全科医生与药师协作状况评估问卷的跨文化调适与信效度检验

Cross-cultural adaptation,reliability and validity of GP-pharmacist collaboration assessment questionnaire

目的全科医生与药师的协作是影响患者医疗质量的重要因素。全科医生对与药师协作的态度及协作频率评估问卷(ATCI-GP和FICI-GP)是分别用于评估全科医生对协作的态度和参与协作频率的科学工具,但该问卷尚未经过汉化。本研究将ATCI-GP与FICI-GP分别经过跨文化调适成为中文版问卷,并检验中文版问卷的信度和效度,旨在为评估全科医生与药师协作状况提供研究工具。方法本研究遵循跨文化调适指南和Brislin翻译原则,将ATCI-GP和FICI-GP跨文化调适为中文版问卷C-ATCI-GP、C-FICI-GP。采用方便抽样法,于2022年11月—2023年2月选取深圳市、杭州市、西安市、长沙市和北京市的25家基层卫生机构的全科医生进行调查,以分析该问卷的信度和效度。结果共回收问卷346份,其中有效问卷320份。C-ATCI-GP的整体Cronbach’sα系数为0.958,C-FICI-G的整体Cronbach’sα系数为0.967。两份问卷所有条目的|CR值|均>3.000(P<0.001),各条目得分与量表总分的相关系数>0.300(P<0.001)。C-ATCI-GP的内容效度指数(S-CVI)为0.876。C-FICI-GP的内容效度指数(S-CVI)为0.882。结构效度分析显示,C-ATCI-GP共提取出2个公因子,累计方差贡献率达到了72.546%;C-FICI-GP共提取出1个公因子,方差贡献率为77.713%。结论经过本研究跨文化调适的C-ATCI-GP和C-FICI-GP具有良好的信度和效度,可作为国内研究者评估全科医生对与药师协作的态度与频率状况的可靠调查工具。

Objective The collaboration between pharmacists and general practitioners(GPs)is essential to the quality of patient care.Attitudes toward collaboration instrument for GPs(ATCI-GP)and frequency of interprofessional collaboration instrument for GPs(FICI-GP)have been used to assess GPs'attitudes towards collaboration with pharmacists and their frequency of collaboration,respectively,yet they had not been validated in the Chinese version.To provide a research tool for assessing the collaboration between GPs and pharmacists,we translate ATCI-GP and FICI-GP into Chinese and test the reliability and validity of the Chinese version.Methods Following the guidelines for cross-cultural adaptation and the Brislin translation principle,the ATCI-GP and FICI-GP were translated into Chinese versions of questionnaires C-ATCI-GP and C-FICI-GP.From December 2022 to February 2023,a survey was conducted among general practitioners from 25 primary health institutions in Shenzhen,Hangzhou,Xi'an,Changsha,and Beijing to analyze the reliability and validity of the questionnaire by convenience sampling method.Results A total of 346 questionnaires were collected,of which 320 were valid.The overall Cronbach'sαcoefficient for C-ATCI-GP was 0.958,and for C-FICI-G,it was 0.967.The|CR values|for all items in both questionnaires were greater than 3.000(P<0.001),and the correlation coefficients between item scores and the total scale score were greater than 0.300(P<0.001).The content validity index(S-CVI)for C-ATCI-GP was 0.876,and for C-FICI-GP,it was 0.882.The construct validity analysis showed that C-ATCI-GP extracted 2 common factors,accounting for a cumulative variance contribution rate of 72.546%,and C-FICI-GP extracted 1 common factor,accounting for a variance contribution rate of 77.713%.Conclusion The Chinese versions of ATCI and FICI have good reliability and validity and can be used as reliable evaluation tools for domestic researchers to evaluate the attitude and frequency of general practitioners towards collaboration with pharmacists.