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Development of a questionnaire for evaluating genetics education in general practice

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Abstract

To support developments in genetics education, we constructed the GPGeneQ questionnaire to assess skills required for the practice of genetics by general practitioners (GPs). We describe the process of developing and validating this questionnaire to provide a detailed guide in the construction for questionnaires in the application of evaluating genetics education. The GPGeneQ was developed through a multi-step process with the initial draft based on a theoretical framework and literature review. The subsequent draft instrument contained three scales pertaining to GPs’ knowledge, self-reported behaviour and attitudes regarding genetics in medicine. Content and ecological validity were measured by an iterative Delphi process involving experts, GPs and consumers of health services. Piloting to assess construct and criterion validity was conducted with a sample of GPs attending an educational workshop that was presented on a number of separate occasions in Victoria, Australia. Results from evaluations of 145 GPs participating in ten workshops revealed evidence for validity and reliability of the GPGeneQ: knowledge change (p < 0.001; CI, −1.63 to −0.68), behaviour change (p < 0.001; CI, −4.15 to −2.21), attitudinal change (p = 0.002; CI, −2.68 to −0.62). This paper details the procedures involved in developing and validating an assessment questionnaire for genetics education. The GPGeneQ is the first validated questionnaire covering a broad range of topics that is designed to provide a reliable measure for the evaluation of genetics education specifically in general practice. The procedures used are transferable to the construction of any instrument for use in genetics or other medical education.

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References

  • Baars MJ, Henneman L, Ten Kate LP (2005) Deficiency of knowledge of genetics and genetic tests among general practitioners, gynecologists, and pediatricians: a global problem. Genet Med 7(9):605–610

    Article  PubMed  Google Scholar 

  • Boynton PM, Greenhalgh T (2004) Selecting, designing, and developing your questionnaire. BMJ 328(7451):1312–1315

    Article  PubMed  Google Scholar 

  • Briggs SR, Cheek JM (1986) The role of factor analysis in the development and evaluation of personality scales. J Personality 54:106–148

    Article  Google Scholar 

  • Burke W, Emery J (2002) Genetics education for primary-care providers. Nat Rev Genet 3(7):561–566

    Article  CAS  PubMed  Google Scholar 

  • Burke W, Acheson L, Botkin J, Bridges K, Davis A, Evans J, Frias J, Hanson J, Kahn N, Kahn R, Lanier D, Pinsky LE, Press N, Lloyd-Puryear MA, Rich E, Stevens N, Thomson E, Wartman S, Wilson M (2002) Genetics in primary care: a USA faculty development initiative. Community Genet 5(2):138–146

    Article  PubMed  Google Scholar 

  • Carroll JC, Rideout AL, Wilson BJ, Allanson JM, Blaine SM, Esplen MJ, Farrell SA, Graham GE, MacKenzie J, Meschino W, Miller F, Prakash P, Shuman C, Summers A, Taylor S (2009) Genetic education for primary care providers: improving attitudes, knowledge, and confidence. Can Fam Phys 55(12):e92–e99

    Google Scholar 

  • Carver RP (1974) Two dimensions of tests: psychometric and edumetric. Am Psych 29:512–518

    Article  Google Scholar 

  • Clyman JC, Nazir F, Tarolli S, Black E, Lombardi RQ, Higgins JJ (2007) The impact of a genetics education program on physicians' knowledge and genetic counseling referral patterns. Med Teach 29(6):e143–e150

    Article  PubMed  Google Scholar 

  • Cortina JM (1993) What is coefficient alpha? An examination of theory and applications. J Appl Psych 78(1):98–104

    Article  Google Scholar 

  • Davis D, Evans M, Jadad A, Perrier L, Rath D, Ryan D, Sibbald G, Straus S, Rappolt S, Wowk M, Zwarenstein M (2003) The case for knowledge translation: shortening the journey from evidence to effect. BMJ 327(7405):33–35

    Article  PubMed  Google Scholar 

  • De Vaus DA (1995) Surveys in social research (Chapter 6). Allen & Unwin, North Sydney

    Google Scholar 

  • Emery J, Watson E, Rose P, Andermann A (1999) A systematic review of the literature exploring the role of primary care in genetic services. Fam Pract 16(4):426–445

    Article  CAS  PubMed  Google Scholar 

  • EuroGentest (2010). Available from: http://www.eurogentest.org/professionals/education/. Accessed August 2010.

  • Gaff CL, Aitken M, Flouris A, Metcalfe SA (2007) A model for the development of genetics education programs for health professionals. Genet Med 9(7):451–457

    Article  PubMed  Google Scholar 

  • Greendale K, Pyeritz RE (2001) Empowering primary care health professionals in medical genetics: how soon? How fast? How far? Am J Med Genet 106(3):223–232

    Article  CAS  PubMed  Google Scholar 

  • Guadagnoli E, Velicer WF (1988) Relation of sample size to the stability of component patterns. Psychol Bull 103(2):265–275

    Article  CAS  PubMed  Google Scholar 

  • Hofman KJ, Tambor ES, Chase GA, Geller G, Faden RR, Holtzman NA (1993) Physicians’ knowledge of genetics and genetic tests. Acad Med 68(8):625–632

    Article  CAS  PubMed  Google Scholar 

  • Hutchinson L (1999) Evaluating and researching the effectiveness of educational interventions. BMJ 318(7193):1267–1269

    CAS  PubMed  Google Scholar 

  • Kaufman DM (2003) Applying educational theory in practice. BMJ 326(7382):213–216

    Article  PubMed  Google Scholar 

  • Knowles MS (1984) Applications in continuing education for the health professions. Andragogy in action. Jossey-Bass, San Francisco, pp 297–340

    Google Scholar 

  • Kolb SE, Aguilar MC, Dinenberg M, Kaye CI (1999) Genetics education for primary care providers in community health settings. J Community Health 24(1):45–59

    Article  CAS  PubMed  Google Scholar 

  • Kumar S, Gantley M (1999) Tensions between policy makers and general practitioners in implementing new genetics: grounded theory interview study. BMJ 319(7222):1410–1413

    CAS  PubMed  Google Scholar 

  • Linstone HA, Turoff M (1975) The Delphi method: techniques and applications. Addison-Wesley Pub. Co. Advanced Book Program, Reading

    Google Scholar 

  • McLeod P, Steinert Y, Meterissian S, Child S (2004) Using the Delphi process to identify the curriculum. Med Educ 38(5):548

    Article  CAS  PubMed  Google Scholar 

  • Metcalfe S, Hurworth R, Newstead J, Robins R (2002) Needs assessment study of genetics education for general practitioners in Australia. Genet Med 4(2):71–77

    Article  PubMed  Google Scholar 

  • Metcalfe S, Seipolt M, Aitken M, Flouris A (2005) Educating general practitioners about prenatal testing: approaches and challenges. Prenat Diagn 25(7):592–601

    Article  PubMed  Google Scholar 

  • Metcalfe SA, Aitken M, Gaff CL (2008) The importance of program evaluation: how can it be applied to diverse genetics educational settings? J Genet Couns 17(2):170–179

    Article  PubMed  Google Scholar 

  • NCHPEG (2010) National Coalition for Health Professional Education in Genetics. Available from: http://www.nchpeg.org/. Accessed August 2010.

  • Newble DI (2002) Don’t presume about experienced adult learners in medicine. BMJ 325(7367):779

    Article  PubMed  Google Scholar 

  • Newman P, Peile E (2002) Valuing learners’ experience and supporting further growth: educational models to help experienced adult learners in medicine. BMJ 325(7357):200–202

    Article  PubMed  Google Scholar 

  • NGEDC (2010) National Genetics Education and Development Centre. Available from: http://www.geneticseducation.nhs.uk/. Accessed August 2010.

  • Nunnally JC (1978) Psychometric theory. McGraw-Hill, New York

    Google Scholar 

  • RACGP (2005) Royal Australian College of General Practitioners: a quality framework for Australian General Practice: background paper

  • RACGP (2007) Royal Australian College of General Practitioners: curriculum for Australian general practice: learning life of general practitioners. Available from: http://wwwracgporgau/curriculum. Accessed August 2010.

  • Robins R, Metcalfe S (2004) Integrating genetics as practices of primary care. Soc Sci Med 59(2):223–233

    Article  PubMed  Google Scholar 

  • Rummel R (1970) Applied factor analysis. Northwestern University Press, Evanston

    Google Scholar 

  • Streiner DL, Norman GR (1995) Health measurement scales: a practical guide to their development and use. Oxford University Press, Oxford

    Google Scholar 

  • Sullivan FM, Lockhart PM, Usherwood TP (2010) Potential implications of genomic medicine in general practice. Med J Aust 193(2):120–123

    PubMed  Google Scholar 

  • Suther S, Goodson P (2003) Barriers to the provision of genetic services by primary care physicians: a systematic review of the literature. Genet Med 5(2):70–76

    Article  PubMed  Google Scholar 

  • Tabachnick BG, Fidell LS (2001) Using multivariate statistics (xxvi, 96 discussions). Allyn and Bacon, Boston, MA

    Google Scholar 

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Acknowledgements

The authors are grateful to the Victorian Department of Human Services, Biotechnology Australia (a federal government initiative) and the Cooperative Research Centre for the Discovery of Genes for Common Human Diseases for financial support. Anna Flouris received financial support through an Australian Postgraduate Award. The authors declare they have no conflict of interest. We are also grateful to the Delphi process panel of experts, Michael Batchelor, Jane Wallace, Lydia Gaffney, the many genetic counsellors and GP facilitators who helped with the workshops, and the GPs who attended the workshops and completed the questionnaires.

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The authors declare that they have no conflict of interest.

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Correspondence to Sylvia A. Metcalfe.

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Flouris, A., Hawthorne, G., Aitken, M. et al. Development of a questionnaire for evaluating genetics education in general practice. J Community Genet 1, 175–183 (2010). https://doi.org/10.1007/s12687-010-0027-8

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