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Development and validation of the CAM Health Belief Questionnaire (CHBQ) and CAM use and attitudes amongst medical students

机译:CAM健康信仰调查问卷(CHBQ)和凸轮使用和验证医学院的开发和验证

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Background The need for Complementary and Alternative Medicine (CAM) and holistic approaches in allopathic medical school curricula has been well articulated. Despite increased CAM instruction, feasible and validated instruments for measuring learner outcomes in this content area do not widely exist. In addition, baseline attitudes or beliefs of medical students towards CAM, and the factors that may have formed them, including use of CAM itself, remain unreported. Methods A 10-item measure (CHBQ – CAM Health Belief Questionnaire) was constructed and administered to three successive classes of medical students simultaneously with the previously validated 29-item Integrative Medicine Attitude Questionnaire (IMAQ). Both measures were imbedded in a baseline needs assessment questionnaire. Demographic and other data were collected on students' use of CAM modalities and their awareness and use of primary CAM information resources. Analysis of CHBQ items was performed and its reliability and criterion-related validity were established. Results Response rate was 96.5% (272 of 282 students studied). The shorter CHBQ compared favorably with the longer IMAQ in internal consistency reliability. Cronbach's coefficient alpha was 0.75 and 0.83 for the CHBQ and IMAQ respectively. Students showed positive attitudes/beliefs towards CAM and high levels of self-reported CAM use. The majority (73.5%) of students reported using at least one CAM modality, and 54% reported using at least two modalities. Eighty-one percent use the internet as a primary source of information for CAM. Conclusions The CHBQ is a practical, valid and reliable instrument for measuring medical student attitudes/beliefs and has potential utility for measuring the impact of CAM instruction. Medical students showed a high self-reported rate of CAM use and positive attitudes towards CAM. Short, didactic exposure to CAM instruction in the first year of medical school did not additionally impact these already positive attitudes. Unlike the IMAQ, which was intended for use with physicians, the CHBQ is generic in design and content and applicable to a variety of learner types. Evaluation measures must be appropriate for specific CAM instructional outcomes.
机译:背景技术对来自athathic医学学校课程的互补和替代医学(CAM)和整体方法的需求已经很好地阐述。尽管凸轮指令增加,但在该内容区域中测量学习者结果的可行和验证的仪器并未广泛存在。此外,医学生对凸轮的基线态度或信仰以及可能已经形成的因素,包括使用凸轮本身,保持未报告。方法使用先前验证的29项综合医学态度问卷(IMAQ),建造了10项措施(CHBQ-CAM健康信仰问卷),并管理三个连续的29项综合医学态度问卷(IMAQ)。两种措施都嵌入基线需求评估问卷。人口统计和其他数据被收集在学生使用Cam Modalities以及他们的认识和使用主要CAM信息资源的认识和使用。对CHBQ项目进行了分析,并建立了其可靠性和标准相关的有效性。结果响应率为96.5%(学生282名学生中有272名)。较短的CHBQ在内部一致性可靠性中较长的IMAQ比较。 Cronbach的系数alpha分别为CHBQ和IMAQ的0.75和0.83。学生向凸轮和高水平的自我报告的CAM使用表现出积极的态度/信仰。多数(73.5%)的学生使用至少一种凸轮方式报告,54%的人使用至少两种方式报告。百分比百分比使用互联网作为凸轮的主要信息来源。结论CHBQ是一种实用,有效且可靠的仪器,用于测量医学学生态度/信仰,并具有测量凸轮指令的影响的潜在效用。医学生表现出高度自我报告的凸轮使用率和对凸轮的积极态度。简而言之,医学院第一年的凸轮教学中的教学接触并没有为这些已经积极的态度产生影响。与IMAQ不同于与医生一起使用的IMAQ不同,CHBQ在设计和内容中是通用的,并且适用于各种学习类型。评估措施必须适合特定的CAM教学结果。

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