Open Access Study protocol

Study protocol of psychometric properties of the Spanish translation of a competence test in evidence based practice: The Fresno test

Josep M Argimon-Pallàs1*, Gemma Flores-Mateo2, Josep Jiménez-Villa1, Enriqueta Pujol-Ribera2, Gonçal Foz3, Magda Bundó-Vidiella4, Sebastià Juncosa5, Cruz M Fuentes-Bellido6, Belén Pérez-Rodríguez7, Francesc Margalef-Pallarès8, Rosa Villafafila-Ferrero9, Dolors Forès-Garcia9, Josep Roman-Martínez10 and Esther Vilert-Garroga10

Author Affiliations

1 Divisió d'avaluació, Servei Català de la Salut, C/Travessera de les Corts, 131-159 Edifici Olímpia,08028 Barcelona, Spain

2 Institut d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), C/Gran Via de les Corts Catalanes 587 àtic, 08007 Barcelona, Spain

3 UD Barcelona Ciutat, Institut Català de la Salut, C/Sant Elies 42, 08006 Barcelona, Spain

4 UD de Barcelonès Nord i Maresme, Institut Català de la Salut, C/La Plaça 93, 0830 Premia de Mar, Barcelona, Spain

5 UD Centre, Institut Català de la Salut, C/Torrebonica s/n, 08227 Terrassa, Barcelona, Spain

6 UD Tarragona, Institut Català de la Salut, C/Prat de la Riba 39, 43001 Tarragona, Spain

7 UD Fundació Sant Pau i Santa Tecla, C/Joan Fuster s/n, 43007, Tarragona, Spain

8 UD de FASS grup SAGESSA, Av President Companys s/n, 43201 Reus, Tarragona, Spain

9 UD Costa de Ponent, Institut Català de la Salut, Autovia de Castelldefels, km 2, 7, 1a planta. 08907, L'Hospitalet de Llobregat, Barcelona, Spain

10 UD de Palamòs, C/Hospital 36, 17230 Palamòs, Girona, Spain

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BMC Health Services Research 2009, 9:37  doi:10.1186/1472-6963-9-37

Published: 24 February 2009



There are few high-quality instruments for evaluating the effectiveness of Evidence-Based Practice (EBP) curricula with objective outcomes measures. The Fresno test is an instrument that evaluates most of EBP steps with a high reliability and validity in the English original version. The present study has the aims to translate the Fresno questionnaire into Spanish and its subsequent validation to ensure the equivalence of the Spanish version against the English original.

Methods and design

The questionnaire will be translated with the back translation technique and tested in Primary Care Teaching Units in Catalonia (PCTU). Participants will be: (a) tutors of Family Medicine residents (expert group); (b) Family Medicine residents in their second year of the Family Medicine training program (novice group), and (c) Family Medicine physicians (intermediate group). The questionnaire will be administered before and after an educational intervention. The educational intervention will be an interactive four half-day sessions designed to develop the knowledge and skills required to EBP. Responsiveness statistics used in the analysis will be the effect size, the standardised response mean and Guyatt's method. For internal consistency reliability, two measures will be used: corrected item-total correlations and Cronbach's alpha. Inter-rater reliability will be tested using Kappa coefficient for qualitative items and intra-class correlation coefficient for quantitative items and the overall score. Construct validity, item difficulty, item discrimination and feasibility will be determined.


The validation of the Fresno questionnaire into different languages will enable the expansion of the questionnaire, as well as allowing comparison between countries and the evaluation of different teaching models.