Validation of the Communication Skills Attitude Scale (CSAS) Questionnaire in a Cohort of Malaysian Medical Students

Baharudin, Noorhida; Mohamed-Yassin, Mohamed-Syarif; Sham, Siti Fatimah Badlishah; Yusof, Zamros Yuzadi Mohd; Ramli, Anis Safura

doi:10.24191/jchs.v2i2.5886

Cited by 8 publications

(10 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The findings from this study support the hypothesis that the psychometric properties of the scale would improve if adapted and translated into the Malay language and administered among students who speak Malay as their first language. This is evident from the improved internal consistency of the NAS in the CSAS-Malay (α = 0.614), as compared to the previous study by Baharudin et al (α = 0.565) [ 24 ]. However, compared to the other studies, the internal consistency of the NAS in the CSAS-Malay is lower but still acceptable ( Table 4 ) [ 8 , 9 , 11 , 13 , 19 , 20 , 21 , 22 , 23 ].…”

Section: Discussionmentioning

confidence: 62%

“…Internationally, the CSAS has been adapted and translated into many languages [ 8 , 9 , 11 , 19 , 20 , 21 , 22 , 23 ]. Baharudin et al adapted and validated the CSAS English version in a cohort of University Teknologi MARA (UiTM) students, but the internal consistency of the NAS was low [ 24 ]. The majority of these students speak Malay as their first language.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cross-Cultural Adaptation and Psychometric Properties of the Malay Version of the Communication Skills Attitude Scale (CSAS) among Medical Students in Malaysia

Isa

Mohamed-Yassin

Badlishah-Sham

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

Communication is one of the fundamental skills in the medical profession. The Communication Skills Attitude Scale (CSAS) is a widely used questionnaire to measure the attitudes of medical students toward learning communication skills. It has been adapted and translated into many languages. The objective of this study was to adapt and translate the CSAS into the Malay language and determine its psychometric properties in medical students. This is a cross-sectional study involving 218 first-year Universiti Teknologi MARA students. Content validation, cross-cultural adaptation, translation, and face validation of the 26-item CSAS were performed according to established guidelines. Principal component analysis with direct oblimin rotation was used to determine the underlying structure of the CSAS-Malay. The reliability was assessed using Cronbach’s α coefficient for internal consistency and using the intraclass correlation coefficient for the test–retest reliability. Although the contents of the CSAS-Malay and the original version were conceptually equivalent, item 11 was removed during the content validation stage due to a low item content validity index (I-CVI < 1.00). Two subscales were derived from the remaining 25 items, which were the Positive Attitude Scale and the Negative Attitude Scale. Items 1 and 15 were removed due to poor factor loadings. The total variance explained by the final two-factor solution with three items removed was 30.8%. Cronbach’s α coefficients for both the Positive and Negative Attitude Scales in the final questionnaire were 0.815 and 0.614, respectively. It also showed a good reproducibility with intraclass correlation coefficient (ICC) values of 0.725–0.950 for all the items. This study provided preliminary information about the psychometric properties of the CSAS-Malay. The final 23-item questionnaire had a good construct validity, an acceptable internal consistency, and at least a moderate test–retest reproducibility. It can be used to assess the attitudes of medical students toward learning communication skills. Future research to improve the generalizability of the questionnaire should include medical students from other universities with diverse backgrounds.

show abstract

Section: Discussionmentioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Cross-Cultural Adaptation and Psychometric Properties of the Malay Version of the Communication Skills Attitude Scale (CSAS) among Medical Students in Malaysia

Isa

Mohamed-Yassin

Badlishah-Sham

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…For example, the item 20 was suggested to be excluded in 4 studies [10,23,26,32], items 3 [23,26], 13 [23,33], 15 [10,33], and 22 [23,34] in 2 studies and the items 11 [33] and 17 [10] in one study. All of the items that did not met the criteria for validity in our study were excluded in at least…”

Section: The Association With Personality and Attitude Toward Communimentioning

confidence: 99%

The impact of personality traits on attitudes toward learning communication skills

Franco

Cecílio-Fernandes

et al. 2020

Sci Med

View full text Add to dashboard Cite

Aims: The aim of this study was to investigate the association between personality traits and attitudes toward learning communication skills in undergraduate medical students. The relation between students’ attitudes and personality trait could help us identify those who those who will need more support to develop communication skills, based on their personality traits.Methods: The data was collected data from an intentional and cross-sectional sample composed of 204 students from three Brazilian universities. The students answered questionnaires containing the Communication Skills Attitude Scale (CSAS-BR) and the Big Five Mini-Markers (BFMM) for personality. Data were analyzed using frequency calculations, principal components analysis, and the multiple linear regression model.Results: Seven among 26 items of the original Communication Skills Attitude Scale (CSAS) presented factor loads lower than |0.30| and must be excluded in the CSAS -BR that showed one domain including positive and negative attitudes. The value of Cronbach’s alpha of the 19-item scale was 0.894. The BFMM showed similar dimensional results with five domains with Cronbach’s alpha values of 0.804 for Extroversion, 0.753 for agreeableness, 0.755 for conscientiousness, 0.780 for neuroticism and 0.668 for openness. There were positive and statically significant linear associations with the CSAS-BR and agreeableness (β: 0.230, p<0.001), extraversion (β: 0.150, p=0.030), and openness to experience (β: 0.190, p=0.010). These personality factors drive social interactions and interpersonal relations, which involve the tendency to be friendly, flexible, and cooperative; to show a willing disposition; and the ability to actively engage with others. Conclusions: Based on the methods applied in this study, the results demonstrated a relation between agreeableness, extraversion and openness to experience with attitudes on communication skills in students from three Brazilian universities. Our results suggest that the evaluation of personality traits can contribute to the recognition of students for whom the establishment of special teaching strategies can improve communication skills.

show abstract

“…The CSAS has already been a subject of several validation studies in different countries, but their results are inconsistent. While researchers from Turkey, Spain, Germany and Malaysia replicated the two-factor solution [ 12 – 15 ], those from Norway, Iran and Korea presented three-factorial [ 16 ], four-factorial [ 17 ] and five-factorial [ 18 ] solutions, respectively. Moreover, even in case of studies confirming the two-factor model, some items landed on opposite subscales than in the original version.…”

Section: Introductionmentioning

confidence: 99%

“…Interestingly, initial factor analysis based on Kaiser criterion (eigenvalues greater than 1) revealed many potential variants of initial solutions in the aforementioned papers: five-factorial [ 16 ], six-factorial [ 11 – 13 , 18 ], seven-factorial [ 14 ] and eight-factorial [ 15 ]. However, apart from one research team [ 15 ], authors did not determine the number of factors to keep, for instance, using highly recommended Horn’s parallel analysis [ 19 , 20 ]. Instead, their decisions were mostly based on less accurate methods, like Kaiser criterion, analysis of the scree plot, or theoretical assumptions provided by Rees et al [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Affective and cognitive components of students’ attitudes towards communication learning - validation of the Communication Skills Attitude Scale in a cohort of polish medical students

et al. 2021

View full text Add to dashboard Cite

Background The Communication Skills Attitude Scale (CSAS) is a recognized tool for assessment of attitudes towards communication learning. In the original version, it consists of 26 items divided on theoretical assumptions into two subscales: Positive and Negative Attitudes Scales. However, the evidence for its structure seems unsatisfactory, and a simple division into positive and negative attitudes may be insufficient to describe attitudes of medical students towards communication learning. Moreover, the existing evidence of the test-retest reliability of the CSAS seems limited. Consequently, this study aimed to provide more evidence on its psychometric properties while validating the CSAS questionnaire in a cohort of Polish medical students. Methods The CSAS was translated, adapted into Polish, and validated in a cohort of 389 Polish medical students. Statistical analysis involved, among others, parallel analysis to determine the number of factors, confirmatory factor analysis to compare the proposed model with theory-based ones, and test-retest reliability analysis. Results Conducted analysis revealed that in the examined population, the CSAS should rather consist of four than two subscales. Proposed four subscales addressed perceived outcomes of communication learning, positive and negative attitudes towards it (affective components), and factors motivating students to learn communication (a cognitive component of attitudes). Results of test-retest reliability were satisfactory for individual items and subscales. Conclusions This study presented a valid and reliable version of the Communication Skills Attitude Scale for Polish medical students and confirmed previous assumptions that CSAS may also be appropriate for assessment of affective and cognitive components of attitudes. Future research should, based on Ajzen’s Theory of Planned Behavior, make attempts to develop a tool assessing not only attitudes but also subjective norms and perceived behavioral control.

show abstract

Validation of the Communication Skills Attitude Scale (CSAS) Questionnaire in a Cohort of Malaysian Medical Students

Cited by 8 publications

References 16 publications

Cross-Cultural Adaptation and Psychometric Properties of the Malay Version of the Communication Skills Attitude Scale (CSAS) among Medical Students in Malaysia

Cross-Cultural Adaptation and Psychometric Properties of the Malay Version of the Communication Skills Attitude Scale (CSAS) among Medical Students in Malaysia

The impact of personality traits on attitudes toward learning communication skills

Affective and cognitive components of students’ attitudes towards communication learning - validation of the Communication Skills Attitude Scale in a cohort of polish medical students

Contact Info

Product

Resources

About