| 제목 |
Development of a scale to assess attitude of healthcare professionals toward persons with disability |
| 소속 |
Veterans Health Service Medical Center, Department of Rehabilitation Medicine 1, Seoul National University Hospital, Department of Rehabilitation Medicine 2 |
| 저자 |
You Gyoung Yi1,2*, Jeong-Eun Lee2, Jae Hyun Yoon2, Hyung-Ik Shin2† |
Objective: Adverse attitudes toward persons with disabilities can serve as barriers to medical use of persons with disabilities. In this study, we aimed to develop and validate a scale for health care professionals: the Attitude toward Persons with Disability in Health Care. We also investigated whether a difference in attitude between those who participated in an education module for understanding and improving awareness of disability and those who did not exists.
Design: Development of the Attitude toward Persons with Disability in Health Care involved two distinct stages between April 2018 and September 2018. The original draft for the Attitude toward Persons with Disability in Health Care was constructed from the literature review and through the nominal group process. Afterwards, further examination and revision took place within two rounds of Delphi survey. The second stage assessed the psychometric properties of the Attitude toward Persons with Disability in Health Care through online survey of health-care professionals.
Participants and Setting: 16 experts (six specialists on welfare for persons with disability, four human rights activists working for persons with disability, and six health-care professionals) participated in Delphi survey. An online survey was conducted to 993 health-care professionals (Table 1) in three tertiary hospitals.
Results: A 28 preliminary questionnaire were initially developed after a 2-round Delphi survey. Through psychometric property analysis based on the online survey data, final 20-item scale of Attitude toward Persons with Disabilities in Health Care was developed (Table 2). The items were categorized as follows: behaviors in clinical situation, knowledge and skills, emotional response, and responsibility of health-care professionals. Cronbach’s alpha coefficient of the scale was 0.890, which indicates a very good internal consistency. The newly developed tool showed acceptable model fit. The reliability of each domain ranged from 0.856 to 0.892. Health-care professionals who participated in the education module within the past 2 years (n=149) had more positive attitude toward persons with disabilities than those who did not (Table 3).
Conclusions: The newly developed scale had adequate reliability and validity. The scale could be used for education or training programs to improve the attitudes toward persons with disabilities of health care professionals especially in rehabilitation setting.
Keywords: Health-care professionals, Health care, Instruments, Attitude, Persons with disabilities, Psychometric study, Delphi survey |
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Table 1. Characteristics of the health-care professionals surveyed (n=993)
Table 2. Items of the Attitude toward Persons with Disabilities in Health Care (APDHC) scale, item–subdomain reliabilities, and structural coefficients. 5: Strongly agree 4: Somewhat agree 3: Neutral 2: Somewhat disagree 1: Strongly disagree
Table 3. Differences in the attitudes of health-care professionals according to their participation in an education module regarding persons with disabilities
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