Medical Students Cultural Attitudes: The Health Belief Attitudes Survey

Autor/inn/en	Corley, James Earl; Massie, F. Stanford, Jr.; Medrano, Martha; Estrada, Carlos A.
Titel	Medical Students Cultural Attitudes: The Health Belief Attitudes Survey
Quelle	In: Journal of Education and Training Studies, 4 (2016) 2, S.131-137 (7 Seiten) PDF als Volltext kostenfreie Datei Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	2324-805X
Schlagwörter	Attitude Measures; Beliefs; Health Behavior; Medical Students; Likert Scales; Social Attitudes; Cultural Literacy; College Freshmen; Psychometrics; Student Surveys; Factor Analysis; Item Analysis; Minimum Competency Testing; Cultural Relevance; Alabama + Suchen Sie Ihr Suchwort? Belief; Glaube; Health behaviour; Gesundheitsverhalten; Likert-Skala; Social attidude; Soziale Einstellung; Studienanfänger; Psychometry; Psychometrie; Schülerbefragung; Faktorenanalyse; Itemanalyse
Abstract	Cultural competent care is the ability to deliver effective medical care to people from different cultures. The lack of methodological rigor and paucity of psychometric properties information of the instruments limits the generalizability of cultural competency educational interventions. We examined cultural attitudes of first year medical students and examined psychometric properties of the scale to better define the constructs it intends to measure. In a cross-sectional study, first year medical students completed the Health Belief Attitudes Survey (HBAS) in September of their matriculating year (2011-2013) within the context of Introduction to Clinical Medicine. The survey has 15 items scored on a 6-point Likert scale (1-6), higher score indicates higher culturally competent attitudes. We used factor analysis to explore constructs and examine internal consistency (Cronbach's alpha). The response rate was 98% (536/548), 42.2% students were female (n = 231), 73.0% (n = 400) white, 14.6% Asian (n = 80), and 4.4% African American (n = 24)(4.9%, n = 27, did not provide race or ethnicity). The HBAS median score was 5.3 (25th percentile [Q1], 4.9; 75th percentile [Q3], 5.7). A two-factor solution explained 97% of the variance with Eigenvalues of 5.6 and 1.2, respectively. We conceptualized the constructs as "Understanding the Patients' Cultural and Socio-Economic Background" (Factor 1, 11 items; Cronbach's alpha, 0.89). "Building the Professional Relationship and Quality of Care" (Factor 2, 4 items; Cronbach's alpha, 0.74). First year medical students have high culturally-relevant attitudes. The HBAS instrument captures two main constructs, understanding the patients' background and perspective and building the professional relationship. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01