Development and validation of a national questionnaire assessing knowledge, attitudes, and practices on neglected tropical diseases among italian medical trainees.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Guido Giacomo, Rossi Benedetta, Barbiero Anna, Mangiapelo Claudia, Perego Federica, Perugini Eleonora, Scarso Salvatore, Antinori Spinello, Bartoloni Alessandro, Basilico Nicoletta, Bongiorno Gioia, Bruschi Fabrizio, Capone Susanna, Cascio Antonio, Casulli Adriano, Cavallero Serena, Comelli Agnese, Corpolongo Angela, Del Riccio Marco, De Iaco Giuseppina, Di Luca Marco, Di Muccio Trentina, Dolci Giovanni, D'Abramo Alessandra, D'Amelio Stefano, Epis Sara, Favia Guido, Frallonardo Luisa, Riccardo Flavia, Formenti Beatrice, Gabrielli Simona, Gaggioli Samuele, Gobbi Federico, Iatta Roberta, Lo Caputo Sergio, Mangano Valentina, Mariotti Francesca, Marrone Rosalia, Matteelli Alberto, Monari Caterina, Nicastri Emanuele, Papagni Roberta, Pisaturo Mariantonietta, Prato Marco Giuseppe, Pombi Marco, Rinaldi Laura, Ritacco Ilenia Annunziata, Rollo Emanuele, Saracino Annalisa, Sepulcri Chiara, Serapide Francesca, Spinicci Michele, Tiberti Natalia, Torti Carlo, Zammarchi Lorenzo, Di Gennaro Francesco
Аннотация
METHODS: A structured questionnaire was developed using a multi-step approach informed by World Health Organization (WHO) Neglected Tropical Diseases priorities and a targeted literature review. Content validity was assessed through a two-round Delphi process with a multidisciplinary national expert panel (Round 1: n = 36; Round 2: n = 34), followed by external expert evaluation (n = 17). Quantitative content validation included Item- and Scale-Level Content Validity Indices (I-CVI, S-CVI/Ave) and interquartile ranges (IQR) to assess expert consensus. Reliability and psychometric properties were evaluated in a national sample of Italian medical trainees (n = 96), including internal consistency (Cronbach's α; KR-20), test-retest reliability (ICC; Cohen's κ), and item performance analyses.
RESULTS: Across Delphi rounds, 91-98% of items reached consensus (IQR ≤ 1), and overall content validity was excellent (S-CVI/Ave 0.96-0.98). Reliability metrics confirmed strong internal consistency (α = 0.863; KR-20 = 0.82) and good temporal stability (ICC = 0.89; κ = 0.72-0.84). Known-groups validity was demonstrated by significantly higher knowledge scores among residents compared with medical students (p = 0.014).
CONCLUSIONS: This study provides the first Delphi-validated national instrument assessing NTD-related knowledge among Italian medical trainees. The tool can offer a foundation for evaluating curricula and informing educational reform, supporting the integration of NTD-related competencies in European medical education in response to evolving global health challenges.