Translating and validating a Japanese version of the instrument for patient assessment of medical professionalism (J-IPAMP): a cross-sectional survey

Abstract

Background Although there are many tools to assess medical professionalism, they rarely address patients’ perspectives. The instrument for patient assessment of medical professionalism (IPAMP) comprises 11 items and has been established and validated as a valuable tool for assessing trainees’ professionalism from the patient’s perspective. However, there is no instrument to assess professionalism from the patient’s perspective in Japan. The purpose of the present study was to develop a Japanese version of the IPAMP (J-IPAMP) and test its validity and reliability. Methods We conducted a cross-sectional survey to examine the reliability and validity of the J-IPAMP in two hospitals (one each in an urban and rural area) in Japan. Receptionists or surveyors distributed the anonymous questionnaire to 276 inpatients; all participants were aged above 20 years and assigned to medical trainees. We evaluated its structural and criterion-related validity, as well as internal consistency reliability. Results Data of 235 (85.1%) patients were analyzed. Using the split-half validation technique, we performed an exploratory factor analysis (EFA) along with a confirmatory factor analysis (CFA). The EFA showed a one-factor solution. Then, to compare the model fitness between two models (the two-factor model from the original English version vs. unidimensional model suggested by the EFA), the CFA was performed. The CFA showed that almost all of the fit indices met their respective criteria and were approximately the same for the two models. Thus, we adopted a single-factor model. The Pearson correlation coefficients between the total J-IPAMP scores and the global ratings were 0.738, indicating adequate criterion-related validity. The Cronbach’s alpha of the 11 items of the instrument was 0.96 (95% confidence interval: 0.96–0.97) and the omega value was 0.96, demonstrating acceptable internal consistency reliability. Conclusions We developed the Japanese version of the IPAMP. Its validity and reliability were verified through analysis. This instrument can be utilized for professionalism education in the postgraduate training setting.

Adaptation of the professionalism mini-evaluation exercise instrument into Turkish: a validity and reliability study

“…In our study, the scores given by the peer evaluators were higher than other evaluators. Scales were developed to assess medical professionalism by patients [ 41 , 42 ] However, it is stated that they should be used with caution due to the limitations of patient feedback [ 36 ]. In our study, the fact that P-MEX applications were made with the direct observation of residents of different status evaluators, excluding patients, is in line with the basic principles mentioned above.…”

Translating, adapting, and validating the medical student version of the patient care ownership scale for use in Japan

“…Second, three translators (HF, DS, and KK) performed forward translations from English to Japanese. They had experience translating survey instruments [ 16 , 23 , 24 ], including medical residents’ version of the PCOS [ 16 ]. Third, the three translations were reviewed and synthesized by three translators (Version 1).…”