Development of a Brazilian Portuguese adapted version of the Gap-Kalamazoo communication skills assessment form Development of a Brazilian Portuguese adapted version of the Gap-Kalamazoo communication skills assessment form

Abstract

ObjectiveThe goal of this study was to translate, adapt and validate the items of the Gap-Kalamazoo Communication Skills Assessment Form for use in the Brazilian cultural setting. MethodsThe Gap-Kalamazoo Communication Skills Assessment Form was translated into Portuguese by two independent bilingual Brazilian translators and was reconciled by a third bilingual healthcare professional. The translated text was then assessed for content using a modified Delphi technique and adjusted as needed to assure content validity. A total of nine phrases in the completed tool were adjusted. The final tool was then used to assess videotaped simulations as a means of validation. Response process was assessed using exploratory factor analysis and internal structure was assessed via Cronbach’s Alpha (internal consistency) and Intraclass Correlation (test-retest reliability and inter-rater reliability). ResultsOne hundred and four (104) videotaped communication skills simulations were assessed by 38 subjects (6 staff physicians, 4 faculty physicians, 8 resident physicians, 4 professional actors with experience in simulation, and 16 other allied healthcare professionals). Measures of Internal consistency (Cronbach’s alpha = 0.818) and test-retest reliability (intra-class correlation coefficient = 0.942) were high. Exploratory factor analysis confirmed the uni-dimensionality of the instrument. ConclusionsOur results support the validity and reliability of the Brazilian Gap-Kalamazoo Communication Skills Assessment Form when used among Brazilian medical residents. The Brazilian version of Gap-Kalamazoo Communication Skills Assessment Form was found to be adequate both in the linguistic and technical aspects. The use of this instrument in Brazilian medical education can enhance the assessment of physician-patient-team relationships on an ongoing basis.

Validação da versão brasileira da Four Habits Coding Scheme: uma escala para avaliação das habilidades de comunicação de estudantes no encontro clínico

“…Essas escalas são instrumentos de autorrelato que avaliam, respectivamente, a empatia e a atitude centrada no paciente dos estudantes de medicina. Embora o autorrelato da atitude empática ou centrada no paciente possa ser útil em pesquisas na área da educação médica, as intervenções pedagógicas carecem de instrumentos de observação direta do comportamento dos estudantes relacionado à comunicação médicopaciente.Recentemente, foi validado, para uso no Brasil, o GapKalamazoo communication skills assessment form (GKCSAF), uma escala desenvolvida para avaliar as diferenças de percepção sobre as habilidades de comunicação entre a autoavaliação, a avaliação por pares ou professores e a avaliação por pacientes ou familiares padronizados(AMARAL et al, 2016). No entanto, embora seja um instrumento que valorize diferentes fontes de avaliação, o GKCSAF não foi validado para cenários reais e requer o uso de pacientes ou familiares padronizados.…”