Abstract
BackgroundThere are few high-quality instruments for evaluating the effectiveness of Evidence-Based Practice (EBP) curricula with objective outcomes measures. The Fresno test is an instrument that evaluates most of EBP steps with a high reliability and validity in the English original version. The present study has the aims to translate the Fresno questionnaire into Spanish and its subsequent validation to ensure the equivalence of the Spanish version against the English original.Methods and designThe questionnaire will be translated with the back translation technique and tested in Primary Care Teaching Units in Catalonia (PCTU). Participants will be: (a) tutors of Family Medicine residents (expert group); (b) Family Medicine residents in their second year of the Family Medicine training program (novice group), and (c) Family Medicine physicians (intermediate group). The questionnaire will be administered before and after an educational intervention. The educational intervention will be an interactive four half-day sessions designed to develop the knowledge and skills required to EBP. Responsiveness statistics used in the analysis will be the effect size, the standardised response mean and Guyatt's method. For internal consistency reliability, two measures will be used: corrected item-total correlations and Cronbach's alpha. Inter-rater reliability will be tested using Kappa coefficient for qualitative items and intra-class correlation coefficient for quantitative items and the overall score. Construct validity, item difficulty, item discrimination and feasibility will be determined.DiscussionThe validation of the Fresno questionnaire into different languages will enable the expansion of the questionnaire, as well as allowing comparison between countries and the evaluation of different teaching models.
Highlights
There are few high-quality instruments for evaluating the effectiveness of EvidenceBased Practice (EBP) curricula with objective outcomes measures
The validation of the Fresno questionnaire into different languages will enable the expansion of the questionnaire, as well as allowing comparison between countries and the evaluation of different teaching models
Once the agreed version will obtained, a series of individual interviews will be conducted with residents and specialists in Family and Community Medicine to assess the understanding of the questionnaire
Summary
There are few high-quality instruments for evaluating the effectiveness of EvidenceBased Practice (EBP) curricula with objective outcomes measures. The Fresno test is an instrument that evaluates most of EBP steps with a high reliability and validity in the English original version. Several systematic reviews have addressed the issue of the effectiveness of educational programs on Evidence Based Practice (EBP) in improving knowledge, skills and behaviour. These reviews, have consistently reported that EBP training results in improvements in participants' knowledge of methodological and statistical issues and enhances their attitudes towards the use of medical literature in clinical decision making, but no change in behaviour is found. The robust psychometric properties in general support their use in formative or summative evaluations
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