Validity and Reliability of Persian Version of Evaluation and Feedback for Effective Clinical Education Questionnaire in Occupational Therapy Education in Iran

Background: Clinical education plays a vital role in the clinical activities of graduates; therefore, the evaluation of educational services through appropriate tools paves the way for promoting learners’ skills. The present study was conducted to translate the Evaluation and Feedback for Effective Clinical Education (EFFECT) questionnaire from English into Persian and assess the validity and reliability of the translated version. Method: Initially, the EFFECT questionnaire was translated from English into Persian based on the International Quality of life Assessment (IQOLA). To quantitatively determine the face validity of the translated questionnaire, it was evaluated by 22 occupational therapy students. To quantitatively evaluate the content validity of the questionnaire, the content validity ratio (CVR) and the content validity index (CVI) were used (11 occupational therapy educators). To assess internal consistency, ninety-four occupational therapy students completed the translated EFFECT questionnaire. To measure test-retest reliability, 35 occupational therapy students filled out the translated questionnaire again after two weeks interval. Results: The EFFECT scores of the items ranged from 3.95 to 4.77, all of which were at an acceptable level. The CVR scores of 48 items (necessity) were higher than 0.59. Fifty-one items obtained CVI scores more than 0.79 (clarity). The test-retest reliability values were in the range of 0.75 to 0.91. The results indicated moderate reliability for the domain of educator characteristics and very high reliability for other domains of the questionnaire. The values of Cronbach’s alpha varied from 0.84 to 0.94. The total value of Cronbach’s alpha was 0.98. Conclusion: The Persian version of the EFFECT questionnaire has good validity and reliability and can be employed to assess the quality of clinical education in occupational therapy.