Cross-cultural adaptation and validation of the Chinese version of the modified Fresno test for physical therapists
Abstract Background The modified Fresno test was developed to assess knowledge and skills related to evidence-based practice among physical therapists and students, however no Chinese version is available. Therefore, the aim of this study was to cross-culturally adapt the English version of the modi...
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BMC
2025-01-01
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| Series: | BMC Medical Education |
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| Online Access: | https://doi.org/10.1186/s12909-024-06615-4 |
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| author | Li-Yang Chen Yi-Jing Lue Po-Hsun Wu Yi-Liang Kuo |
| author_facet | Li-Yang Chen Yi-Jing Lue Po-Hsun Wu Yi-Liang Kuo |
| author_sort | Li-Yang Chen |
| collection | DOAJ |
| description | Abstract Background The modified Fresno test was developed to assess knowledge and skills related to evidence-based practice among physical therapists and students, however no Chinese version is available. Therefore, the aim of this study was to cross-culturally adapt the English version of the modified Fresno test into Chinese and to evaluate its validity and reliability. Methods This was a cross-sectional validation study. During Phase 1 cross-cultural adaptation, forward translation, synthesis, back-translation, expert review, and prefinal test were carried out. Content validity was analyzed. During Phase 2 validation, two groups representing different levels of evidence-based practice competence completed the tests twice, two weeks apart. Known-group validity, internal consistency, and test-retest reliability were analyzed. Results Phase 1: According to the expert review, the Chinese version of the modified Fresno test demonstrated good content validity (item-level content validity index = 0.93 to 1.0; scale-level content validity index = 0.99). Phase 2: The expert group scored (115.3 ± 36.2) significantly higher than the novice group did (79.7 ± 25.8) for the entire test (p = 0.01), suggesting good known-group validity. However, the superior performance of the expert group over the novice group was not consistently found across all the questions on the test. In addition, the internal consistency was good (Cronbach’s α = 0.96) and the test-retest reliability (ICC2,1 = 0.89, 95% CI = 0.81 to 0.94) was good to excellent. Conclusions The Chinese version of the modified Fresno test is a valid and reliable tool for objectively assessing evidence-based practice knowledge and skills in Chinese-speaking physical therapists and students. |
| format | Article |
| id | doaj-art-5f4b132b461042bdb2e62fe20a4955db |
| institution | Kabale University |
| issn | 1472-6920 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj-art-5f4b132b461042bdb2e62fe20a4955db2025-01-05T12:33:33ZengBMCBMC Medical Education1472-69202025-01-012511910.1186/s12909-024-06615-4Cross-cultural adaptation and validation of the Chinese version of the modified Fresno test for physical therapistsLi-Yang Chen0Yi-Jing Lue1Po-Hsun Wu2Yi-Liang Kuo3Department of Rehabilitation, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical FoundationDepartment of Physical Therapy, Kaohsiung Medical UniversityDepartment of Rehabilitation, Yonghe Cardinal Tien HospitalDepartment of Physical Therapy, College of Medicine, National Cheng Kung UniversityAbstract Background The modified Fresno test was developed to assess knowledge and skills related to evidence-based practice among physical therapists and students, however no Chinese version is available. Therefore, the aim of this study was to cross-culturally adapt the English version of the modified Fresno test into Chinese and to evaluate its validity and reliability. Methods This was a cross-sectional validation study. During Phase 1 cross-cultural adaptation, forward translation, synthesis, back-translation, expert review, and prefinal test were carried out. Content validity was analyzed. During Phase 2 validation, two groups representing different levels of evidence-based practice competence completed the tests twice, two weeks apart. Known-group validity, internal consistency, and test-retest reliability were analyzed. Results Phase 1: According to the expert review, the Chinese version of the modified Fresno test demonstrated good content validity (item-level content validity index = 0.93 to 1.0; scale-level content validity index = 0.99). Phase 2: The expert group scored (115.3 ± 36.2) significantly higher than the novice group did (79.7 ± 25.8) for the entire test (p = 0.01), suggesting good known-group validity. However, the superior performance of the expert group over the novice group was not consistently found across all the questions on the test. In addition, the internal consistency was good (Cronbach’s α = 0.96) and the test-retest reliability (ICC2,1 = 0.89, 95% CI = 0.81 to 0.94) was good to excellent. Conclusions The Chinese version of the modified Fresno test is a valid and reliable tool for objectively assessing evidence-based practice knowledge and skills in Chinese-speaking physical therapists and students.https://doi.org/10.1186/s12909-024-06615-4Evidence-based practicePhysical therapyFresno testReproducibility of results |
| spellingShingle | Li-Yang Chen Yi-Jing Lue Po-Hsun Wu Yi-Liang Kuo Cross-cultural adaptation and validation of the Chinese version of the modified Fresno test for physical therapists BMC Medical Education Evidence-based practice Physical therapy Fresno test Reproducibility of results |
| title | Cross-cultural adaptation and validation of the Chinese version of the modified Fresno test for physical therapists |
| title_full | Cross-cultural adaptation and validation of the Chinese version of the modified Fresno test for physical therapists |
| title_fullStr | Cross-cultural adaptation and validation of the Chinese version of the modified Fresno test for physical therapists |
| title_full_unstemmed | Cross-cultural adaptation and validation of the Chinese version of the modified Fresno test for physical therapists |
| title_short | Cross-cultural adaptation and validation of the Chinese version of the modified Fresno test for physical therapists |
| title_sort | cross cultural adaptation and validation of the chinese version of the modified fresno test for physical therapists |
| topic | Evidence-based practice Physical therapy Fresno test Reproducibility of results |
| url | https://doi.org/10.1186/s12909-024-06615-4 |
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