Measuring interprofessional facilitation skills: An Indonesian validation study of the IPFS

Authors

  • Amelia Dwi Fitri Department of Medical Education, Faculty of Medicine and Health Sciences, Universitas Jambi
  • Nyimas Natasha Ayu Shafira Department of Medical Education, Faculty of Medicine and Health Sciences, Universitas Jambi
  • Citra Maharani Department of Medical Biology and Biochemistry, Faculty of Medicine and Health Sciences, Universitas Jambi
  • Wahyu Indah Dewi Aurora Department of Public Health, Faculty of Medicine and Health Sciences, Universitas Jambi
  • Erny Kusdiyah Department of Public Health, Faculty of Medicine and Health Sciences, Universitas Jambi
  • Rina Nofri Enis Department of Anatomy, Faculty of Medicine and Health Sciences, Universitas Jambi
  • Anggelia Puspasari Department of Medical Biology and Biochemistry, Faculty of Medicine and Health Sciences, Universitas Jambi

DOI:

https://doi.org/10.22437/proca.v1i2.50320

Keywords:

Interprofessional Education, IPFS, Facilitation Skills, Cross-cultural adaptation, Psychometric validation

Abstract

Background: The effectiveness of Interprofessional Education (IPE) is highly dependent on the facilitator's skill in managing collaborative group dynamics. The Interprofessional Facilitation Scale (IPFS) is an established 15-item instrument developed to measure these specific competencies, but its use in the Indonesian educational and cultural context requires rigorous cross-cultural adaptation and psychometric validation to ensure the instrument’s measurement equivalence and interpretability. Objective: This study aimed to adapt the IPFS into Indonesian, establish its psychometric properties (validity, reliability, and factor structure), and validate it for use in assessing IPE facilitator competence in Indonesia. Methods: Following the adaptation guidelines, the IPFS was translated and subjected to expert review. The final Indonesian version was administered to a large sample of 760 IPE facilitators, with ratings provided by IPE-participating students. Data analysis was conducted using Item-Total Correlation, Omega McDonalds (w) for reliability, and Exploratory Factor Analysis (EFA) using Maximum Likelihood extraction for construct validity. Results: The Indonesian IPFS demonstrated exceptional internal consistency, with an overall w of 0.976. All item-total correlations were strong, ranging from 0.809 to 0.879. The EFA confirmed the data's suitability (KMO = 0.976, Bartlett’s Test of sphericity p< 0.001). The analysis extracted a single, highly dominant factor (Eigenvalue = 11.297), which accounted for 73.556% of the total variance. All items loaded strongly onto this single factor (ranging from 0.816 to 0.892). Conclusion: The Indonesian version of the IPFS is confirmed as a psychometrically sound, highly reliable, and valid instrument. Contrary to the original theoretical model, the scale functions as a uni-dimensional measure of overall IPE facilitation competence in the Indonesian context. This validated tool is a crucial resource for standardizing assessment, guiding faculty development, and enhancing IPE quality assurance in local institutions.

Downloads

Download data is not yet available.

Author Biographies

Amelia Dwi Fitri, Department of Medical Education, Faculty of Medicine and Health Sciences, Universitas Jambi

Department of Medical Education, Faculty of Medicine and Health Sciences, Universitas Jambi

Nyimas Natasha Ayu Shafira, Department of Medical Education, Faculty of Medicine and Health Sciences, Universitas Jambi

Department of Medical Education, Faculty of Medicine and Health Sciences, Universitas Jambi

Citra Maharani, Department of Medical Biology and Biochemistry, Faculty of Medicine and Health Sciences, Universitas Jambi

Department of Medical Biology and Biochemistry, Faculty of Medicine and Health Sciences, Universitas Jambi

Wahyu Indah Dewi Aurora, Department of Public Health, Faculty of Medicine and Health Sciences, Universitas Jambi

Department of Public Health, Faculty of Medicine and Health Sciences, Universitas Jambi

Erny Kusdiyah, Department of Public Health, Faculty of Medicine and Health Sciences, Universitas Jambi

Department of Public Health, Faculty of Medicine and Health Sciences, Universitas Jambi

Rina Nofri Enis, Department of Anatomy, Faculty of Medicine and Health Sciences, Universitas Jambi

Department of Anatomy, Faculty of Medicine and Health Sciences, Universitas Jambi

Anggelia Puspasari, Department of Medical Biology and Biochemistry, Faculty of Medicine and Health Sciences, Universitas Jambi

Department of Medical Biology and Biochemistry, Faculty of Medicine and Health Sciences, Universitas Jambi

References

[1] Organization WH. Framework for action on interprofessional education and collaborative practice 2010.

[2] Mann K, Gordon J, MacLeod A. Reflection and reflective practice in health professions education: a systematic review. Advances in Health Sciences Education 2009;14:595–621. https://doi.org/10.1007/s10459-007-9090-2.

[3] Thistlethwaite JE, Forman D, Matthews LR, Rogers GD, Steketee C, Yassine T. Competencies and Frameworks in Interprofessional Education. Academic Medicine 2014;89:869–75. https://doi.org/10.1097/ACM.0000000000000249.

[4] Reeves S, Fletcher S, Barr H, Birch I, Boet S, Davies N, et al. A BEME systematic review of the effects of interprofessional education: BEME Guide No. 39. Medical Teacher YR - 2016 n.d.;38:656–68. https://doi.org/10.3109/0142159X.2016.1173663.

[5] Sargeant J, Hill T, Breau L. Development and testing of a scale to assess interprofessional education (IPE) faciliation skills. Journal of Continuing Education in the Health Professions 2010;30:126–31. https://doi.org/10.1002/chp.20069.

[6] Sargeant J, Loney E, Murphy G. Effective interprofessional teams: “Contact is not enough” to build a team. Journal of Continuing Education in the Health Professions 2008;28:228–34. https://doi.org/10.1002/chp.189.

[7] Dwi Fitri A, Findyartini A, Soemantri D, Mustika R, Santoso A, Claramita M, et al. Cross-cultural adaptation and validation of a teaching questionnaire measuring facilitator competencies and characteristics of interprofessional clinical educators in an Asian setting. Journal of Interprofessional Care 2025;39:377–90. https://doi.org/10.1080/13561820.2025.2452972.

[8] Suhoyo Y, van Hell EA, Prihatiningsih TS, Kuks JBM, Cohen-Schotanus J. Exploring cultural differences in feedback processes and perceived instructiveness during clerkships: Replicating a Dutch study in Indonesia. Medical Teacher 2014;36:223–9. https://doi.org/10.3109/0142159X.2013.853117.

[9] Soemantri D, Sari SP, Wahyuni T, Ayubi D, Mulyono S, Adiatman M, et al. Measuring the interprofessional collaborative competencies of health-care students using a validated Indonesian version of the CICS29. Journal of Interprofessional Care 2020;34:763–71. https://doi.org/10.1080/13561820.2019.1697215.

[10] Findyartini A, Bilszta J, Lysk J, Soemantri D. Transnational clinical teacher training: Lessons learned and cross-cultural implications. The Asia Pacific Scholar 2019;4:79–90. https://doi.org/10.29060/TAPS.2019-4-3/OA2088.

[11] Hofstede G. Culture’s Recent Consequences: Using Dimension Scores in Theory and Research. International Journal of Cross Cultural Management 2001;1:11–7. https://doi.org/10.1177/147059580111002.

[12] Darmayani S, Findyartini A, Widiasih N, Soemantri D. Stereotypes among health professions in Indonesia: an explorative study. Korean Journal of Medical Education 2020;32:329–41. https://doi.org/10.3946/kjme.2020.180.

[13] Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis eight edition. Cengage Learning EMEA: United Kingdom 2019.

[14] Field A. Discovering statistics using IBM SPSS statistics. Sage publications limited; 2024.

[15] Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine 2000;25:3186–91. https://doi.org/10.1097/00007632-200012150-00014.

[16] Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines. Journal of Clinical Epidemiology 1993;46:1417–32. https://doi.org/10.1016/0895-4356(93)90142-N.

[17] Borsa JC, Damásio BF, Bandeira DR. Adaptação e validação de instrumentos psicológicos entre culturas: algumas considerações. Paidéia (Ribeirão Preto) 2012;22:423–32. https://doi.org/10.1590/S0103-863X2012000300014.

[18] Downing SM. Validity: on the meaningful interpretation of assessment data. Medical Education 2003;37:830–7. https://doi.org/10.1046/j.1365-2923.2003.01594.x.

[19] Ehido A, Awang Z, Abdul Halim B, Ibeabuchi C. Establishing Valid and Reliable Measures for Organizational Commitment and Job Performance: An Exploratory Factor Analysis. International Journal of Social Sciences Perspectives 2020;7:58–70. https://doi.org/10.33094/7.2017.2020.72.58.70.

[20] DeVellis RF, Thorpe CT. Scale development: Theory and applications. Sage publications; 2021.

[21] Buring SM, Bhushan A, Brazeau G, Conway S, Hansen L, Westberg S. Keys to Successful Implementation of Interprofessional Education: Learning Location, Faculty Development, and Curricular Themes. American Journal of Pharmaceutical Education 2009;73:60. https://doi.org/10.5688/aj730460.

[22] van Diggele C, Roberts C, Burgess A, Mellis C. Interprofessional education: tips for design and implementation. BMC Medical Education 2020;20:455. https://doi.org/10.1186/s12909-020-02286-z.

[23] White SJ. Complexity and objectivity in teaching interprofessional healthcare communication. Patient Education and Counseling 2025;131:108558. https://doi.org/10.1016/j.pec.2024.108558.

[24] Watkins KD. Faculty development to support interprofessional education in healthcare professions: A realist synthesis. Journal of Interprofessional Care 2016;30:695–701. https://doi.org/10.1080/13561820.2016.1209466.

[25] Reeves S. Why we need interprofessional education to improve the delivery of safe and effective care. Interface - Comunicação, Saúde, Educação 2016;20:185–97. https://doi.org/10.1590/1807-57622014.0092.

[26] Kikukawa M, Nabeta H, Ono M, Emura S, Oda Y, Koizumi S, et al. The characteristics of a good clinical teacher as perceived by resident physicians in Japan: a qualitative study. BMC Medical Education 2013;13:100. https://doi.org/10.1186/1472-6920-13-100.

[27] Abu-Rish Blakeney E, Pfeifle A, Jones M, Hall LW, K. Zierler B. Findings from a mixed-methods study of an interprofessional faculty development program. Journal of Interprofessional Care 2016;30:83–9. https://doi.org/10.3109/13561820.2015.1051615.

[28] Al-Sheikh MH. Interprofessional faculty development program: ESHPE model. Journal of Interprofessional Education & Practice 2018;12:29–32. https://doi.org/10.1016/j.xjep.2018.05.003.

[29] Amin Z, Hoon K, Seng CY, Hoon TC, Sun GP, Samarasekera DD, et al. A Multi-Institutional Survey on Faculty Development Needs, Priorities and Preferences in Medical Education in an Asian Medical School. Medical Education Online 2009;14:4509. https://doi.org/10.3402/meo.v14i.4509.

[30] Costello AB, Osborne J. Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research, and Evaluation 2005;10. https://doi.org/https://doi.org/10.7275/jyj1-4868.

Downloads

Published

29-11-2025

How to Cite

Fitri, A. D., Shafira, N. N. A., Maharani, C., Aurora, W. I. D., Kusdiyah, E., Enis, R. N., & Puspasari, A. (2025). Measuring interprofessional facilitation skills: An Indonesian validation study of the IPFS. Proceedings Academic Universitas Jambi, 1(2), 621–631. https://doi.org/10.22437/proca.v1i2.50320

Issue

Section

RESEARCH DISSEMINATION