针对印度尼西亚医学本科生的通用技能自我评估工具的翻译和跨文化改编

Natalia Puspadewi, Gisella Anastasia, E. Rukmini
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摘要

背景:医学教育中有多种促进通用技能发展的教育策略,因此需要一种有效可靠的工具来评估通用技能。本研究旨在翻译和改编 Groen 等人1 开发的通用技能自我评估工具,以评估印度尼西亚医学生在课堂环境中的通用技能:方法:翻译过程采用世界卫生组织的指南,包括翻译过程包括:1)正译;2)专家组审查(采用德尔菲法);3)反译;4)预试和认知访谈;5)最终版本。为提高翻译的准确性,还采取了其他措施,包括校对(第 2 步之前)、第 3 步和第 4 步之后的专家小组审查,以及第 5 步之后的试点测试和心理测试。逆向翻译由专业翻译公司完成。来自阿特玛再也医学与健康科学学院的 10 名四年级学生参与了第 4 步;同时,我们对来自同一样本库的另外 35 名四年级学生进行了试点测试。我们还使用 Cronbach's alpha 进行了内部信度测试,并进行了结构效度测试,包括校正总项目相关性和主成分分析:结果:通过第 1-3 步,我们制作了印尼语版的通用技能评估工具,该工具具有良好的面效度和内容效度。定量数据分析显示,该工具具有较高的内部可靠性(Cronbach's Alpha = .955)和可接受的项目总相关性(范围在 0.345 至 0.757 之间):因子分析显示了 6 个领域,分别为分析能力、团队合作能力、沟通能力、毅力、社会判断能力和全局抽象能力。
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TRANSLATION AND CROSS-CULTURAL ADAPTATION OF GENERIC SKILL SELF-ASSESSMENT INSTRUMENT FOR INDONESIAN UNDERGRADUATE MEDICAL STUDENTS
Background: There are various educational strategies that promote generic skills development in medical education; hence, there is a need for a valid and reliable instrument to assess them. This study aims to translate and adapt a generic skills self-assessment instrument developed by Groen et al.1 to assess Indonesian medical student’s generic skills in a classroom context.Methods: WHO's guidelines were used for the translation process, which consisted of: 1) forward translation, 2) expert panel review (using the Delphi method), 3) back translation, 4) pre-testing and cognitive interviews, and 5) the final version. Additional measures were employed to improve the translation accuracy, including proofreading (prior to step 2), expert panel review after step 3 and 4, and pilot testing along with psychometric testing after step 5. Backward translation was done by a professional translation service. Ten fourth-year students from Atma Jaya School of Medicine and Health Sciences were involved in step 4; meanwhile, we piloted the translated instrument to 35 other fourth-year students from the same sample pool. We also conducted an internal reliability test using Cronbach's alpha and construct validity test, including corrected total-item correlation and principal component analysis.Results: Steps 1-3 produced an Indonesian version of the generic skills assessment instrument with good face and content validity. Quantitative data analysis showed high internal reliability (Cronbach’s Alpha = .955) and acceptable item-total correlation (ranging from .345 to .757).Conclusion: Factor analysis showed 6 domains labelled as analytical skills, teamwork, communication skills, perseverance, social judgment, and global abstraction skills.
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