The Development of a Knowledge Test on Transgender Patients’ Care

Jonathan Hernández-Agosto, Kyle Melin, Jurynelliz Rosa-Vega, Edgar Carlo-Frontera, Andrés Rodríguez-Ochoa and Darlene Santiago-Quiñones
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Jonathan Hernández-Agosto: Curriculum and Institutional Effectiveness Evaluation Division, School of Pharmacy, University of Puerto Rico, San Juan, PR 00936, USA
Kyle Melin: Department of Pharmacy Practice, School of Pharmacy, University of Puerto Rico, San Juan, PR 00936, USA
Jurynelliz Rosa-Vega: Department of Pharmacy Practice, School of Pharmacy, University of Puerto Rico, San Juan, PR 00936, USA
Edgar Carlo-Frontera: Department of Pharmacy Practice, School of Pharmacy, University of Puerto Rico, San Juan, PR 00936, USA
Andrés Rodríguez-Ochoa: Department of Pharmacy Practice, School of Pharmacy, University of Puerto Rico, San Juan, PR 00936, USA
Darlene Santiago-Quiñones: Department of Pharmacutical Sciences, School of Pharmacy, University of Puerto Rico, San Juan, PR 00936, USA

IJERPH, 2020, vol. 17, issue 19, 1-23

Abstract: The objective of this study was to develop an assessment instrument to measure the effects of a continuing education intervention on 3 domains in pharmacists’ knowledge needed to provide pharmaceutical care for transgender patients: (1) foundations of gender-affirming care, (2) health disparities and the specific needs of transgender patients, and (3) hormone treatments for transgender patients. Multiple-choice questions were developed, and an initial item bank of 47 items was drafted. Item bank revision was conducted by content matter experts, while feedback from 8 practicing pharmacists was provided for face validity and further insights. A preliminary test, containing 42 items was administered to 64 pharmacists before and after a three-hour continuing education intervention. Cronbach’s alpha coefficient yielded a value of 0.65 as a pre-test and 0.77 as a post-test. Items were less difficult to answer by participants after taking the three-hour continuing education, showing better discrimination among high and low performers in the instrument administration as post-test, as well as better correlation when comparing participants’ performance in the overall score against item-level performance. Psychometric evidence supports further instrument examination, which can improve this tool to measure gains in pharmacists’ knowledge related to the care of transgender patients.

Keywords: transgender; transgender care; pharmacy education; continuing education; test validation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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