title: Validity and reliability of activities coaching context questionnaire.
abstract: BACKGROUND
  Learning in a clinical environment is an inseparable part of a training program in medical education. To evaluate the quality of training in a clinical environment, a comprehensive questionnaire which is adjusted for local purposes is essential. This study was conducted to determine the validity and reliability of Activities Coaching Context (ACC)-questionnaire from the perspective of residents and students in a clinical learning environment.
  
  
  METHODS
  This was a cross-sectional study conducted with 65 residents and students of Semnan University of Medical Sciences. The Content Validity of the questionnaire was confirmed by the judgment of a panel of ten experts in medical education. The construct validity of the questionnaire was determined by factor analysis. Data were collected and analyzed by SPSS16.
  
  
  RESULTS
  The ratio and index of content validity calculated by experts' view were quite acceptable (0.31 and 0.7, respectively). Construct validity was examined by factor analysis which confirmed seven first order factors. Cronbach's Alfa coefficient revealed a high degree of internal consistency (0.932). The reliability of the questionnaire was measured by test - retest (0.9).
  
  
  CONCLUSIONS
  The ACC questionnaire appeared to be a valid, reliable and also appropriate tool to evaluate the educational quality of a clinical learning environment.
authors.affiliation: 1. Associate Professor of Community Medicine, Center of Educational Research Medical Sciences (CERMS), Iran University of Medical Sciences, Tehran, Iran. jkuhpayeh@yahoo.com.
authors.forename: Jalil
authors.initials: J
authors.lastname: Koohpayehzadeh
authors.affiliation: 2. MSc in Medical Educating, Medical Education Department , Virtual School of Medicine , Tehran University of Medical Sciences, Tehran, Iran. Mha325@yahoo.com.
authors.forename: Maryam
authors.initials: M
authors.lastname: Haji Ahmadi
authors.affiliation: 3. Assistant Professor, English Language Department, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran. afsanehdehnad@gmail.com.
authors.forename: Afsaneh
authors.initials: A
authors.lastname: Dehnad
authors.affiliation: 4. Professor of Internal Medicine, Department of Medical Education, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran. Soltarab34@gmail.com.
authors.forename: Seyed Kamran
authors.initials: SK
authors.lastname: Soltani Arabshahi
authors.affiliation: 5. Assistant Professor, Department of Medical Educational, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran. Shb555@yahoo.com.
authors.forename: Shoaleh
authors.initials: S
authors.lastname: Bigdeli
authors.affiliation: 6. MD, MPH. Department of Health, Semnan University of Medical Sciences, Semnan, Iran. Soyh_325@yahoo.com.
authors.forename: Sohrab
authors.initials: S
authors.lastname: Yadollahi
keywords: Clinical; Learning; Questionnaires; Reliability; Validity