1
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Dimensionality and reliability of USM pre-clinical medical students' guidance and counselling needs questionnaire

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Objective

          There is no standard mechanism for empathy guidance and counselling for medical students. This study aimed to determine the dimensionality and reliability of a questionnaire developed for establishing guidance and counselling for pre-clinical medical students at Universiti Sains Malaysia (USM).

          Methods

          A cross-sectional study was conducted among undergraduate medical students of the School of Medical Sciences of USM. The proposed USM Medical Students' Guidance and Counselling Needs (USM-MSGCN) questionnaire is a self-administered instrument that consists of 68 initial items developed from the recommendation of medical students, counsellors, and lecturers in the medical education department. To determine the dimensionality (construct validity) and reliability of the questionnaire, exploratory factor analysis and Cronbach's alpha internal consistency reliability analysis were conducted.

          Results

          A total of 208 students participated in the study. Factor analysis revealed that the items were not unidimensional; four potential constructs could be extracted from the questionnaire, namely, self-leadership (7 items), communication (5 items), learning (5 items), and psychological coping skills (3 items), with factor loading ranges of 0.56–0.82, 0.56–0.88, 0.65–0.84, and 0.79–0.80, respectively. These domains had the following internal consistency reliability (Cronbach's alpha): 0.89, 0.90, 0.87, and 0.87, respectively; the overall alpha value was 0.93.

          Conclusion

          Four factors, with 20 items in the USM-MSGCN questionnaire had good validity and reliability values when administered among the pre-clinical medical students.

          الملخص

          أهداف البحث

          لا توجد آلية نموذجية للتعاطف وتقديم المشورة لطلاب الطب. تهدف هذه الدراسة لتحديد أبعاد وموثوقية استبانة التوجيه والمشورة لطلاب الطب قبل السنوات السريرية في جامعة سينز بماليزيا.

          طرق البحث

          أجريت دراسة مقطعية مستعرضة بين طلاب الطب الجامعيين في مدرسة العلوم الطبية في جامعة سينز بماليزيا. استبانة احتياجات طلاب الطب للتوجيه وتقديم المشورة بجامعة سينز بماليزيا هي أداة تدار- ذاتيا تحتوي على ٦٨ عنصرا أوليا تم تطويرها بعد توصية طلاب الطب، والمستشار والمحاضرين في قسم التعليم الطبي. لتحديد أبعاد (بناء الصلاحية) وموثوقية الاستبانة، وأجري تحليل العامل الاستكشافي وتحليل موثوقية التناسق الداخلي ألفا كرونباخ.

          النتائج

          تم مشاركة ما مجموعه ٢٠٨ طالبا في هذه الدراسة. وأظهر تحليل العامل أن العناصر كانت أحادية الأبعاد مع أربعة بُنى محتملة سيتم استخراجها من الاستبانة. هذه البُنى كانت مهارات القيادة –الذاتية (٧ عناصر)، ومهارات التواصل (٥ عناصر)، ومهارات التعلم (٥ عناصر) ومهارات التكيف النفسي (٣ عناصر) مع عامل التحميل يتراوح من ٠.٥٦-٠.٨٢، و٠.٥٦ –٠.٨٨،و٠.٦٥-٠.٨٤ و٧٩.٠- ٠.٨٠ على التوالي. وكانت موثوقية التناسق الداخلي (ألفا كرونباخ) لكل مجال ٠.٨٩، و٠.٩٠، و٠.٨٧ و٠.٨٧على التوالي مع ألفا الشاملة ٠.٩٣.

          الاستنتاجات

          استنتجت هذه الدراسة أن أربعة عوامل مع ٢٠ بندا من استبانة احتياجات طلاب الطب للتوجيه وتقديم المشورة بجامعة سينز بماليزيا تحمل صلاحية جيدة وقيمة موثوقية عند تقديمها لطلاب الطب قبل السنوات السريرية.

          Related collections

          Most cited references44

          • Record: found
          • Abstract: found
          • Article: not found

          Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students.

          To systematically review articles reporting on depression, anxiety, and burnout among U.S. and Canadian medical students. Medline and PubMed were searched to identify peer-reviewed English-language studies published between January 1980 and May 2005 reporting on depression, anxiety, and burnout among U.S. and Canadian medical students. Searches used combinations of the Medical Subject Heading terms medical student and depression, depressive disorder major, depressive disorder, professional burnout, mental health, depersonalization, distress, anxiety, or emotional exhaustion. Reference lists of retrieved articles were inspected to identify relevant additional articles. Demographic information, instruments used, prevalence data on student distress, and statistically significant associations were abstracted. The search identified 40 articles on medical student psychological distress (i.e., depression, anxiety, burnout, and related mental health problems) that met the authors' criteria. No studies of burnout among medical students were identified. The studies suggest a high prevalence of depression and anxiety among medical students, with levels of overall psychological distress consistently higher than in the general population and age-matched peers by the later years of training. Overall, the studies suggest psychological distress may be higher among female students. Limited data were available regarding the causes of student distress and its impact on academic performance, dropout rates, and professional development. Medical school is a time of significant psychological distress for physicians-in-training. Currently available information is insufficient to draw firm conclusions on the causes and consequences of student distress. Large, prospective, multicenter studies are needed to identify personal and training-related features that influence depression, anxiety, and burnout among students and explore relationships between distress and competency.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            The Depression Anxiety Stress Scales-21 (DASS-21): further examination of dimensions, scale reliability, and correlates.

            We conducted two studies to examine the dimensions, internal consistency reliability estimates, and potential correlates of the Depression Anxiety Stress Scales-21 (DASS-21; Lovibond & Lovibond, 1995). Participants in Study 1 included 887 undergraduate students (363 men and 524 women, aged 18 to 35 years; mean [M] age = 19.46, standard deviation [SD] = 2.17) recruited from two public universities to assess the specificity of the individual DASS-21 items and to evaluate estimates of internal consistency reliability. Participants in a follow-up study (Study 2) included 410 students (168 men and 242 women, aged 18 to 47 years; M age = 19.65, SD = 2.88) recruited from the same universities to further assess factorial validity and to evaluate potential correlates of the original DASS-21 total and scale scores. Item bifactor and confirmatory factor analyses revealed that a general factor accounted for the greatest proportion of common variance in the DASS-21 item scores (Study 1). In Study 2, the fit statistics showed good fit for the bifactor model. In addition, the DASS-21 total scale score correlated more highly with scores on a measure of mixed depression and anxiety than with scores on the proposed specific scales of depression or anxiety. Coefficient omega estimates for the DASS-21 scale scores were good. Further investigations of the bifactor structure and psychometric properties of the DASS-21, specifically its incremental and discriminant validity, using known clinical groups are needed. © 2012 Wiley Periodicals, Inc.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Factor analysis and scale revision.

              This article reviews methodological issues that arise in the application of exploratory factor analysis (EFA) to scale revision and refinement. The authors begin by discussing how the appropriate use of EFA in scale revision is influenced by both the hierarchical nature of psychological constructs and the motivations underlying the revision. Then they specifically address (a) important issues that arise prior to data collection (e.g., selecting an appropriate sample), (b) technical aspects of factor analysis (e.g., determining the number of factors to retain), and (c) procedures used to evaluate the outcome of the scale revision (e.g., determining whether the new measure functions equivalently for different populations).
                Bookmark

                Author and article information

                Contributors
                Journal
                J Taibah Univ Med Sci
                J Taibah Univ Med Sci
                Journal of Taibah University Medical Sciences
                Taibah University
                1658-3612
                04 February 2019
                April 2019
                04 February 2019
                : 14
                : 2
                : 123-130
                Affiliations
                [a ]Department of Medical Education, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Malaysia
                [b ]Unit of Biostatistics and Research Methodology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Malaysia
                Author notes
                []Corresponding address: Department of Medical Education, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia. zarawi@ 123456usm.my
                Article
                S1658-3612(19)30017-4
                10.1016/j.jtumed.2019.01.002
                6695042
                8e91ec3f-52cd-4de6-b613-097a5e80c0cd
                © 2019 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 20 October 2018
                : 27 December 2018
                : 5 January 2019
                Categories
                Original Article

                طلاب السنة التحضيرية الطبية,خدمة المشورة,تحليل العامل الاستكشافي,صلاحية,الموثوقية,counselling service,exploratory factor analysis,pre-medical students,reliability,validity

                Comments

                Comment on this article