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Cross-cultural adaptation of the 4-Habits Coding Scheme into French to assess physician communication skills
- Source :
- PLoS ONE, PLoS ONE, 2020, 15 (4), pp.e0230672. ⟨10.1371/journal.pone.0230672⟩, PLoS ONE, Vol 15, Iss 4, p e0230672 (2020), PLoS ONE, Public Library of Science, 2020, 15 (4), pp.e0230672. ⟨10.1371/journal.pone.0230672⟩
- Publication Year :
- 2020
- Publisher :
- HAL CCSD, 2020.
-
Abstract
- International audience; BACKGROUND:The Four Habits Coding Scheme (4-HCS) is a standardized instrument designed to assess physicians' communication skills from an external rater's perspective, based on video-recorded consultations.OBJECTIVE:To perform the cross-cultural adaptation of the 4-HCS into French and to assess its psychometric properties.METHODS:The 4-HCS was cross-culturally adapted by conducting forward and backward translations with independent translators, following international guidelines. Four raters rated 200 video-recorded medical student consultations with standardized patients, using the French version of the 4-HCS. We examined the internal consistency, factor structure, construct validity, and reliability of the 4-HCS.RESULTS:The mean overall 4-HCS score was 76.44 (standard deviation, 12.34), with no floor or ceiling effects across subscales. The median rating duration of rating was 8 min (range, 4-19). Cronbach's alpha was 0.94 for the overall 4-HCS, ranging from 0.72 to 0.88 across subscales. In confirmatory factor analysis, goodness-of-fit statistics did not corroborate the hypothesized 4-habit structure. Exploratory factor analysis resulted in two dimensions, with the merging of three conceptually related habits into a single dimension and substantial cross-loading for 15 out of 23 items. Median average absolute-agreement intra-class correlation coefficient estimates were 0.74 (range, 0.68-0.84) and 0.85 (range, 0.76-0.91) for inter- and intra-rater reliability of habit subscales, respectively.CONCLUSION:The French version of the 4-HCS demonstrates satisfactory internal consistency but requires the use of two independent raters to achieve acceptable reliability. The underlying factor structure of the original US version and cross-cultural adaptations of the 4-HCS deserve further investigation.
- Subjects :
- Research Validity
Medical Doctors
Health Care Providers
Culture
Applied psychology
[SDV.NEU.PC] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Psychology and behavior
Social Sciences
Standard deviation
Habits
Mathematical and Statistical Techniques
0302 clinical medicine
Sociology
Surveys and Questionnaires
Medicine and Health Sciences
Psychology
Medical Personnel
030212 general & internal medicine
Language
Multidisciplinary
[SDV.NEU.PC]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Psychology and behavior
Communication
030503 health policy & services
Statistics
Research Assessment
Built Structures
Exploratory factor analysis
Confirmatory factor analysis
Professions
Physical Sciences
Medicine
Engineering and Technology
Communication skills
0305 other medical science
Factor Analysis
Research Article
Cross-Cultural Comparison
Psychometrics
Medical Communications
Structural Engineering
Science
Research and Analysis Methods
behavioral disciplines and activities
03 medical and health sciences
Cronbach's alpha
Physicians
Cross-Cultural Studies
Humans
Cross-cultural
Statistical Methods
Behavior
Biology and Life Sciences
Construct validity
Health Care
People and Places
Population Groupings
Mathematics
Coding (social sciences)
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Database :
- OpenAIRE
- Journal :
- PLoS ONE, PLoS ONE, 2020, 15 (4), pp.e0230672. ⟨10.1371/journal.pone.0230672⟩, PLoS ONE, Vol 15, Iss 4, p e0230672 (2020), PLoS ONE, Public Library of Science, 2020, 15 (4), pp.e0230672. ⟨10.1371/journal.pone.0230672⟩
- Accession number :
- edsair.doi.dedup.....139b089f46ad146d6754ecacd7abf5d3