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Development and Validation of Conflict Management Attitude Questionnaire for Medical Students Publisher Pubmed



Mohseni F1, 2 ; Mohammadi A3 ; Mafinejad MK4 ; Gruppen LD5 ; Khajavirad N6
Authors
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Authors Affiliations
  1. 1. Department of Medical Education, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Education Development Center, Gerash University of Medical Sciences, Gerash, Iran
  3. 3. Department of E-Learning in Medical Education, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Health Professions Education Research Center, Education Development Center, Department of Medical Education, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. PhD, Department of Learning Health Sciences, University of Michigan, Ann Arbor, MI, United States
  6. 6. Department of Internal Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran

Source: BMC Medical Education Published:2022


Abstract

Background: Medical students should effectively manage conflicts in teamwork and communication with other team members. This study aimed to develop and validate a tool to evaluate attitude of medical students and physicians toward conflict management. Method: A multi-step process was employed to develop and validate a Conflict Management Attitude Questionnaire (CMAQ) based on the steps recommended in AMEE Guide No. 87. First, the initial items were obtained from the literature review and focus group. After cognitive interviews with the medical students and revision of the questionnaire, content validity was performed by experts. The construct validity and reliability of the questionnaire were assessed using exploratory Factor Analysis (EFA) and Cronbach’s alpha coefficient, respectively. Results: This multi-step process resulted in a 12-item, five-point Likert-type questionnaire with satisfactory construct validity. Exploratory factor analysis revealed three factors, comprising the four items from the perceived interactions in conflict management subscale loading on the first factor, and five items from the perceived value of learning conflict management subscale loading on the second factor, along with three items from the perceived application of conflict management subscale loading on the third factor. All subscales described 56.48% of the variance. Validation results showed that Content Validity Index (CVI) and Content Validity Ratio (CVR) were greater than 0.75. Cronbach's alpha coefficient was 0.791. Conclusion: This study showed that CMAQ has valid evidence for assessing the attitude of medical students toward conflict management with favorable psychometric properties and strong evidence of construct validity. However, due to the lack of evidence on any specific questionnaire to evaluate the attitude towards conflict management, future studies should conduct a confirmatory investigation regarding other aspects of medical students' attitudes toward conflict management. © 2022, The Author(s).
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