家庭医生团队动力量表汉化及信效度检验
背景 家庭医生团队动力主要指家庭医生团队提供服务过程中的互动状态。改善家庭医生团队动力有助于促进团队效能的提升。初级卫生保健团队动力量表（PCTDS）由美国哈佛大学 Sara J. Singer团队开发，用于全面评估初级卫生保健团队动力。目的 汉化PCTDS并对中文版家庭医生团队动力量表进行信效度检验。方法 严格遵循量表引进原则，采用Brislin模式对PCTDS进行翻译、回译及文化调试，经过专家小组评审以及预调查调试，形成中文版家庭医生团队动力量表。2021年11月-2022年2月，采用方便抽样法，使用家庭医生团队动力量表对广东省深圳市、湖北省武汉市、浙江省杭州市等17个城市的569名家庭医生团队成员进行调查，共回收问卷569份，问卷回收率100%，其中有效问卷309份，问卷有效率54.31%。采用高低分组决断值（CR）法分析条目鉴别度，采用Pearson相关系数法分析量表各条目得分与量表总分的相关性。使用德尔菲专家咨询法对量表的内容效度进行检验。量表的结构效度采用 KMO 值、巴特利球形检验、探索性因子分析与验证性因子分析进行检验，量表的信度使用 Cronbach's alpha 系数进行评价。结果：中文版PCTDS由5个维度，29个条目组成，所有条目的CR绝对值均＞3。量表条目水平的内容效度指数（I-CVI）为0.7-1.0，量表水平的内容效度指数（S-CVI）为0.9； KMO 值为0.97，巴特利球形检验 χ2=9824.82（df=406），P＜0.001；探索性因子分析显示中文版五因子模型拟合指数更优于七因子模型，通过验证性因子分析得出，χ2=1010.077（df=2.767），RMSEA=0.076，NFI=0.901，IFI=0.934，CFI=0.934，表明模型拟合程度良好；总量表的 Cronbach's alpha 系数为0.979，团队效能条件、团队共识、团队内部支持、团队协作、团队效能感知维度的 Cronbach's alpha 系数分别为0.826、0.945、0.954、0.946、0.922。结论 中文版家庭医生团队动力量表信效度良好，是评估我国家庭医生团队动力可靠、有效的工具。
Background Family physician team dynamics mainly refers to the state of interaction in the process of service delivery by the family physician team. Improving family physician team dynamics can help promote team effectiveness. The Primary Care Team Dynamics Scale (PCTDS), developed by Sara J. Singer's team at Harvard University, was designed to provide a comprehensive assessment of primary care team dynamics. Objective To translate the PCTDS into Chinese and test the reliability and validity of the Chinese version of PCTDS. Methods Principles of scale introduction were complied with strictly, and the Brislin translation model was utilized to translate the English version of PTCDS into Chinese. After reviewed by the experts and pilot investigation, the Chinese version of PTCDS was formed. From November 2021 to February 2022, the convenience sampling method was used to investigate 569 family doctors team members in 17 cities including Shenzhen, Guangdong Province, Wuhan, Hubei Province, and Hangzhou, Zhejiang Province using the Chinese version of PTCDS. A total of 569 questionnaires were recovered, of which 309 were valid questionnaires, and the questionnaire response rate was 54.31%. The critical value of high and low grouping was used to analyze the item discrimination, and the Pearson correlation coefficient method was used to analyze the correlation between the scores of each item on the scale and the total score of the scale. The content validity of the scale was tested using the Delphi expert consultation method. The construct validity of the scale was tested by KMO value, Bartlett's test, exploratory factor analysis, and confirmatory factor analysis, and the reliability of the scale was evaluated by the Cronbach's alpha coefficient. Results The Chinese version of PCTDS have 5 dimensions and 29 items, and modulus of CR of all items is >3.The I-CVI of the Chinese version of PCTDS was 0.7-1.0, its S-CVI was 0.9. The KMO value is 0.97,Bartlett's test 2=9824.82 (df=406), P<0.001. Exploratory factor analysis showed that the fitting index of the Chinese version of the five-factor model was better than that of the seven-factor model. Confirmatory factor analysis showed that =1010.077 (df=2.767), RMSEA=0.076, NFI=0.901, IFI=0.934, CFI=0.934, indicating that the model fitted well. The total of Cronbach's alpha coefficient of the scale was 0.079, the Cronbach's alpha coefficients of dimensions of conditions for team effectiveness, shared understanding,supportive process,acting and feeling like a team and perceived team effectiveness were respectively 0.826, 0.945, 0.954, 0.946, and 0.922. Conclution The Chinese version of PTCDS has good reliability and validity, which can be a reliable and useful tool for evaluating the dynamics of Chinese family physician teams.
潘莎莎, 马程乘, 崔璐, 李婵姣, 倪紫菱
10.12114/j.issn.1007-9572.2022.0388
医学研究方法医药卫生理论
家庭医生团队团队动力量表汉化信度效度
潘莎莎, 马程乘, 崔璐, 李婵姣, 倪紫菱.家庭医生团队动力量表汉化及信效度检验[EB/OL].(2022-07-09)[2025-08-02].https://chinaxiv.org/abs/202207.00090.点此复制
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