Physician Mental Workload Scale in China: Development and Psychometric Evaluation

Objective The purpose of our study is to develop a mental workload scale for physicians in China and assess the scale’s reliability and validity.Design The instrument was developed over three phases involving 396 physicians from different tiers of comprehensive public hospitals in China. In the firs...

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Main Authors: Chao Li, Chuntao Lu, Yinhuan Hu, Qiang Fu, Samuel Governor, Liuming Wang, Lu Deng, Jinzhu Xie
Format: Article
Language:English
Published: BMJ Publishing Group 2019-10-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/9/10/e030137.full
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author Chao Li
Chuntao Lu
Yinhuan Hu
Qiang Fu
Samuel Governor
Liuming Wang
Lu Deng
Jinzhu Xie
author_facet Chao Li
Chuntao Lu
Yinhuan Hu
Qiang Fu
Samuel Governor
Liuming Wang
Lu Deng
Jinzhu Xie
author_sort Chao Li
collection DOAJ
description Objective The purpose of our study is to develop a mental workload scale for physicians in China and assess the scale’s reliability and validity.Design The instrument was developed over three phases involving 396 physicians from different tiers of comprehensive public hospitals in China. In the first phase, an initial item pool was developed through a systematic literature review. The second phase consisted of two rounds of Delphi expert consultations and a pilot survey. The third phase tested the reliability and validity of the instrument.Setting Public hospitals in China.Participants A total of 396 physicians from different tiers of comprehensive public hospitals in China participated in this study in 2018.Primary and secondary outcome measures Cronbach’s α, content validity index, item-total score correlation coefficient, dimension-total score correlation coefficient and indices of confirmatory factor analysis.Results Six dimensions (mental demands, physical demands, temporal demands, perceived risk, frustration level and performance) and 12 items were identified in the instrument. For reliability, Cronbach’s α for the whole scale was 0.81. For validity, the corrected item-content validity index of each item ranged from 0.85 to 1, item-total score correlation coefficients ranged from 0.31 to 0.75, and the correlation coefficients between the dimensions and total score ranged from 0.37 to 0.72. The results of the confirmatory factor analysis showed that the goodness-of-fit indices of the scale were satisfactory.Conclusion The instrument showed good reliability and validity, and it is useful for diagnosing the mental workload of physicians.
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spelling doaj-art-867d32c0006b4ec09ae0524d7e91dfaa2025-08-20T02:38:38ZengBMJ Publishing GroupBMJ Open2044-60552019-10-0191010.1136/bmjopen-2019-030137Physician Mental Workload Scale in China: Development and Psychometric EvaluationChao Li0Chuntao Lu1Yinhuan Hu2Qiang Fu3Samuel Governor4Liuming Wang5Lu Deng6Jinzhu Xie7Growth, Development and Mental Health Center of Children and Adolescents, Children’s Hospital of Chongqing Medical University; National Clinical Research Center for Child Health and Disorders; Ministry of Education Key Laboratory of Child Development and Disorders; Chongqing Key Laboratory of Child Health and Nutrition, Chongqing, China1 School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China1 School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of anesthesiology, General hospital of PLA, China, Beijing, China3 Department of Epidemiology and Biostatistics, College for Public Health and Social Justice, Saint Louis University, Saint Louis, Missouri, USA4 Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China1 School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China5 The Third People`s Hospital of Hubei Province, Wuhan, ChinaObjective The purpose of our study is to develop a mental workload scale for physicians in China and assess the scale’s reliability and validity.Design The instrument was developed over three phases involving 396 physicians from different tiers of comprehensive public hospitals in China. In the first phase, an initial item pool was developed through a systematic literature review. The second phase consisted of two rounds of Delphi expert consultations and a pilot survey. The third phase tested the reliability and validity of the instrument.Setting Public hospitals in China.Participants A total of 396 physicians from different tiers of comprehensive public hospitals in China participated in this study in 2018.Primary and secondary outcome measures Cronbach’s α, content validity index, item-total score correlation coefficient, dimension-total score correlation coefficient and indices of confirmatory factor analysis.Results Six dimensions (mental demands, physical demands, temporal demands, perceived risk, frustration level and performance) and 12 items were identified in the instrument. For reliability, Cronbach’s α for the whole scale was 0.81. For validity, the corrected item-content validity index of each item ranged from 0.85 to 1, item-total score correlation coefficients ranged from 0.31 to 0.75, and the correlation coefficients between the dimensions and total score ranged from 0.37 to 0.72. The results of the confirmatory factor analysis showed that the goodness-of-fit indices of the scale were satisfactory.Conclusion The instrument showed good reliability and validity, and it is useful for diagnosing the mental workload of physicians.https://bmjopen.bmj.com/content/9/10/e030137.full
spellingShingle Chao Li
Chuntao Lu
Yinhuan Hu
Qiang Fu
Samuel Governor
Liuming Wang
Lu Deng
Jinzhu Xie
Physician Mental Workload Scale in China: Development and Psychometric Evaluation
BMJ Open
title Physician Mental Workload Scale in China: Development and Psychometric Evaluation
title_full Physician Mental Workload Scale in China: Development and Psychometric Evaluation
title_fullStr Physician Mental Workload Scale in China: Development and Psychometric Evaluation
title_full_unstemmed Physician Mental Workload Scale in China: Development and Psychometric Evaluation
title_short Physician Mental Workload Scale in China: Development and Psychometric Evaluation
title_sort physician mental workload scale in china development and psychometric evaluation
url https://bmjopen.bmj.com/content/9/10/e030137.full
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