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Initial Validity Evidence for the Student Health Equity Survey: Assessing Knowledge, Attitudes, and Capacity across

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Mededpublish (2016)
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A new survey measures health equity knowledge and attitudes in health professions students. This competency-based tool is crucial for advancing health equity and ensuring all patients receive optimal care.

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Area of Science:

  • Health professions education
  • Health equity research
  • Survey development and validation

Background:

  • Health equity aims to ensure everyone can reach their full health potential.
  • Health professionals are key to advancing health equity.
  • Standardized training for health professions students on health equity is lacking.

Purpose of the Study:

  • To develop and validate an instrument to assess health equity knowledge, attitudes, and capacity among health professions students.
  • To address the absence of standardized health equity curricula in health professions training.

Main Methods:

  • Developed the 36-item Student Health Equity Survey based on the Health Equity Framework.
  • Assessed content validity with faculty, staff, and employers.
  • Evaluated response process validity through cognitive testing focus groups.
  • Used Rasch analysis for internal structural and construct validity.
  • Examined subscale relationships to strengthen construct validity.

Main Results:

  • Established content and response process validity for the survey.
  • Demonstrated strong construct validity for capacity (α=0.97), perspective taking (α=0.71), and reflection (α=0.82) subscales.
  • The knowledge scale showed low Cronbach's alpha, potentially due to sample selection bias.

Conclusions:

  • A competency-based instrument was developed to measure health equity knowledge, attitudes, and capacity in health professions students.
  • Further research is needed to validate the instrument with health professions graduates entering practice.