Cultural adaptation and validation of a scale to evaluate quality indicators in medical education: The Internal Coherence Scale
Abstract
Background: Although information on student performance is available, data on research-based practices and organizational processes that educational leaders can establish to encourage improvement in their schools is more limited. This study presents the process of cultural adaptation and validation of a scale for these purposes: the Internal Coherence Scale (ECI), for its application in the Spanish context of Medical Education. Methods: The cultural adaptation included: direct translations and back-translations, arriving at a pre-final questionnaire that underwent a Pre-test. Validation included an analysis of agreement (inter-observer reliability). 17 professors of different subjects from a Faculty of Medicine participated. Results: The obtained questionnaire kept the original 58 items distributed in 11 factors. It was considered to nominate as "Factor" a section with a single question (factor 8). After the pre-test, 7 additional modifications were made to the questions and a glossary of terms was offered. In the concordance analysis, in only 8 questions (15.3% of the total) the responses of the respondents were different from one assessment to another. Factor 10 (“Team Processes”) had the most significantly different questions (3). Conclusions: The new version obtained from the ECI is adapted for use in the field of Spanish medical education, presenting very good concordance rates
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