Design and validation of the reflection skills self-assessment questionnaire (RSSAQ)

BACKGROUND: Reflection is one of the main components of the medical sciences curriculum. It is one of the learner-centered educational strategies, leading to deep learning, and is necessary to attain professional capabilities. A pertinent challenge is how to assess reflection. This study was conduct...

Full description

Saved in:
Bibliographic Details
Main Authors: Hadi Hamedfar, Mohammad Barzegar, Fatemeh Ranjbar, Saeideh Ghaffarifar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-11-01
Series:Journal of Education and Health Promotion
Subjects:
Online Access:https://journals.lww.com/10.4103/jehp.jehp_141_24
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850110977381498880
author Hadi Hamedfar
Mohammad Barzegar
Fatemeh Ranjbar
Saeideh Ghaffarifar
author_facet Hadi Hamedfar
Mohammad Barzegar
Fatemeh Ranjbar
Saeideh Ghaffarifar
author_sort Hadi Hamedfar
collection DOAJ
description BACKGROUND: Reflection is one of the main components of the medical sciences curriculum. It is one of the learner-centered educational strategies, leading to deep learning, and is necessary to attain professional capabilities. A pertinent challenge is how to assess reflection. This study was conducted to design and assess psychometric characteristics of medical sciences students’ reflection skills self-assessment questionnaire (RSSAQ) in Persian. MATERIALS AND METHODS: This is a methodological explorative study conducted at our University of Medical Sciences. First, an item pool was collected from both the literature review (previously designed questionnaires and existent models of reflection) and experts’ and researchers’ perspectives. Then the initial version of the questionnaire was presented to 19 experts and 50 students to assess the face and content validity. To assess the reliability, 48 students filled out the questionnaire twice at a one-week interval. To assess the construct validity, exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were done. For doing so, 151 students filled out the questionnaire. The data was analyzed using IBM SPSS (Statistical Package for the Social Sciences) Statistics for Windows version 16 and Analysis of Moment Structures (AMOS). RESULTS: The content validity index (CVI), content validity ratio (CVR), and impact score (IS) for the questionnaire came out to be 0.91, 0.75, and 4.68, respectively. Regarding the reliability, Cronbach’s alpha and intraclass correlation coefficient (ICC) were, respectively, 0.75 and 0.8 (with a 95 percent confidence interval). Regarding the construct validity, three factors were extracted, labeled as “readiness to reflect” (RTR), “reflection in action” (RIA), and “reflection on action” (ROA). It became clear that this questionnaire can predict 36.8 percent of variations in reflective behavior or process in students. CFA determined that there is a positive and significant correlation between RIA and ROA factors. However, the RTR factor has a negative correlation with the other factors and vice versa. CONCLUSION: The questionnaire designed in this study for reflection self-assessment had acceptable psychometric characteristics and can be applied in curriculum planning, educational evaluations, and designing educational interventions.
format Article
id doaj-art-d2438cc9c2b848d08a7e6009577c1c4d
institution OA Journals
issn 2277-9531
2319-6440
language English
publishDate 2024-11-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Education and Health Promotion
spelling doaj-art-d2438cc9c2b848d08a7e6009577c1c4d2025-08-20T02:37:43ZengWolters Kluwer Medknow PublicationsJournal of Education and Health Promotion2277-95312319-64402024-11-0113145645610.4103/jehp.jehp_141_24Design and validation of the reflection skills self-assessment questionnaire (RSSAQ)Hadi HamedfarMohammad BarzegarFatemeh RanjbarSaeideh GhaffarifarBACKGROUND: Reflection is one of the main components of the medical sciences curriculum. It is one of the learner-centered educational strategies, leading to deep learning, and is necessary to attain professional capabilities. A pertinent challenge is how to assess reflection. This study was conducted to design and assess psychometric characteristics of medical sciences students’ reflection skills self-assessment questionnaire (RSSAQ) in Persian. MATERIALS AND METHODS: This is a methodological explorative study conducted at our University of Medical Sciences. First, an item pool was collected from both the literature review (previously designed questionnaires and existent models of reflection) and experts’ and researchers’ perspectives. Then the initial version of the questionnaire was presented to 19 experts and 50 students to assess the face and content validity. To assess the reliability, 48 students filled out the questionnaire twice at a one-week interval. To assess the construct validity, exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were done. For doing so, 151 students filled out the questionnaire. The data was analyzed using IBM SPSS (Statistical Package for the Social Sciences) Statistics for Windows version 16 and Analysis of Moment Structures (AMOS). RESULTS: The content validity index (CVI), content validity ratio (CVR), and impact score (IS) for the questionnaire came out to be 0.91, 0.75, and 4.68, respectively. Regarding the reliability, Cronbach’s alpha and intraclass correlation coefficient (ICC) were, respectively, 0.75 and 0.8 (with a 95 percent confidence interval). Regarding the construct validity, three factors were extracted, labeled as “readiness to reflect” (RTR), “reflection in action” (RIA), and “reflection on action” (ROA). It became clear that this questionnaire can predict 36.8 percent of variations in reflective behavior or process in students. CFA determined that there is a positive and significant correlation between RIA and ROA factors. However, the RTR factor has a negative correlation with the other factors and vice versa. CONCLUSION: The questionnaire designed in this study for reflection self-assessment had acceptable psychometric characteristics and can be applied in curriculum planning, educational evaluations, and designing educational interventions.https://journals.lww.com/10.4103/jehp.jehp_141_24medical studentspsychometric propertiesquestionnairereflectionself-assessment
spellingShingle Hadi Hamedfar
Mohammad Barzegar
Fatemeh Ranjbar
Saeideh Ghaffarifar
Design and validation of the reflection skills self-assessment questionnaire (RSSAQ)
Journal of Education and Health Promotion
medical students
psychometric properties
questionnaire
reflection
self-assessment
title Design and validation of the reflection skills self-assessment questionnaire (RSSAQ)
title_full Design and validation of the reflection skills self-assessment questionnaire (RSSAQ)
title_fullStr Design and validation of the reflection skills self-assessment questionnaire (RSSAQ)
title_full_unstemmed Design and validation of the reflection skills self-assessment questionnaire (RSSAQ)
title_short Design and validation of the reflection skills self-assessment questionnaire (RSSAQ)
title_sort design and validation of the reflection skills self assessment questionnaire rssaq
topic medical students
psychometric properties
questionnaire
reflection
self-assessment
url https://journals.lww.com/10.4103/jehp.jehp_141_24
work_keys_str_mv AT hadihamedfar designandvalidationofthereflectionskillsselfassessmentquestionnairerssaq
AT mohammadbarzegar designandvalidationofthereflectionskillsselfassessmentquestionnairerssaq
AT fatemehranjbar designandvalidationofthereflectionskillsselfassessmentquestionnairerssaq
AT saeidehghaffarifar designandvalidationofthereflectionskillsselfassessmentquestionnairerssaq