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      Development and psychometric testing of an abridged version of Dundee Ready Educational Environment Measure (DREEM)

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          Abstract

          Background

          Dundee Ready Educational Environment Measure (DREEM) is a 50-item tool to assess the educational environment of medical institutions as perceived by the students. This cross-sectional study developed and validated an abridged version of the DREEM-50 with an aim to have a less resource-intensive (time, manpower), yet valid and reliable, version of DREEM-50 while also avoiding respondent fatigue.

          Methods

          A methodology similar to that used in the development of WHO-BREF was adopted to develop the abridged version of DREEM. Medical students ( n = 418) from a private teaching hospital in Madurai, India, were divided into two groups. Group I ( n = 277) participated in the development of the abridged version. This was performed by domain-wise selection of items that had the highest item-total correlation. Group II ( n = 141) participated in the testing of the abridged version for construct validity, internal consistency and test-retest reliability. Confirmatory factor analysis was performed to assess the construct validity of DREEM-12.

          Results

          The abridged version had 12 items (DREEM-12) spread over all five domains in DREEM-50. DREEM-12 explained 77.4% of the variance in DREEM-50 scores. Correlation between total scores of DREEM-50 and DREEM-12 was 0.88 ( p < 0.001). Confirmatory factor analysis of DREEM-12 construct was statistically significant (LR test of model vs. saturated p = 0.0006). The internal consistency of DREEM-12 was 0.83. The test-retest reliability of DREEM-12 was 0.595, p < 0.001.

          Conclusion

          DREEM-12 is a valid and reliable tool for use in educational research. Future research using DREEM-12 will establish its validity and reliability across different settings.

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          Most cited references14

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          Development and validation of the Dundee Ready Education Environment Measure (DREEM)

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            Students' perceptions of educational environment: a comparison of academic achievers and under-achievers at kasturba medical college, India.

            No country, least of all poorly resourced countries such as India, can afford to lose too many medical students in their undergraduate years. It would be useful to have an instrument to identify those students who are vulnerable to academic failure at this level of training and to identify the features of the educational environment that they perceive differently from students who are succeeding academically in order to design intervention strategies. Gender differences in perceptions of the educational environment might well emerge in particular academic or cultural contexts, with particular curricula. The present study was motivated by this concern and focused on comparisons between academic achievers and under-achievers and male and female students of Kasturba Medical College, India. (1) To compare the perceptions of the educational environment of academic achievers and under-achievers and to identify problem areas that should be remediated. (2) To identify whether there is any gender difference in the perceptions. The Dundee Ready Educational Environment Measure (DREEM) was administered to 508 medical students studying in the clinical years at the Kasturba Medical College in India. Item as well as scale scores were compared between academic achievers and under-achievers. Overall sample of the present study rated educational environment in this institution as average. The overall mean DREEM score was significantly higher for academic achievers. Compared to under-achievers, academic achievers scored significantly higher on perceptions regarding teachers, academic atmosphere and social self-perceptions. In addition to this, the overall rating (total DREEM score) of female students was significantly less compared to males in the academically vulnerable group. Perceptions of poor performers are significantly different from those of better performers in the same institution. More importance should be given to the perceptions of students to improve the educational environment, as perceptions are associated positively with learning outcome, learning approach and attitude toward studying. Use of the DREEM as a monitoring tool might permit timely interventions to remediate problematic educational environments.
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              Identifying the perceived weaknesses of a new curriculum by means of the Dundee Ready Education Environment Measure (DREEM) Inventory.

              The Canadian Memorial Chiropractic College is in the fourth year of implementing a new four-year Integrative Curriculum. In order to determine how the students experienced the educational environment generated by the new curriculum, the Dundee Ready Education Environment (DREEM) Inventory was administered on the same day to 148 (96%) first-year, 131 (87%) second-year, and 128 (84%) third-year students (n = 407). Resultant scores indicated many areas of concern. However, bimodal and large numbers of 'uncertain' responses also occurred. In order to establish and compare areas of most concern between the three year groups, responses were calculated as percentages indicating for each item those who agree, disagree or are uncertain. This result clearly indicated areas of joint concern for each of the five domains addressed by the DREEM Inventory. Analysis of these concerns formed the basis of strategic planning in order to institute remedial action, and on which to focus institutional resources.
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                Author and article information

                Contributors
                +91-9043114998 , jshreek@gmail.com
                +91 9650013035 , hemantjipmer@gmail.com , selvkathir@gmail.com
                +91-7087003412 , selvkathir@gmail.com
                Journal
                Environ Health Prev Med
                Environ Health Prev Med
                Environmental Health and Preventive Medicine
                BioMed Central (London )
                1342-078X
                1347-4715
                17 April 2018
                17 April 2018
                2018
                : 23
                : 13
                Affiliations
                [1 ]ISNI 0000 0004 4686 2300, GRID grid.465090.e, Department of Community Medicine, , Velammal Medical College Hospital and Research Institute, ; Madurai, 625009 India
                [2 ]ISNI 0000 0001 0685 5219, GRID grid.483403.8, Department of Operational Research, , International Union Against Tuberculosis and Lung Disease (The Union), South-East Asia Office, C-6 Qutub Institutional Area, ; New Delhi, 110016 India
                [3 ]ISNI 0000 0004 1767 2903, GRID grid.415131.3, Department of Community Medicine, School of Public Health, , Postgraduate Institute of Medical Education and Research (PGIMER), ; Chandigarh UT, India
                Author information
                http://orcid.org/0000-0001-6459-3659
                Article
                702
                10.1186/s12199-018-0702-7
                5905115
                29665784
                09142d51-2aef-4b6b-9684-3d68ef17a763
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 9 February 2018
                : 21 March 2018
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2018

                Occupational & Environmental medicine
                dreem,abridged version,psychometric testing,confirmatory factor analysis,educational environment

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