Cross-validation of the spanish HP-version of the Jefferson Scale of Empathy confirmed with some cross-cultural differences

Context: Medical educators agree that empathy is essential for physicians' professionalism. The Health Professional Version of the Jefferson Scale of Empathy (JSE-HP) was developed in response to a need for a psychometrically sound instrument to measure empathy in the context of patient care. A...

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Autores: Alcorta Garza, Adelina, San Martín, Montserrat, Delgado Bolton, Roberto, Soler González, Jorge, Roig, Helena, Vivanco, Luis
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:España
Institución:Universitat de Lleida (UdL)
Repositorio:Repositori Obert UdL
OAI Identifier:oai:repositori.udl.cat:10459.1/57801
Acceso en línea:https://doi.org/10.3389/fpsyg.2016.01002
http://hdl.handle.net/10459.1/57801
Access Level:acceso abierto
Palabra clave:Empathy
Physician
Cross-culture comparison
Spanish
Psychometrics
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spelling Cross-validation of the spanish HP-version of the Jefferson Scale of Empathy confirmed with some cross-cultural differencesAlcorta Garza, AdelinaSan Martín, MontserratDelgado Bolton, RobertoSoler González, JorgeRoig, HelenaVivanco, LuisEmpathyPhysicianCross-culture comparisonSpanishPsychometricsContext: Medical educators agree that empathy is essential for physicians' professionalism. The Health Professional Version of the Jefferson Scale of Empathy (JSE-HP) was developed in response to a need for a psychometrically sound instrument to measure empathy in the context of patient care. Although extensive support for its validity and reliability is available, the authors recognize the necessity to examine psychometrics of the JSE-HP in different socio-cultural contexts to assure the psychometric soundness of this instrument. The first aim of this study was to confirm its psychometric properties in the cross-cultural context of Spain and Latin American countries. The second aim was to measure the influence of social and cultural factors on the development of medical empathy in health practitioners. Methods: The original English version of the JSE-HP was translated into International Spanish using back-translation procedures. The Spanish version of the JSE-HP was administered to 896 physicians from Spain and 13 Latin American countries. Data were subjected to exploratory factor analysis using principal component analysis (PCA) with oblique rotation (promax) to allow for correlation among the resulting factors, followed by a second analysis, using confirmatory factor analysis (CFA). Two theoretical models, one based on the English JSE-HP and another on the first Spanish student version of the JSE (JSE-S), were tested. Demographic variables were compared using group comparisons. Results: A total of 715 (80%) surveys were returned fully completed. Cronbach's alpha coefficient of the JSE for the entire sample was 0.84. The psychometric properties of the Spanish JSE-HP matched those of the original English JSE-HP. However, the Spanish JSE-S model proved more appropriate than the original English model for the sample in this study. Group comparisons among physicians classified by gender, medical specialties, cultural and cross-cultural backgrounds yielded statistically significant differences (p < 0.001). Conclusions: The findings support the underlying factor structure of the Jefferson Scale of Empathy (JSE). The results reveal the importance of culture in the development of medical empathy. The cross-cultural differences described could open gates for further lines of medical education research.Frontiers Media2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://doi.org/10.3389/fpsyg.2016.01002http://hdl.handle.net/10459.1/57801reponame:Repositori Obert UdL instname:Universitat de Lleida (UdL)InglésReproducció del document publicat a https://doi.org/10.1091/mbc.01-10-0517Frontiers in Psychology, 2016, vol. 7, p. 1-9cc-by, (c) Alcorta et al., 2016info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/3.0/es/oai:repositori.udl.cat:10459.1/578012026-06-24T12:42:17Z
dc.title.none.fl_str_mv Cross-validation of the spanish HP-version of the Jefferson Scale of Empathy confirmed with some cross-cultural differences
title Cross-validation of the spanish HP-version of the Jefferson Scale of Empathy confirmed with some cross-cultural differences
spellingShingle Cross-validation of the spanish HP-version of the Jefferson Scale of Empathy confirmed with some cross-cultural differences
Alcorta Garza, Adelina
Empathy
Physician
Cross-culture comparison
Spanish
Psychometrics
title_short Cross-validation of the spanish HP-version of the Jefferson Scale of Empathy confirmed with some cross-cultural differences
title_full Cross-validation of the spanish HP-version of the Jefferson Scale of Empathy confirmed with some cross-cultural differences
title_fullStr Cross-validation of the spanish HP-version of the Jefferson Scale of Empathy confirmed with some cross-cultural differences
title_full_unstemmed Cross-validation of the spanish HP-version of the Jefferson Scale of Empathy confirmed with some cross-cultural differences
title_sort Cross-validation of the spanish HP-version of the Jefferson Scale of Empathy confirmed with some cross-cultural differences
dc.creator.none.fl_str_mv Alcorta Garza, Adelina
San Martín, Montserrat
Delgado Bolton, Roberto
Soler González, Jorge
Roig, Helena
Vivanco, Luis
author Alcorta Garza, Adelina
author_facet Alcorta Garza, Adelina
San Martín, Montserrat
Delgado Bolton, Roberto
Soler González, Jorge
Roig, Helena
Vivanco, Luis
author_role author
author2 San Martín, Montserrat
Delgado Bolton, Roberto
Soler González, Jorge
Roig, Helena
Vivanco, Luis
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Empathy
Physician
Cross-culture comparison
Spanish
Psychometrics
topic Empathy
Physician
Cross-culture comparison
Spanish
Psychometrics
description Context: Medical educators agree that empathy is essential for physicians' professionalism. The Health Professional Version of the Jefferson Scale of Empathy (JSE-HP) was developed in response to a need for a psychometrically sound instrument to measure empathy in the context of patient care. Although extensive support for its validity and reliability is available, the authors recognize the necessity to examine psychometrics of the JSE-HP in different socio-cultural contexts to assure the psychometric soundness of this instrument. The first aim of this study was to confirm its psychometric properties in the cross-cultural context of Spain and Latin American countries. The second aim was to measure the influence of social and cultural factors on the development of medical empathy in health practitioners. Methods: The original English version of the JSE-HP was translated into International Spanish using back-translation procedures. The Spanish version of the JSE-HP was administered to 896 physicians from Spain and 13 Latin American countries. Data were subjected to exploratory factor analysis using principal component analysis (PCA) with oblique rotation (promax) to allow for correlation among the resulting factors, followed by a second analysis, using confirmatory factor analysis (CFA). Two theoretical models, one based on the English JSE-HP and another on the first Spanish student version of the JSE (JSE-S), were tested. Demographic variables were compared using group comparisons. Results: A total of 715 (80%) surveys were returned fully completed. Cronbach's alpha coefficient of the JSE for the entire sample was 0.84. The psychometric properties of the Spanish JSE-HP matched those of the original English JSE-HP. However, the Spanish JSE-S model proved more appropriate than the original English model for the sample in this study. Group comparisons among physicians classified by gender, medical specialties, cultural and cross-cultural backgrounds yielded statistically significant differences (p < 0.001). Conclusions: The findings support the underlying factor structure of the Jefferson Scale of Empathy (JSE). The results reveal the importance of culture in the development of medical empathy. The cross-cultural differences described could open gates for further lines of medical education research.
publishDate 2016
dc.date.none.fl_str_mv 2016
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.3389/fpsyg.2016.01002
http://hdl.handle.net/10459.1/57801
url https://doi.org/10.3389/fpsyg.2016.01002
http://hdl.handle.net/10459.1/57801
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a https://doi.org/10.1091/mbc.01-10-0517
Frontiers in Psychology, 2016, vol. 7, p. 1-9
dc.rights.none.fl_str_mv cc-by, (c) Alcorta et al., 2016
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es/
rights_invalid_str_mv cc-by, (c) Alcorta et al., 2016
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv reponame:Repositori Obert UdL
instname:Universitat de Lleida (UdL)
instname_str Universitat de Lleida (UdL)
reponame_str Repositori Obert UdL
collection Repositori Obert UdL
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