skills formal training sessions


Author(s):  
Roseline Fathima William ◽  
Jeevithan Shanmugam ◽  
Shanmugapriya Durairamy

Background: Effective communication plays a crucial role in establishing strong Doctor patient relationship which plays a dominant role in the treatment. Since Attitude forms the basis for the behaviour, the attitude of the students towards learning communication skills have major impact on developing effective communication skills. The objective of this study is to assess the level of attitude of medical students towards learning communication skills.Methods: A cross sectional study was conducted over 2 months among first to 4th year medical students in Karpaga Vinayaga Institute of Medical College and Research Centre, Kancheepuram using communication skills attitude scale. Data regarding the attitude and various socio demographic profile were collected through self-administered questionnaire. Hierarchical cluster analysis and K mean cluster analysis was done and Chi square test applied to find out association between the attitude and demographic variables.Results: With K mean cluster analysis, 183 students (47.9%) had high and 52.1% had moderate attitude towards learning communication skills. There is no significant association between socio demographic profiles and attitude towards learning communication skills except for the year of study and the gender.Conclusions: Overall all the students showed positive attitude towards learning communication skills, however there was decrease in level of attitude with higher the year of study.


2020 ◽  
Author(s):  
Sameer Timilsina ◽  
Sirisa MD Ka ◽  
Barun Shrestha ◽  
Gopendra Prasad Deo

Abstract Background Effective physician-patient communication is integral to building confidence, improving compliance, satisfaction and avoiding mishaps and malpractice suits. Communication-skills (CS) training is an internationally accepted essential component of medical education. This study aims to assess the communication-skills knowledge of pre-clinical undergraduate medical students pre- and post- CS course. We expect an improvement in CS knowledge post-intervention. Methods Between March and September 2019, 100 first year pre-clinical undergraduate medical students at Chitwan Medical College were enrolled in CS course. Attitude towards learning CS using communication skills attitude scale (CSAS) and assessment on knowledge of CS was conducted pre- and post-intervention. The intervention included 10 team-based learning (TBL) sessions on selective study areas based on Calgary-Cambridge model. Additionally, students’ demographic profile was collected at the start of the intervention. Results Among 100 students, 70% were males and 30% females. Positive attitude towards learning CS improved by 5%. Statistically significant progress was noted in post-intervention mean scores implying CS to be teachable and learnable. (Wilcoxon Signed ranks test z=-6.178 p<0.001). Knowledge on medical CS improved in the study participants irrespective of sex, entry-type, past-educational institute or attitude. Students with pre-intervention negative attitude showed marked improvement in post-intervention knowledge score (z=-5.674 p<0.001). Conclusion The intervention was effective in increasing students’ knowledge of medical CS, but we did not assess the skills of the students. Continuation of this study is recommended to explore whether CS training could actually improve soft skills of medical students in our part of the world.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Piotr Przymuszała ◽  
Magdalena Cerbin-Koczorowska ◽  
Patrycja Marciniak-Stępak ◽  
Łucja Zielińska-Tomczak ◽  
Martyna Piszczek ◽  
...  

Abstract Background The Communication Skills Attitude Scale (CSAS) is a recognized tool for assessment of attitudes towards communication learning. In the original version, it consists of 26 items divided on theoretical assumptions into two subscales: Positive and Negative Attitudes Scales. However, the evidence for its structure seems unsatisfactory, and a simple division into positive and negative attitudes may be insufficient to describe attitudes of medical students towards communication learning. Moreover, the existing evidence of the test-retest reliability of the CSAS seems limited. Consequently, this study aimed to provide more evidence on its psychometric properties while validating the CSAS questionnaire in a cohort of Polish medical students. Methods The CSAS was translated, adapted into Polish, and validated in a cohort of 389 Polish medical students. Statistical analysis involved, among others, parallel analysis to determine the number of factors, confirmatory factor analysis to compare the proposed model with theory-based ones, and test-retest reliability analysis. Results Conducted analysis revealed that in the examined population, the CSAS should rather consist of four than two subscales. Proposed four subscales addressed perceived outcomes of communication learning, positive and negative attitudes towards it (affective components), and factors motivating students to learn communication (a cognitive component of attitudes). Results of test-retest reliability were satisfactory for individual items and subscales. Conclusions This study presented a valid and reliable version of the Communication Skills Attitude Scale for Polish medical students and confirmed previous assumptions that CSAS may also be appropriate for assessment of affective and cognitive components of attitudes. Future research should, based on Ajzen’s Theory of Planned Behavior, make attempts to develop a tool assessing not only attitudes but also subjective norms and perceived behavioral control.


2021 ◽  
Vol 9 (01) ◽  
pp. 566-572
Author(s):  
Syafirin Abdullah ◽  
◽  
Kohar Sulistiyadi ◽  
Aman Mufit ◽  
◽  
...  

The previous literatures and studies told us workers in Emergency Services such as Paramedics and Ambulance Nurses face high risk of stress. One of the reason is the stressors they encounter during Emergency Responses. The aim of this study is to investigate various stressors face by Ambulance Nurses during Emergency Responses in Industrial Cities of Oil and Gascompanies in Qatar. This study is Descriptive Explorative and Verificative with design of Cross Sectional. There are 125 Ambulance Nurses Employees in this Industrial Cities included in this project. The research were conducted between June-September 2019. An total 100 Ambulance Nurses responded to the study and were analyzed using Principal Component Analysis with Software SPSS Trial Version. The Result of PCA reanalyzed with Confirmatory Factor with Software of Amos 24.The result of PCA revealed there are 23 stressors encountered by Ambulance Nurses during Emergency Responses which contains of 3 dimensions such as Internal, External and Environment. The aforementioned result of PCA reanalyzed with Confirmatory Factor Analysis using Software Amos student version yielded CMIN/DF=1,521, GFI=0,821, RSMEA=0,073. Conclusion: The finding suggest that Ambulance Nurses faced Multiple Job Stressors while responding Emergency Calls.The Instrument of The Sources Ambulance Nurses Stress during Emergency Responses to have adequate Validity and Reliability.


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