一个新的沟通评级尺度,以减轻隐含偏见的影响
Jennifer Tjia1, Chengwu Yang1,2,3, Julie Flahive1,3
1Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Massachusetts.
JAMA network open
|September 17, 2025
概括
尊重,同情,倾听,询问,交谈和参与 (RELATE) 规模有效地衡量临床医生的沟通技巧,显示出高的有效性和一致性. 该工具有助于评估隐性偏见识别和管理 (IBRM) 培训成果.
科学领域:
- 医学教育 医学教育
- 卫生传播健康传播
- 心理测量 心理测量 心理测量
背景情况:
- 隐含偏见识别和管理 (IBRM) 培训对于提高临床医生的沟通至关重要.
- 然而,对IBRM培训有效性的评估仍未得到充分研究.
- 需要标准化工具来评估受隐性偏见影响的沟通技巧.
研究的目的:
- 开发和验证尊重,同情,倾听,询问,交谈和参与 (RELATE) 评级表.
- 在评估以患者为中心的沟通技能的过程中,评估RELATE尺度的心理特征.
- 通过改进的沟通策略,减轻隐性偏见的负面影响.
主要方法:
- 一项涉及标准化患者的横截面研究,使用RELATE尺度评估临床学员的沟通技巧.
- 从2019年9月至2022年4月间的模拟临床接触中收集的数据.
- 统计分析包括Gwet协议系数用于测量器间可靠性和因子分析用于构造有效性和内部一致性 (Cronbach α).
主要成果:
- 该RELATE尺度表现出高构造有效性和良好的内部一致性 (克朗巴赫α范围,0.64-0.77).
- 在19个项目中,12个项目 (Gwet AC>0.60) 中,测量器间的可靠性是相当大的,几乎是完美的.
- 因子分析给出了4个因素的解决方案:尊重,同情,倾听/交谈和患者伙伴关系,具有强大的因子负载.
结论:
- 关联评分表是一个心理测量健全的工具,用于评估临床医生的沟通.
- 它在模拟的患者接触中展示了高构造有效性和内部一致性.
- RELATE尺度是评估临床医生隐性偏见管理的有效和理论上一致的工具.
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