Objective Given the increasing number of patients requiring palliative care and the need for more professionals who are able to provide care for the dying comfortably, assessment of medical attitudes toward end-of-life care is becoming a key aspect of medical education. The present study aimed to establish whether the Frommelt Attitude Toward the Care Of the Dying, Form B (FATCOD–B) meets current psychometric standards of validity for an assessment tool in medical education. Method The participants were 200 undergraduate medical students. Since in a previous study the FATCOD–B was found to have a weak structure due to poor item validity, a refined version was proposed and tested in the present study. Confirmatory factor analysis and the Rasch model were employed to assess its dimensionality and psychometric properties. Results The construct measured by the FATCOD–B continues to be misspecified. The tool has a two-dimensional structure. The first is well-structured and demonstrates appreciable measurement and discriminant capabilities. The second has low validity because its measurement capabilities are based on weakly correlated items. Significance of results Our results suggest that the FATCOD–B measures a two-dimensional construct and that only its first dimension is a robust measurement tool for use in medical education to evaluate undergraduates' attitudes about caring for the dying.

Refining the Frommelt Attitude Toward the Care of the Dying Scale (FATCOD–B) for medical students: A confirmatory factor analysis and Rasch validation study

LOERA, Barbara Lucia;MOLINENGO, GIORGIA;MINIOTTI, MARCO;LEOMBRUNI, Paolo
Last
2018

Abstract

Objective Given the increasing number of patients requiring palliative care and the need for more professionals who are able to provide care for the dying comfortably, assessment of medical attitudes toward end-of-life care is becoming a key aspect of medical education. The present study aimed to establish whether the Frommelt Attitude Toward the Care Of the Dying, Form B (FATCOD–B) meets current psychometric standards of validity for an assessment tool in medical education. Method The participants were 200 undergraduate medical students. Since in a previous study the FATCOD–B was found to have a weak structure due to poor item validity, a refined version was proposed and tested in the present study. Confirmatory factor analysis and the Rasch model were employed to assess its dimensionality and psychometric properties. Results The construct measured by the FATCOD–B continues to be misspecified. The tool has a two-dimensional structure. The first is well-structured and demonstrates appreciable measurement and discriminant capabilities. The second has low validity because its measurement capabilities are based on weakly correlated items. Significance of results Our results suggest that the FATCOD–B measures a two-dimensional construct and that only its first dimension is a robust measurement tool for use in medical education to evaluate undergraduates' attitudes about caring for the dying.
16
1
50
59
http://journals.cambridge.org/action/displayJournal?jid=PAX
Confirmatory factor analysis; FATCOD–B; Medical education; Palliative care; Rasch model; Nursing (all)2901 Nursing (miscellaneous); Medicine (all); Clinical Psychology; Psychiatry and Mental Health
Loera, Barbara; Molinengo, Giorgia; Miniotti, Marco; Leombruni, Paolo
File in questo prodotto:
File Dimensione Formato  
Refining FATCOD.pdf

Accesso riservato

Tipo di file: PDF EDITORIALE
Dimensione 264.74 kB
Formato Adobe PDF
264.74 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
Refining FATCOD Palliative supportive care 2017.pdf

Accesso riservato

Tipo di file: PDF EDITORIALE
Dimensione 264.69 kB
Formato Adobe PDF
264.69 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2318/1638425
Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 9
  • ???jsp.display-item.citation.isi??? 8
social impact