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Tytuł:
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Construct validity for the self-reported competency and sub-construct associated characteristics of Romanian physicians in autism spectrum disorder.
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Autorzy:
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Rahbar MH; Division of Clinical and Translational Sciences, Department of Internal Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, 6410 Fannin Street, Suite 1100.05, UT Professional Building, Houston, TX, 77030, USA. .; Biostatistics/Epidemiology/Research Design (BERD) core, Center for Clinical and Translational Sciences (CCTS), The University of Texas Health Science Center at Houston, 6410 Fannin Street, Suite 1100.05, UT Professional Building, Houston, TX, 77030, USA. .; Department of Epidemiology, Human Genetics, and Environmental Sciences, School of Public Health, The University of Texas Health Science Center at Houston, 1200 Pressler Street, Houston, TX, 77030, USA. .
Dobrescu I; Child and Adolescent Psychiatry Department, University of Medicine and Pharmacy 'Carol Davila', Bucharest, Romania.; Child and Adolescent Psychiatry, 'Prof. Dr.Alex. Obregia' Psychiatry Hospital, Bucharest, Romania.
Gillani S; Department of Epidemiology, Human Genetics, and Environmental Sciences, School of Public Health, The University of Texas Health Science Center at Houston, 1200 Pressler Street, Houston, TX, 77030, USA.
Hessabi M; Biostatistics/Epidemiology/Research Design (BERD) core, Center for Clinical and Translational Sciences (CCTS), The University of Texas Health Science Center at Houston, 6410 Fannin Street, Suite 1100.05, UT Professional Building, Houston, TX, 77030, USA.
Kim S; Biostatistics/Epidemiology/Research Design (BERD) core, Center for Clinical and Translational Sciences (CCTS), The University of Texas Health Science Center at Houston, 6410 Fannin Street, Suite 1100.05, UT Professional Building, Houston, TX, 77030, USA.; Department of Biostatistics & Data Science, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Stancu M; Child and Adolescent Psychiatry Department, University of Medicine and Pharmacy 'Carol Davila', Bucharest, Romania.; Child and Adolescent Psychiatry, 'Prof. Dr.Alex. Obregia' Psychiatry Hospital, Bucharest, Romania.
Rad F; Child and Adolescent Psychiatry Department, University of Medicine and Pharmacy 'Carol Davila', Bucharest, Romania.; Child and Adolescent Psychiatry, 'Prof. Dr.Alex. Obregia' Psychiatry Hospital, Bucharest, Romania.
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Źródło:
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BMC medical education [BMC Med Educ] 2021 Nov 20; Vol. 21 (1), pp. 588. Date of Electronic Publication: 2021 Nov 20.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BioMed Central, [2001-
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MeSH Terms:
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Autism Spectrum Disorder*/diagnosis
Physicians*
Child ; Female ; Humans ; Quality of Life ; Romania ; Self Report
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References:
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Grant Information:
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UL1 TR003167 United States TR NCATS NIH HHS; UL1 TR000371 United States TR NCATS NIH HHS; UL1 RR024148 United States RR NCRR NIH HHS
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Contributed Indexing:
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Keywords: Autism Spectrum Disorder (ASD); Competency of physicians; Construct validity, Factor analysis; Romania
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Entry Date(s):
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Date Created: 20211121 Date Completed: 20211123 Latest Revision: 20211125
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Update Code:
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20240105
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PubMed Central ID:
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PMC8605522
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DOI:
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10.1186/s12909-021-02999-9
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PMID:
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34801018
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Background: Lack of physicians' knowledge regarding mental health, including Autism Spectrum Disorder (ASD) could have adverse effects on affected individuals' health and quality of life. The purpose of this study was to provide construct validity for a modified questionnaire in order to determine the self-reported competency for underlying sub-constructs in ASD, make inferences on perceived competence in ASD based on a sample of Romanian physicians, and identify physicians' characteristics associated with these sub-domains of competency.
Methods: For this survey, we modified a questionnaire that was used in Pakistan and Turkey, and administered it to a sample of 383 practicing physicians in Romania to assess their perceived competency regarding ASD. Exploratory factor analysis on 12 knowledge questions revealed five sub-domains: stigma, potential causes, children's behavior, misconceptions, and educational needs associated with ASD knowledge. Using General Linear Models, we determined physicians' characteristics that predict the total competency score and various competency sub-scores.
Results: Seventy-five percent of the responding physicians were female and 30% had over 30 years practicing medicine. The majority (73-94%) of physicians have correctly responded to some basic questions regarding knowledge about ASD. We also found that younger physicians were more knowledgeable about potential causes of ASD than older physicians (Adjusted Mean Score (AMS): 2.90 vs. 2.18, P < 0.01), while older physicians knew more about the behavior of children with ASD (AMS: 0.64 vs. 0.37, P = 0.02). We found a significant interaction (P < 0.01) between television as source of ASD knowledge and city where the clinic is located in relation to knowledge of the physicians regarding stigma related to ASD. However, the total score was not associated with the variables associated with sub-domains.
Conclusion: Using factor analysis, we demonstrated construct validity of five sub-domains related to Romanian physicians' knowledge about ASD that include stigma, potential causes, behavior in ASD children, special education needs, and misconceptions related to ASD. The lack of significant association of the knowledge of physicians on ASD neither with the Psychiatry nor the Pediatric ward rotations at medical school may support the need for improving the curriculum on ASD in Romanian medical schools.
(© 2021. The Author(s).)
