Validation of the professional quality of life and burnout questionnaires (CVP-35 and MBI-HSS) in medical residents.


Validación de los cuestionarios CVP-35 y MBI-HSS para calidad de vida profesional y burnout en residentes.
Dulce Adelaida Rivera-Ávilaa, Julio César Rivera-Hermosillob, Cuitláhuac González-Galindocc

a Clínica de Medicina Familiar Oriente, Instituto de Servicios y Seguridad Social para los Trabajadores del Estado (ISSSTE), Ciudad de México, México
b Hospital Regional «1.o de Octubre», Instituto de Servicios y Seguridad Social para los Trabajadores del Estado (ISSSTE), Ciudad de México, México
c Centro Médico Nacional 20 Noviembre, Instituto de Servicios y Seguridad Social para los Trabajadores del Estado ISSSTE, Ciudad de México, México

Recibido 29 enero 2016, Aceptado 06 junio 2016

Palabras Clave

Educación de posgrado en medicina, Calidad de vida, Desgaste profesional, Análisis factorial, Estudios de validación

Keywords

Residency medical, Quality of life, Burnout, Factor analysis, Validation studies

Abstract

Introduction: Professional quality of life (QoPL) is the balance of demand and employment/personal resources. It is important to relate QoPL to the pathological state of professional burnout, a product of the mismatch between demands of the position and personal capabilities. The questionnaires on QoPL and burnout, Spanish version self-administered format have not been validated.

Objective: To validate the psychometric properties of the scale, and to perform a factor analysis and construct validity of the Mexican Spanish version of the Professional Quality of Life questionnaires CVP-35 and the Maslach Inventory MBI-HSS using Internet surveys.

Method: Observational, prospective, cross-sectional, multicentre, and analytical design.

Participants: Medical residents on a national medical specialty or subspecialty course, 2015-2016 at ISSSTE. Those with illness and psychiatric treatment were excluded. All subjects were informed of the study and gave their consent to participate. They received via e-mail with completion and shipping instructions for June-July 2015.

Results: Of the 360 responses received from 19 locations nationwide, 17 were excluded due to responding more than once (n=338). Validation CVP-35: 35 5-point Likert scale items. Reliability: α=.93. Principal component analysis: KMO=.9. Bartlett sphericity test P<.001. Factors: 8 with eigenvalues >1 explained 62.5% of total variance (job demands, management support, intrinsic motivation, support equipment, institutional feedback, perceived quality of life, physical and personal demands, financial support). Validation MBI-HSS: 22 Likert scale items 7 points, α=.885, KMO=.886. Bartlett sphericity test P<.001. Factors: 3 (emotional exhaustion, personal accomplishment, depersonalisation) with eigenvalues >1 accounted for 51.17% of total variance. Pearson correlation coefficient was calculated. Significant >.3. Correlations emotional exhaustion of MBI-HSS domains correlated positively with CVP-35 job demands r=.399 (P<.0001) and poorer quality of life perceived r=.409 (P<.0001). Personal accomplishment MBI-HSS correlated with intrinsic motivation of the CVP-35 r=.379 (P<.0001).

Conclusions: Both instruments (CVP-35 and MBI-HSS) demonstrated reliability and validity in their online self-administered format in medical residents.