Assessment of Interprofessional Team Collaboration Scale II (AITCS-II)


The AITCS-II is a diagnostic instrument to assist health care teams in practice to determine how well they are collaborating in their teamwork.

What is the AITCS-II?

The Assessment of Interprofessional Team Collaboration Scale II (AITCS-II) is a diagnostic instrument to assist health care teams in practice to determine how well they are collaborating in their teamwork. The instrument is suggested to be used in conjunction with a change intervention within a healthcare setting to assist in determining the impact of the change on the working relationships of those who comprise the patient/client centred team. The instrument was developed based on concept analyses of the concept ‘collaboration’.

The instrument is comprised of 37-items within three sub-scales: partnership/shared decision-making (19 items), cooperation (11 items) and coordination (7 items). Each item is rated using a 5-point Likert Scale (5 = always; 4 = most of the time; 3 = some of the time; 2 = occasionally, and 1 = never).

Administration

1. Paper and Pencil

2. 10 to 15 minutes for entire scale

3. 37 questions for entire scale

4. 5-point Likert scale (always to never)

Reliability

The Cronbach liability estimates for the ATICS are excellent (.98). Item total correlations are high ranging from 0.80 to 0.97. Reliability estimates are similar across various healthcare teams. This suggests that health providers in different types of settings are interpreting the items on the AITCS in a consistent manner.

Validity

Construct validity has been established through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The results of the PCA revealed a 3-factor solution with eigenvalues exceeding 1, explaining 58% of the variance. The screeplot revealed a clear break after the third component. The number of items were reduced using a cut-off point of 0.5 with a minimum difference among components of 0.1 for the factor loadings. Two further CFAs were carried out resulting in the deletion of eight cross-loaded items. This resulted in the retention of 37 items within three factors labeled coordination, partnership (shared decision-making) and cooperation and a total variance accounting for 61.02%. Further psychometric testing will be undertaken to refine the instrument.

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