AnsT-19: Development and Validation of a Scale to Assess the Anxiety of Family Physicians during Teleconsultation
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18175 |
Resumo: | Introduction: Following the outbreak of the disease caused by the novel coronavirus it was necessary to increase the non-face-to-face care activity through alternative means such as teleconsultation in primary health care. The adjustment to a type of remote consultation could have generated anxiety among family physicians. The main aim of the present study was to develop and validate a scale to assess the anxiety of family physicians during teleconsultation. Material and Methods: Observational, cross-sectional study involving a sample of family physicians working in Portugal. An online survey that evaluated anxiety in teleconsultation was developed.Results: A total of 359 valid responses were included in an exploratory factor analysis, after determining the number of factors to retain. A four-factor structure was detected with loadings ranging overall, from 0.44 to 0.98. Correlations between factors ranged from 0.42 to 0.58. Exploratory factor analysis results varied between good and very good fit, with chi-square/df result = 2.448, root mean square error of approximation (RMSEA) = 0.062 [90% CI = (0.053, 0.073)], root mean square of the residuals (RMSR) = 0.030 and Tucker Lewis index (TLI) = 0.931. Composite reliability was higher than 0.7 for all factors and average variance extracted was close or above 0.5 for the extracted factors, confirming convergent validity. McDonald’s omega (ω) = 0.95 suggested the presence of a second-order factor, and thus a global measure for assessing anxiety during teleconsultation. Concurrent validity results were good, with correlations ranging from r = -0.277 to r = -0.393 with General Self-Efficacy scale (GSE) and r = 0.302 to r = 0.547 with Depression Anxiety Stress scales (DASS). Moderate correlations found between DASS and the dimensions of AnsT-19 suggest that AnsT-19 is capturing anxiety from the teleconsultation point of view. AnsT-19 factors and total score were significantly associated with gender, experience as a family doctor, psychotropic medication during the pandemic period and pre-pandemic experience of teleconsultation, indicating good construct validity. The limitations of the study are related to the convenience process, the use of an online survey and self-reported measurements.Conclusion: AnsT-19 is a valid instrument to assess the anxiety of family physicians during teleconsultation. |
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AnsT-19: Development and Validation of a Scale to Assess the Anxiety of Family Physicians during TeleconsultationAnsT-19: Desenvolvimento e Validação de uma Escala de Avaliação da Ansiedade dos Médicos de Família em TeleconsultaAnxietyPhysicians, FamilyPortugalRemote ConsultationSurveys and QuestionnairesAnsiedadeConsulta RemotaInquéritos e QuestionáriosMédicos de FamíliaPortugalIntroduction: Following the outbreak of the disease caused by the novel coronavirus it was necessary to increase the non-face-to-face care activity through alternative means such as teleconsultation in primary health care. The adjustment to a type of remote consultation could have generated anxiety among family physicians. The main aim of the present study was to develop and validate a scale to assess the anxiety of family physicians during teleconsultation. Material and Methods: Observational, cross-sectional study involving a sample of family physicians working in Portugal. An online survey that evaluated anxiety in teleconsultation was developed.Results: A total of 359 valid responses were included in an exploratory factor analysis, after determining the number of factors to retain. A four-factor structure was detected with loadings ranging overall, from 0.44 to 0.98. Correlations between factors ranged from 0.42 to 0.58. Exploratory factor analysis results varied between good and very good fit, with chi-square/df result = 2.448, root mean square error of approximation (RMSEA) = 0.062 [90% CI = (0.053, 0.073)], root mean square of the residuals (RMSR) = 0.030 and Tucker Lewis index (TLI) = 0.931. Composite reliability was higher than 0.7 for all factors and average variance extracted was close or above 0.5 for the extracted factors, confirming convergent validity. McDonald’s omega (ω) = 0.95 suggested the presence of a second-order factor, and thus a global measure for assessing anxiety during teleconsultation. Concurrent validity results were good, with correlations ranging from r = -0.277 to r = -0.393 with General Self-Efficacy scale (GSE) and r = 0.302 to r = 0.547 with Depression Anxiety Stress scales (DASS). Moderate correlations found between DASS and the dimensions of AnsT-19 suggest that AnsT-19 is capturing anxiety from the teleconsultation point of view. AnsT-19 factors and total score were significantly associated with gender, experience as a family doctor, psychotropic medication during the pandemic period and pre-pandemic experience of teleconsultation, indicating good construct validity. The limitations of the study are related to the convenience process, the use of an online survey and self-reported measurements.Conclusion: AnsT-19 is a valid instrument to assess the anxiety of family physicians during teleconsultation.Introdução: A doença provocada pelo novo coronavírus, aumentou a atividade de atendimento não presencial através de teleconsulta nos cuidados de saúde primários, o que pode ter sido motivo de ansiedade nos médicos de família. O principal objetivo da presente investigação foi desenvolver e validar uma escala de avaliação da ansiedade dos médicos de família durante a realização de teleconsulta.Material e Métodos: Estudo observacional, transversal, de carácter descritivo. Foi aplicado um questionário online para avaliar a ansiedade de médicos de família em Portugal durante a realização de teleconsulta .Resultados: Foi conduzida uma análise fatorial exploratória com inclusão de 359 respostas válidas depois de determinado o número de fatores a reter. Foi detetada uma estrutura fatorial de quatro fatores, com cargas fatoriais a variar entre 0,44 e 0,98. As correlações entre fatores variaram entre 0,42 e 0,58. Os resultados da análise fatorial exploratória indicaram um ajustamento bom ou muito bom, com o teste qui-quadrado/gl = 2,448, raiz do erro médio quadrático de aproximação (RMSEA) = 0,062 [90% IC = (0,053, 0,073)], raiz do erro médio quadrático residual padronizado (RMSR) = 0.030 e índice Tucker Lewis (TLI) = 0,931. A fiabilidade compósita foi superior a 0,7 em todos os fatores extraídos e a variância média extraída próxima ou superior a 0,5, confirmando validade convergente. O ómega de McDonald (ω) = 0,95 sugeriu a presença de um fator de segunda ordem, e assim uma medida global de ansiedade na teleconsulta. A validade concorrente foi considerada adequada, com correlações entre r = -0,277 e r = -0,393 para com a General Self-Efficacy scale (GSE) e entre r = 0,302 e r = 0,547 para com a Depression Anxiety Stress scales (DASS). As correlações moderadas encontradas entre a DASS e as dimensões da AnsT-19 sugerem que a AnsT-19 está a captar a ansiedade sob o ponto de vista da teleconsulta. Os fatores da AnsT-19, bem como o score total associaram-se com o género, experiência como médico de família, medicação psicotrópica durante o período pandémico e experiência pré-pandémica de teleconsulta, indicando boa validade de construto. As limitações do estudo estão relacionadas com o processo de amostragem por conveniência e recurso a um questionário online de auto-reporte.Conclusão: O AnsT-19 é um instrumento válido para avaliar a ansiedade dos médicos de família durante a realização de teleconsulta.Ordem dos Médicos2023-01-20info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18175Acta Médica Portuguesa; Vol. 36 No. 4 (2023): April; 236-245Acta Médica Portuguesa; Vol. 36 N.º 4 (2023): Abril; 236-2451646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPengporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18175https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18175/15027https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18175/15028Direitos de Autor (c) 2023 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessBarbosa, Ana CecíliaCosta, Ana IsabelGarcia, SílviaDias, RosanaMesquita, Edgar2023-04-09T03:00:48Zoai:ojs.www.actamedicaportuguesa.com:article/18175Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:45:30.781152Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
AnsT-19: Development and Validation of a Scale to Assess the Anxiety of Family Physicians during Teleconsultation AnsT-19: Desenvolvimento e Validação de uma Escala de Avaliação da Ansiedade dos Médicos de Família em Teleconsulta |
title |
AnsT-19: Development and Validation of a Scale to Assess the Anxiety of Family Physicians during Teleconsultation |
spellingShingle |
AnsT-19: Development and Validation of a Scale to Assess the Anxiety of Family Physicians during Teleconsultation Barbosa, Ana Cecília Anxiety Physicians, Family Portugal Remote Consultation Surveys and Questionnaires Ansiedade Consulta Remota Inquéritos e Questionários Médicos de Família Portugal |
title_short |
AnsT-19: Development and Validation of a Scale to Assess the Anxiety of Family Physicians during Teleconsultation |
title_full |
AnsT-19: Development and Validation of a Scale to Assess the Anxiety of Family Physicians during Teleconsultation |
title_fullStr |
AnsT-19: Development and Validation of a Scale to Assess the Anxiety of Family Physicians during Teleconsultation |
title_full_unstemmed |
AnsT-19: Development and Validation of a Scale to Assess the Anxiety of Family Physicians during Teleconsultation |
title_sort |
AnsT-19: Development and Validation of a Scale to Assess the Anxiety of Family Physicians during Teleconsultation |
author |
Barbosa, Ana Cecília |
author_facet |
Barbosa, Ana Cecília Costa, Ana Isabel Garcia, Sílvia Dias, Rosana Mesquita, Edgar |
author_role |
author |
author2 |
Costa, Ana Isabel Garcia, Sílvia Dias, Rosana Mesquita, Edgar |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Barbosa, Ana Cecília Costa, Ana Isabel Garcia, Sílvia Dias, Rosana Mesquita, Edgar |
dc.subject.por.fl_str_mv |
Anxiety Physicians, Family Portugal Remote Consultation Surveys and Questionnaires Ansiedade Consulta Remota Inquéritos e Questionários Médicos de Família Portugal |
topic |
Anxiety Physicians, Family Portugal Remote Consultation Surveys and Questionnaires Ansiedade Consulta Remota Inquéritos e Questionários Médicos de Família Portugal |
description |
Introduction: Following the outbreak of the disease caused by the novel coronavirus it was necessary to increase the non-face-to-face care activity through alternative means such as teleconsultation in primary health care. The adjustment to a type of remote consultation could have generated anxiety among family physicians. The main aim of the present study was to develop and validate a scale to assess the anxiety of family physicians during teleconsultation. Material and Methods: Observational, cross-sectional study involving a sample of family physicians working in Portugal. An online survey that evaluated anxiety in teleconsultation was developed.Results: A total of 359 valid responses were included in an exploratory factor analysis, after determining the number of factors to retain. A four-factor structure was detected with loadings ranging overall, from 0.44 to 0.98. Correlations between factors ranged from 0.42 to 0.58. Exploratory factor analysis results varied between good and very good fit, with chi-square/df result = 2.448, root mean square error of approximation (RMSEA) = 0.062 [90% CI = (0.053, 0.073)], root mean square of the residuals (RMSR) = 0.030 and Tucker Lewis index (TLI) = 0.931. Composite reliability was higher than 0.7 for all factors and average variance extracted was close or above 0.5 for the extracted factors, confirming convergent validity. McDonald’s omega (ω) = 0.95 suggested the presence of a second-order factor, and thus a global measure for assessing anxiety during teleconsultation. Concurrent validity results were good, with correlations ranging from r = -0.277 to r = -0.393 with General Self-Efficacy scale (GSE) and r = 0.302 to r = 0.547 with Depression Anxiety Stress scales (DASS). Moderate correlations found between DASS and the dimensions of AnsT-19 suggest that AnsT-19 is capturing anxiety from the teleconsultation point of view. AnsT-19 factors and total score were significantly associated with gender, experience as a family doctor, psychotropic medication during the pandemic period and pre-pandemic experience of teleconsultation, indicating good construct validity. The limitations of the study are related to the convenience process, the use of an online survey and self-reported measurements.Conclusion: AnsT-19 is a valid instrument to assess the anxiety of family physicians during teleconsultation. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-01-20 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18175 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18175 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18175 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18175/15027 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18175/15028 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2023 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2023 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
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application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 36 No. 4 (2023): April; 236-245 Acta Médica Portuguesa; Vol. 36 N.º 4 (2023): Abril; 236-245 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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