Validation of a French-language version of TeamSTEPPS® T-TPQ and T-TAQ questionnaires

ABSTRACT

Teamwork training and evaluation are essential to enhance safety and quality of care. The lack of the psychometric testing of the TeamSTEPPS® Teamwork Attitudes Questionnaire (T-TAQ) and Teamwork Perceptions Questionnaire (T-TPQ) across different language and cultural settings has questioned their widespread use because such attitudes and perceptions are highly subjective and context-bound. The present study aims to translate the T-TAQ and T-TPQ into the French language and validate the psychometric properties of the two questionnaires in a public health context. A forward-backward translation process, panel reviewing, and pilot testing in two rounds were followed to develop the French versions. Confirmatory factor analysis (CFA) and Cronbach’s alpha were used to examine the factor structure and internal consistency, whereas two-way mixed Intraclass Correlation Coefficient (ICC) was performed to assess test-retest reliability. A total of 235 healthcare professionals in the French-speaking community of Belgium completed the T-TAQ and T-TPQ. After two to four weeks, 102 participants took part in the second round. Despite good fit indices as revealed by the CFA and Cronbach’s alpha from 0.53 to 0.75 for the five dimensions of the T-TAQ and 0.76 to 0.79 for the T-TPQ, the squared correlations among the constructs were higher than the average variance extracted. Two-way mixed ICCs indicated fair to good test-retest reliability for all the five constructs of the two questionnaires, except the leadership scale of the T-TAQ. The French-language versions of the T-TAQ and T-TPQ were semantically equivalent and culturally relevant with adequate test-retest reliability as compared to the English versions. These two instruments might be used to capture the overall attitude toward teamwork and perceptions of team skills and behaviors. Yet, further research is advisable to refine the scales to establish the discriminant validity of the different dimensions and discriminative power of the instruments.

KEYWORDS:

• Team training
• patient safety
• interdisciplinary
• surveys
• teamwork

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Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.

Additional information

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. The authors have no conflict of interest or financial disclosures to report.

Notes on contributors

Anh Nguyet Diep

Anh Nguyet Diep, obtained her PhD degree in Educational Sciences from the Vrije Universiteit Brussels in 2018 and master’s degree of Statistics from the KU Leuven in the same year. Her research focuses on blended learning with students’ learning and satisfaction, online interaction and instrument validation as major topics. Currently, she works as a biostatistician at the Biostats Unit, Department of Public Health, University of Liège.

Méryl Paquay

Méryl Paquay, MSc, RNCC, RN: Mrs Paquay works as a quality and safety care manager. She is a nurse with a specialization in community health and a master's degree in public health. She is also certified to work as a simulation instructor. Mrs Paquay have recently started a PhD. Her area of expertise covers topics related to Crisis Resources Management, reporting, simulation and the impactof the work environment on the quality of care.

Jean-Christophe Servotte

Jean-Christophe Servotte, RN, CCRN, MSc, PhD. Jean-Christophe Servotte is a critical care nurse. He holds a master’s degree in public health science and a PhD in studying the impact of different simulation modalities on health learning. He is now working as researcher at Cellule Recherche & Développement Centre Namur Simulation, Haute Ecole Namur-Liège-Luxembourg. He is Chair of theINACSL International Committee.

Nadia Dardenne

Nadia Dardenne, MSc. is biostatistician at the Biostats Unit, Department of Public Health, University of Liège. She obtained a bachelor’s degree in Mathematical Sciences and master’s degree in Statistics from the University of Liège. Besides teaching, her research activities consist of providing methodological and statistical support to numerous national and international projects.

Laure Istas

Laure Istas holds a master’s degree in political science, International Relations with a focus on humanitarian action. She worked at the FPS Public Health, Safety of the Food Chain and Environment within the Quality and Patient Safety Unit. She has acquired knowledge and expertise in the field of coordination of quality of care and patient safety and has worked with hospitals at the national level to publish recommendations on different themes. Laure is now a project manager for the PAQS and works on various projects, focusing on patient involvement and participation, teamwork and the MR/MRS component.

Pauline Van Ngoc

Pauline Van Ngoc obtained her bachelor’s and master’s degrees in Industrial and Organizational Psychology at the University of Liège. She now works at the Unité de Recherche Soins Primaires et SantéDépartement de Médecine Générale, University of Liège,Liège, Belgium.

Mathilde Charlier

Mathilde Charlier obtained her master’s degree in Public Health, University of Liège in 2019. She is currently working at the Department of Public Health, University of Liège. Teamwork skills and training are her research topics of interest.

Alexandre Ghuysen

Alexandre Ghuysen, MD, PhD (male) qualified as medical doctor from the Liège University in 1992, trained in internal medicine in 1997 and emergency medicine in 1999, and PhD in Biomedical and experimental science in 2006. He has been the promoter of several PhD thesis, notably in the field of emergency and acute care medicine.At present, he is both professor at Liège University where he teaches acute care medicine, Head of the Center for Medical Simulation at the same University and associated Head of the Emergency Department at CHU Liège. He is currently the President of the Belgian Society of Emergency and Disaster Medicine (BESEDIM). He has received funding for several national and international research projects (Interreg).

Anne-Françoise Donneau

Anne-Françoise Donneau studied mathematics at the University of Liège and graduated in 2002. In 2013, she passed her PhD thesis on incomplete longitudinal ordinal data at the University of Liège. In 2015, she was appointed full professor of biostatistics at the Faculty of Medicine at the University of Liège and Director of the Biostatistics and Research methods Unit. Since 2016, she serves as medical computing expert for the steering committee within the framework of breast screening, Ministry of Public Health. She is currently involved as statistician expert in several INTERREG and regional projects. Her research interests include ordinal variables, missing data, multiple imputation, longitudinal/correlated data, cluster methods and validation techniques.