Attitudes and Confidence in the Integration of Psychiatry Scale

Abstract

Objective: The authors sought to measure attitudes and confidence in the integration of psychiatry into other fields of medicine. Methods: The Attitudes and Confidence in Integration of Psychiatry in Medicine (ACIP) scale was developed through discussion with content experts across disciplines and pilot testing of items and administered to third- and fourth-year medical students at University of Iowa, University of Michigan, Rush University for validation, focused on assessment of variability, internal consistency, factor structure, and test-retest reliability. Results: A total of 310 medical students completed the survey (35 % participation rate). The scale had a high internal consistency (Cronbach's alpha = 0.88) and was without ceiling or floor effects. Students rated the integration of psychiatry into the practice of surgery and its subspecialties as less relevant than its integration into other specialties; however, scores were not biased by students' interest in procedural vs. non-procedural specialties. Test-retest reliability was high (Cronbach's alpha = 0.90). Conclusions: The ACIP may serve a useful role in determining the outcome of educational efforts toward integrated care.