Validación psicométrica de la Escala de gravedad de fatiga en médicos residentes mexicanos

Educacion Medica

article

Rocío Elizabeth Duarte¹  Eduardo Velasco²  Juan José Sánchez-Sosa²  Lucina Isabel Reyes-Lagunes² 

[1] Escuela de Ciencias de la Salud, Universidad del Valle de México, Campus Lomas Verdes, Ciudad de México, México;Unidad de Investigaciones Psicosociales, División de Investigación y Posgrado, Facultad de Psicología, Universidad Nacional Autónoma de México, Ciudad de México, México

关键词: Fatigue;    Medical residency;    Assessment;    Psychometrich validation;    Measurement invariance;   

DOI  :  10.1016/j.edumed.2017.11.006

学科分类：社会科学、人文和艺术（综合）

来源: Fundacion Educacion Medica

【 摘 要 】

Resident physicians are continually exposed to fatigue, which can lead to work, academic and personal problems, so it is important to have reliable and valid instruments to measure it. One of the most used is Fatigue Severity Scale, but, there are versions with different number of items in different populations. Therefore, the purpose of this work was to translate, adapt culturally relevant and compare versions with different numbers of items, to identify the most appropriate in Mexican resident physicians. With three different groups of participants; first one for translation by seven expert judges in the language, second for psychometric validation with 100 resident physicians, and third for confirmatory factor analysis and invariance test by type of program (specialty and high specialty) with 182 resident physicians. Distribution, discrimination, reliability and factor structure of the scale were tested in an exploratory and confirmatory analysis, leaving a final scale of 6 items with good fit (X²[9] = 9,39, p = 0,40; CFI = 0,99; RMSEA = 0,02), with a reliability = 0,91 and strict factorial invariance by type of residence program.

【 授权许可】

CC BY|CC BY-NC-ND