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. 2010 Jun 16:10:45.
doi: 10.1186/1472-6920-10-45.

Psychometric properties of a test in evidence based practice: the Spanish version of the Fresno test

Josep M Argimon-Pallàs  1 , Gemma Flores-Mateo, Josep Jiménez-Villa, Enriqueta Pujol-Ribera
Affiliations

Psychometric properties of a test in evidence based practice: the Spanish version of the Fresno test

Josep M Argimon-Pallàs et al. BMC Med Educ. .

Abstract

Background: Validated instruments are needed to evaluate the programmatic impact of Evidence Based Practice (EBP) training and to document the competence of individual trainees. This study aimed to translate the Fresno test into Spanish and subsequently validate it, in order to ensure the equivalence of the Spanish version against the original English version.

Methods: Before and after study performed between October 2007 and June 2008. Three groups of participants: (a) Mentors of family medicine residents (expert group) (n = 56); (b) Family medicine physicians (intermediate experience group) (n = 17); (c) Family medicine residents (novice group) (n = 202); Medical residents attended an EBP course, and two sets of the test were administered before and after the course. The Fresno test is a performance based measure for use in medical education that assesses EBP skills. The outcome measures were: inter-rater and intra-rater reliability, internal consistency, item analyses, construct validity, feasibility of administration, and responsiveness.

Results: Inter-rater correlations were 0.95 and 0.85 in the pre-test and the post-test respectively. The overall intra-rater reliability was 0.71 and 0.81 in the pre-test and post-test questionnaire, respectively. Cronbach's alpha was 0.88 and 0.77, respectively. 152 residents (75.2%) returned both sets of the questionnaire. The observed effect size for the residents was 1.77 (CI 95%: 1.57-1.95), the standardised response mean was 1.65 (CI 95%:1.47-1.82).

Conclusions: The Spanish version of the Fresno test is a useful tool in assessing the knowledge and skills of EBP in Spanish-speaking residents of Family Medicine.

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Figures

Figure 1
Figure 1
Translation process of the Fresno questionnaire into Spanish.
See this image and copyright information in PMC

References

    1. Flores-Mateo G, Argimon JM. Evidence Based Practice Education in Postgraduate Health Care: A Systematic Review. BMC Health Serv Res. 2007;7:119. doi: 10.1186/1472-6963-7-119. - DOI - PMC - PubMed
    1. Shaneyfelt T, Baum KD, Bell D, Feldstein D, Houston TK, Kaatz S, Whelan C, Green M. Instruments for evaluating education in evidence-based practice: a systematic review. JAMA. 2006;296:1116–1127. doi: 10.1001/jama.296.9.1116. - DOI - PubMed
    1. Ramos KD, Schafer S, Tracz SM. Validation of the Fresno test of competence in evidence based medicine. BMJ. 2003;326:319–321. doi: 10.1136/bmj.326.7384.319. - DOI - PMC - PubMed
    1. Streiner D, Norman GR. A pracitcal guide to their development and use. 3. Oxford, Oxford Medical Publications; 2003. Health measurement scales.
    1. Fitzpatrick R, Davey C, Buxton MJ, Jones DR. Evaluating patient-based outcome measures for use in clinical trials. Health Technol Assess. 1998;2:i–74. - PubMed

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