Psychometric properties of a questionnaire assessing the extent of integration in a problem-based learning curriculum

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Publicat a:BMC Medical Education vol. 25 (2025), p. 1
Autor principal: Abu-Hijleh, Marwan F
Altres autors: Salah Eldin Kassab, Allouch, Soumaya, Raja Mahamade Ali, Al-Wattary, Noor, Nomikos, Michail, Abdel Halim Salem, Shehata, Mohamed H, Sequeira, Reginald P
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022 |a 1472-6920 
024 7 |a 10.1186/s12909-025-07165-z  |2 doi 
035 |a 3201521844 
045 2 |b d20250101  |b d20251231 
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100 1 |a Abu-Hijleh, Marwan F 
245 1 |a Psychometric properties of a questionnaire assessing the extent of integration in a problem-based learning curriculum 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundIntegrated curricula reinforce student learning and retention of relevant knowledge. At Qatar University and Arabian Gulf University medical colleges, Problem-Based Learning (PBL) is the principal teaching and learning strategy to implement integrated multidisciplinary system-based curriculum. In addition, other initiatives include integrated assessment, logical organization of teaching and learning methods, as well as combined faculty effort in curriculum planning and delivery. This multicenter study aims to develop and validate a questionnaire for measuring the extent of medical curriculum integration in PBL programs.MethodsFollowing an extensive literature review, the content validity of a questionnaire was tested through focus group discussion with subject matter experts (n = 20), followed by pilot testing with medical students (n = 20). The content-validated questionnaire (31 items) was distributed to students in the two colleges. To examine the construct validity and construct reliability of the questionnaire, exploratory factor analysis (EFA) was conducted with 330 students followed by confirmatory factor analysis (CFA) on 579 students.ResultsEFA supported a four-factor structure of the questionnaire which explained 62% of the variance; however, four items were deleted because of low factor loading (< 0.5) or cross-loading on multiple factors. Further CFA also supported the four-factor structure. Another three items were removed due to high modification indices. The most parsimonious model consisted of 24 items with good fitness indices (χ2 = 512.23, df = 236, χ 2/df = 2.17, CFI = 0.97, TLI = 0.97, RMSEA = 0.04, SRMR = 0.031, and AIC = 688.22). The four factors were: Planned Curriculum (3 items), Delivered Curriculum (10 items), Assessed Curriculum (4 items) and Learned Curriculum (7 items). The factor loadings of the items ranged from 0.61 to 0.84 with strong correlations between the four latent factors (constructs). The construct reliability of the total questionnaire was 0.97 and the four factors were between 0.94 and 0.97. In addition, there were strong significant correlations between curriculum integration scores and student satisfaction with the curriculum.ConclusionsThe developed questionnaire exhibits good evidence of construct validity and reliability. Further studies required to test the validity of this questionnaire in other settings. 
651 4 |a Qatar 
653 |a Medical education 
653 |a Questionnaires 
653 |a Medical students 
653 |a Skills 
653 |a Integrated curriculum 
653 |a Focus groups 
653 |a Knowledge 
653 |a Integrated approach 
653 |a Problem based learning 
653 |a Quantitative psychology 
653 |a Learning Activities 
653 |a Group Discussion 
653 |a Literature Reviews 
653 |a Factor Analysis 
653 |a Curriculum Development 
653 |a Adult Learning 
653 |a Learning Strategies 
653 |a Educational Methods 
653 |a Likert Scales 
653 |a Learning Theories 
653 |a Educational Change 
653 |a Adult Basic Education 
653 |a Medical Evaluation 
653 |a Outcomes of Education 
653 |a Course Content 
653 |a College Science 
653 |a Definitions 
653 |a Educational Strategies 
653 |a Content Validity 
700 1 |a Salah Eldin Kassab 
700 1 |a Allouch, Soumaya 
700 1 |a Raja Mahamade Ali 
700 1 |a Al-Wattary, Noor 
700 1 |a Nomikos, Michail 
700 1 |a Abdel Halim Salem 
700 1 |a Shehata, Mohamed H 
700 1 |a Sequeira, Reginald P 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1 
786 0 |d ProQuest  |t Healthcare Administration Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3201521844/abstract/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3201521844/fulltext/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3201521844/fulltextPDF/embedded/6A8EOT78XXH2IG52?source=fedsrch