Translation and cultural adaption of MacLeod Clark professional identity scale among Chinese therapy students.

<h4>Background</h4>Fostering a strong professional identity (PI) enhances career fulfillment. In China, therapy education is undergoing development, integrating both Western and traditional health concepts, causing inconsistent PI among therapy students. To date, no validated tools exist...

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Main Authors: Xiaoyi Shu, Chun Feng, Chak-Lam Ip, Xin Zhang, Nan Yang, Shibo Li, Jia Han, Weibing Wu, Alec Knight
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0318101
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author Xiaoyi Shu
Chun Feng
Chak-Lam Ip
Xin Zhang
Nan Yang
Shibo Li
Jia Han
Weibing Wu
Alec Knight
author_facet Xiaoyi Shu
Chun Feng
Chak-Lam Ip
Xin Zhang
Nan Yang
Shibo Li
Jia Han
Weibing Wu
Alec Knight
author_sort Xiaoyi Shu
collection DOAJ
description <h4>Background</h4>Fostering a strong professional identity (PI) enhances career fulfillment. In China, therapy education is undergoing development, integrating both Western and traditional health concepts, causing inconsistent PI among therapy students. To date, no validated tools exist to measure and monitor PI of Chinese therapy students. This study aimed to translate and validate the 9-item MacLeod Clark Professional Identity Scale (MCPIS-9) for this purpose.<h4>Design</h4>This study involved translation and cultural adaptation of the MCPIS-9, followed by a rigorous assessment of its model fit and psychometric properties using data collected via an online questionnaire.<h4>Methods</h4>A forward- and backward- translation process was conducted. Content validity was evaluated using item-level content validity index (I-CVI) and scale level content validity index average method (S-CVI/Ave). Therapy students across all grades at undergraduate and postgraduate levels in China were eligible. Exploratory factor analysis (EFA) examined the underlying factor structure. Model fit was evaluated through confirmatory factor analysis (CFA) using the Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), Standardized Root Mean Square Residual (SRMR) and Root Mean Square of Error of Approximation (RMSEA). Convergent validity was assessed through Pearson's correlations coefficient (r) with the Professional Identity Scale for Health Students and Professionals (PISHSP). Internal consistency was examined using Cronbach's Alpha (Cα) and McDonald's Omega (ω).<h4>Results</h4>A total of 1054 students participated. Content validity was excellent (I-CVI = 0.86-1.0, S-CVI/Ave = 0.98). EFA indicated a two-factor structure with acceptable model fit (CFI = 0.978; TLI = 0.968; SRMR = 0.033; RMSEA = 0.063). Reliability was strong (Cα = 0.835; ω = 0.817). Convergent validity demonstrated a strong correlation (r = 0.75) with the PISHSP.<h4>Conclusions</h4>The Chinese MCPIS-9 is a reliable and valid tool for assessing PI among therapy students. Future research could focus on refining item 4 of this tool, potentially through further exploration of therapy students' perceptions of PI within the unique context of the Chinese healthcare system.
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spelling doaj-art-215f1342ced14ccda3984e1bb562b3dd2025-02-05T05:31:57ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031810110.1371/journal.pone.0318101Translation and cultural adaption of MacLeod Clark professional identity scale among Chinese therapy students.Xiaoyi ShuChun FengChak-Lam IpXin ZhangNan YangShibo LiJia HanWeibing WuAlec Knight<h4>Background</h4>Fostering a strong professional identity (PI) enhances career fulfillment. In China, therapy education is undergoing development, integrating both Western and traditional health concepts, causing inconsistent PI among therapy students. To date, no validated tools exist to measure and monitor PI of Chinese therapy students. This study aimed to translate and validate the 9-item MacLeod Clark Professional Identity Scale (MCPIS-9) for this purpose.<h4>Design</h4>This study involved translation and cultural adaptation of the MCPIS-9, followed by a rigorous assessment of its model fit and psychometric properties using data collected via an online questionnaire.<h4>Methods</h4>A forward- and backward- translation process was conducted. Content validity was evaluated using item-level content validity index (I-CVI) and scale level content validity index average method (S-CVI/Ave). Therapy students across all grades at undergraduate and postgraduate levels in China were eligible. Exploratory factor analysis (EFA) examined the underlying factor structure. Model fit was evaluated through confirmatory factor analysis (CFA) using the Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), Standardized Root Mean Square Residual (SRMR) and Root Mean Square of Error of Approximation (RMSEA). Convergent validity was assessed through Pearson's correlations coefficient (r) with the Professional Identity Scale for Health Students and Professionals (PISHSP). Internal consistency was examined using Cronbach's Alpha (Cα) and McDonald's Omega (ω).<h4>Results</h4>A total of 1054 students participated. Content validity was excellent (I-CVI = 0.86-1.0, S-CVI/Ave = 0.98). EFA indicated a two-factor structure with acceptable model fit (CFI = 0.978; TLI = 0.968; SRMR = 0.033; RMSEA = 0.063). Reliability was strong (Cα = 0.835; ω = 0.817). Convergent validity demonstrated a strong correlation (r = 0.75) with the PISHSP.<h4>Conclusions</h4>The Chinese MCPIS-9 is a reliable and valid tool for assessing PI among therapy students. Future research could focus on refining item 4 of this tool, potentially through further exploration of therapy students' perceptions of PI within the unique context of the Chinese healthcare system.https://doi.org/10.1371/journal.pone.0318101
spellingShingle Xiaoyi Shu
Chun Feng
Chak-Lam Ip
Xin Zhang
Nan Yang
Shibo Li
Jia Han
Weibing Wu
Alec Knight
Translation and cultural adaption of MacLeod Clark professional identity scale among Chinese therapy students.
PLoS ONE
title Translation and cultural adaption of MacLeod Clark professional identity scale among Chinese therapy students.
title_full Translation and cultural adaption of MacLeod Clark professional identity scale among Chinese therapy students.
title_fullStr Translation and cultural adaption of MacLeod Clark professional identity scale among Chinese therapy students.
title_full_unstemmed Translation and cultural adaption of MacLeod Clark professional identity scale among Chinese therapy students.
title_short Translation and cultural adaption of MacLeod Clark professional identity scale among Chinese therapy students.
title_sort translation and cultural adaption of macleod clark professional identity scale among chinese therapy students
url https://doi.org/10.1371/journal.pone.0318101
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