Cross-cultural adaptation of the Fresno Test for Turkish language

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dc.contributor.authorCakmakkaya, Ozlem Serpil
dc.contributor.authorBati, Ayse Hilal
dc.contributor.authorKolodzie, Kerstin
dc.date.accessioned2021-05-03T20:33:17Z
dc.date.available2021-05-03T20:33:17Z
dc.date.issued2021
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective National and international medical organizations and boards have recognized the importance of Evidence Based Medicine (EBM) and emphasized that EBM training should be included in medical education programs. Although some Turkish medical schools have developed and implemented EBM training programs, no validated Turkish language assessment tool has been available to compare the effectiveness of these training programs to national or international standards. The aim of this study is to cross-culturally adapt the Fresno Test, which is a validated English language tool utilized worldwide in the assessment of EBM training. Methods This study is a cross-sectional validation study, which was performed in two stages: Cross-cultural adaptation of the Fresno Test into Turkish; and evaluation of the psychometric properties, validity, reliability and responsiveness, of the Turkish version of the Fresno Test. Results The content validity of the test was evaluated by experienced physicians in the field of Evidence-Based Medicine, and the content validity index was 1.00. The Cronbach a coefficient was 0.78 on the post-test results. The intraclass correlation (ICC) coefficient and the kappa analysis were calculated to evaluate inter-rater reliability. The ICC coefficients ranged from 0.66 to 0.97 for pre- and post-test results. The Kappa coefficients were 1.00 for all pre-test and post-test questions except one post-test question which was 0.89. The change score of the Fresno Test was used to evaluate responsiveness. The students' score of the Turkish Fresno Test was 49.9 +/- 18.2 pre-training and 118.9 +/- 26.3 post-training with a change of 69 points (95% CI, 63.9-74.2). The Cohen's effect size was 3.04 (95% CI, 2.6-3.5) indicating a very large change in scores. Conclusions The Turkish adapted Fresno Test used to evaluate students' success and program effectiveness is a valid and reliable measurement tool. It will be of great benefit for the comparison of the effectiveness of Turkish education programs nationally and cross-culturally.en_US
dc.identifier.doi10.1371/journal.pone.0245195en_US
dc.identifier.issn1932-6203
dc.identifier.issue1en_US
dc.identifier.pmid33417622en_US
dc.identifier.scopus2-s2.0-85099721418en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1371/journal.pone.0245195
dc.identifier.urihttps://hdl.handle.net/11454/69938
dc.identifier.volume16en_US
dc.identifier.wosWOS:000630020100021en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherPublic Library Scienceen_US
dc.relation.ispartofPlos Oneen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subject[No Keyword]en_US
dc.titleCross-cultural adaptation of the Fresno Test for Turkish languageen_US
dc.typeArticleen_US

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