Development, Validation, and Utility of an Instrument to Assess Core Competencies in the Leadership Education in Neurode
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Development, Validation, and Utility of an Instrument to Assess Core Competencies in the Leadership Education in Neurodevelopmental and Related Disabilities (LEND) Program Stephen S. Leff • Katherine T. Baum • Katherine B. Bevans • Nathan J. Blum
Ó Springer Science+Business Media New York 2014
Abstract To describe the development and psychometric evaluation of the Core Competency Measure (CCM), an instrument designed to assess professional competencies as defined by the Maternal Child Health Bureau (MCHB) and targeted by Leadership Education in Neurodevelopmental and Related Disabilities (LEND) programs. The CCM is a 44-item self-report measure comprised of six subscales to assess clinical, interdisciplinary, family-centered/cultural, community, research, and advocacy/policy competencies. The CCM was developed in an iterative fashion through participatory action research, and then nine cohorts of LEND trainees (N = 144) from 14 different disciplines completed the CCM during the first week of the training program. A 6-factor confirmatory factor analysis model was fit to data from the 44 original items. After three items were removed, S. S. Leff (&) K. B. Bevans N. J. Blum Department of Pediatrics, The Children’s Hospital of Philadelphia, 3535 Market Street, Room 1480, Philadelphia, PA 19104, USA e-mail: [email protected] S. S. Leff K. T. Baum Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA S. S. Leff K. B. Bevans N. J. Blum Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA S. S. Leff K. B. Bevans The Violence Prevention Initiative, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA K. T. Baum Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
the model adequately fit the data (comparative fit indices = .93, root mean error of approximation = .06) with all factor loadings exceeding .55. The measure was determined to be quite reliable as adequate internal consistency and test– retest reliability were found for each subscale. The instrument’s construct validity was supported by expected differences in self-rated competencies among fellows representing various disciplines, and the convergent validity was supported by the pattern of inter-correlations between subscale scores. The CCM appears to be a reliable and valid measure of MCHB core competencies for our sample of LEND trainees. It provides an assessment of key training areas addressed by the LEND program. Although the measure was developed within only one LEND Program, with additional research it has the potential to serve as a standardized tool to evaluate the strengths and limitations of MCHB training, both within and between programs. Keywords Interdisciplinary training Family-centered care Cultural competency Measurement development Participatory action research
Introduction The Health Resources and Services Administration’s Maternal Child
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