临床教学问卷的汉化及其在住院医师培养过程中的信效度检验

李潇; 李曼; 孙鲁红; 于晓波; 董雪; 冯潇雨; 亓秀梅

doi:10.3760/cma.j.cn116021-20240529-01882

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临床教学问卷的汉化及其在住院医师培养过程中的信效度检验

调查研究 | 更新时间：2025-02-18

- 临床教学问卷的汉化及其在住院医师培养过程中的信效度检验
- Translation of the Maastricht Clinical Teaching Questionnaire and its reliability and validity in the standardized training of residents
- 中华医学教育探索杂志 2025年24卷第1期页码：76-81
- 作者机构：
  
  山东第一医科大学第一附属医院（山东省千佛山医院）教育处，济南　250014
- 作者简介：
  
  亓秀梅，Email：qixiumei10@163.com
- 基金信息：
  
  山东省医药卫生科技发展计划项目(202015011160)
- DOI：10.3760/cma.j.cn116021-20240529-01882
  中图分类号： R4
- 纸质出版日期：2025-01-20，
  
  收稿日期：2024-05-29，
- 稿件说明：
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李潇, 李曼, 孙鲁红, 等. 临床教学问卷的汉化及其在住院医师培养过程中的信效度检验[J]. 中华医学教育探索杂志, 2025, 24(1): 76-81.

Li Xiao, Li Man, Sun Luhong, et al. Translation of the Maastricht Clinical Teaching Questionnaire and its reliability and validity in the standardized training of residents[J]. Chinese journal of medical education research, 2025, 24(1): 76-81.
李潇, 李曼, 孙鲁红, 等. 临床教学问卷的汉化及其在住院医师培养过程中的信效度检验[J]. 中华医学教育探索杂志, 2025, 24(1): 76-81. DOI： 10.3760/cma.j.cn116021-20240529-01882.

Li Xiao, Li Man, Sun Luhong, et al. Translation of the Maastricht Clinical Teaching Questionnaire and its reliability and validity in the standardized training of residents[J]. Chinese journal of medical education research, 2025, 24(1): 76-81. DOI： 10.3760/cma.j.cn116021-20240529-01882.

摘要

目的

对马斯特里赫特临床教学问卷（the Maastricht clinical teaching questionnaire，MCTQ）进行汉化，并探讨其在住院医师规范化培训教学中的应用效果。

方法

采用Brislin翻译模式对MCTQ进行翻译、回译及文化调试，从而形成中文版MCTQ。利用在线调查工具于2022年6月对山东第一医科大学第一附属医院在培学员开展方便抽样调查，共获得562份有效调查问卷。利用SPSS 25.0软件和AMOS 24.0软件对有效数据进行项目分析（临界比值法）、信度分析（Cronbach’s

系数和组合信度）、结构效度分析（探索性因子分析和验证性因子分析）及区分效度分析。

结果

中文版MCTQ量表的条目数量与原量表相同，均为24个条目，共提取4个公因子，方差贡献率为79.96%；四因素模型拟合良好（

、RMR、RMSEA、GFI、AGFI、NFI、CFI分别为3.491、0.008、0.067、0.886、0.861、0.947、0.962）。Cronbach’s

系数和组合信度（CR）数值均大于0.7，表明该MCTQ量表具有较好的内部一致性和可靠性；四因素之间的相关性系数在0.265~0.307之间，且均小于对应的AVE平方根，说明该工具的结构效度和区分效度理想。

结论

本研究表明，MCTQ的中文版在汉语环境下的使用是有效且可靠的，可以作为评估临床教师在住院医师规范化培训期间教学表现的一种有用工具。

Abstract

Objective

To translate the Maastricht Clinical Teaching Questionnaire (MCTQ) into Chinese and evaluate its reliability and validity in standardized training of residents.

Methods

The Chinese version of MCTQ was obtained according to the Brislin translation model

including translation

back-translation

and cross-cultural debugging. A convenient sampling survey was carried out among the trainees in the First Affiliated Hospital of Shandong First Medical University in June 2022 by using an online survey tool. A total of 562 valid questionnaires were collected. Data from valid survey questionnaires were subjected to item analysis (critical ratio method)

reliability analysis (Cronbach's alpha coefficient and composite reliability)

structural validity analysis (exploratory factor analysis and confirmatory factor analysis)

and discriminant validity analysis using SPSS 25.0 and AMOS 24.0 software.

Results

The Chinese version of MCTQ scale consisted of 24 items

which was consistent with the original scale. Four common factors were extracted with a cumulative variance contribution of 79.96%. The four-factor model demonstrated high goodness of fit. The

²/d

RMR

RMSEA

GFI

AGFI

NFI

and CFI were 3.491

0.008

0.067

0.886

0.861

0.947

and 0.962

respectively. Both Cronbach's

and composite reliability exceeded 0.7

indicating high internal consistency and reliability. The correlation coefficients between the four factors ranged from 0.265 to 0.307

all of which were smaller than the corresponding square roots of average variance extracted

demonstrating high structural and discriminant validity.

Conclusions

The Chinese version of MCTQ is valid and reliable in the Chinese context and can serve as a useful tool to evaluate the performance of clinical teachers during standardized residency training.

关键词

Keywords

references

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