Introduction
The purpose of this study was to investigate the psychometric properties of the remote
first aid self-efficacy scale (RFA SES). The RFA SES is a 30-item self-report scale
developed in response to emerging evidence showing that self-efficacy is predictive
of performance.
Methods
Trained alumni from Wilderness Medical Associates (WMA) training courses and less
trained students from Laurentian University (LU) were recruited via email to complete
an online questionnaire at 2 different periods (T1 and T2). The questionnaire included
demographic questions, the 30-item RFA SES, the 10-item Connor-Davidson resilience
scale (CD-RISC), and the 10-item generalized self-efficacy scale (GSES). Data analysis
included assessment of the dimensionality, reliability, and validity of the scale.
Results
There were 448 alumni from WMA and 1106 students from LU who participated in the study.
The RFA SES demonstrated a clear unidimensional structure. The mean interitem correlation
was 0.75 at T1. Test-retest reliability (T1 to T2) was high for both the LU group
(intraclass correlation [ICC]=0.90) and the WMA group (ICC=0.92). Moderate correlations
were found between RFA SES and CD-RISC (r=0.42, P<0.001), a general measure of resilience, and the GSES (r=0.48, P<0.001), a general measure of self-efficacy. Wilderness Medical Associates participants
showed higher mean scores than LU students at T1 (t [569]=16.2, P<0.001).
Conclusions
The RFA SES is a unidimensional, reliable, and potentially valid scale. Further research
should focus on item reduction followed by additional tests of reliability and validity.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Wilderness & Environmental MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Part 17: first aid: 2010 American Heart Association and American Red Cross guidelines for first aid.Circulation. 2010; 122: S934-S946
- Wilderness First Aid: Emergency Care in Remote Locations.4th ed. Jones and Bartlett Learning, Burlington, MA2015
- An environmental scan of emergency response systems and services in remote First Nations communities in Northern Ontario.Int J Circumpolar Health. 2017; 761320208
- Conceptualizing and managing medical emergencies where no formal paramedical system exists: perspectives from a remote indigenous community in Canada.Int J Environ Res Public Health. 2018; 15: 267
- How Healthy Are Rural Canadians? An Assessment of Their Health Status and Health Determinants: a Component of the Initiative “Canada's Rural Communities: Understanding Rural Health and Its Determinants.”.Canadian Institute for Health Information, 2006
- Community-based emergency care: a model for prehospital care in remote Canadian communities.CJEM. 2016; 18: 385-388
- Self-Efficacy: The Exercise of Control.W.H. Freeman, New York, NY1997
- An examination of wilderness first aid knowledge, self-efficacy, and skill retention.Wilderness Environ Med. 2012; 23: 281-287
- Guide for constructing self-efficacy scales.in: Pajares F. Urdan T.C. Self-Efficacy Beliefs of Adolescents. Adolescence and Education. Information Age Publishing, Charlotte, NC2006: 306-337
- Validating the Remote First Aid Self-efficacy Scale for Use in Training and Personal Development of Remote First Responders [Master’s Thesis].Laurentian University, Sudbury, Ontario, Canada2021: 1-7
- Where there is no paramedic: the Sachigo Lake wilderness emergency response education initiative.PLoS Med. 2012; 9e1001322
- Teaching wilderness first aid in a remote First Nations community: the story of the Sachigo Lake Wilderness Emergency Response Education Initiative.Int J Circumpolar Health. 2012; 7119002
- Best practices for developing and validating scales for health, social, and behavioral research: a primer.Front Public Health. 2018; 6: 149
- Generalized self-efficacy scale.in: Weinman J. Wright S. Johnston M. Measures in Health Psychology: A User’s Portfolio. NFER-Nelson, Windsor, UK1995: 35-37
- Psychometric analysis and refinement of the Connor–Davidson resilience scale (CD-RISC): validation of a 10-item measure of resilience.J Trauma Stress. 2007; 20: 1019-1028
- Comparison of convenience sampling and purposive sampling.AJTAS. 2016; 5: 1
- Research electronic data capture (REDCap) –a metadata-driven methodology and workflow process for providing translational research informatics support.J Biomed Inform. 2009; 42: 377-381
- Mayo/FDA Patient-Reported Outcomes Consensus Meeting Group. What is sufficient evidence for the reliability and validity of patient-reported outcome measures?.Value Health. 2007; 10: S94-S105
- A critical analysis of test-retest reliability in instrument validation studies of cancer patients under palliative care: a systematic review.BMC Med Res Methodol. 2014; 14: 8
- A rationale and test for the number of factors in factor analysis.Psychometrika. 1965; 30: 179-185
- Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM.J Strength Cond Res. 2005; 19: 231-240
- Confirmatory Factor Analysis for Applied Research.2nd ed. Guilford Press, New York, NY2015
- Inter-item correlations.in: Michalos A.C. Encyclopedia of Quality of Life and Well-Being Research. Springer, Heidelberg, Germany2014: 3303-3304
- Porta M.S. A dictionary of epidemiology. 5th ed. Oxford University Press, Oxford, UK2008: 246-249
- The three faces of overconfidence.Soc Pers Psychol Compass. 2017; 11e12331
- Unskilled but aware: reinterpreting overconfidence in low-performing students.J Exp Psychol Learn Mem Cogn. 2011; 37: 502-506
- Overconfidence produces underachievement: inaccurate self evaluations undermine students’ learning and retention.Learn Instruction. 2012; 22: 271-280
- Statistics corner: a guide to appropriate use of correlation coefficient in medical research.Malawi Med J. 2012; 24: 69-71
- Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC).Depress Anxiety. 2003; 18: 76-82
- Individual differences in age and self-efficacy in the unemployed.Aust J Psychol. 2005; 57: 11-19
Article info
Publication history
Published online: November 26, 2022
Accepted:
September 19,
2022
Received:
November 1,
2021
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.