000156635 001__ 156635 000156635 005__ 20251017144652.0 000156635 0247_ $$2doi$$a10.17219/acem/203430 000156635 0248_ $$2sideral$$a143890 000156635 037__ $$aART-2025-143890 000156635 041__ $$aeng 000156635 100__ $$aKarniej, Piotr 000156635 245__ $$aPsychometric properties and cultural adaptation of the Spanish version of the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS-ES) 000156635 260__ $$c2025 000156635 5060_ $$aAccess copy available to the general public$$fUnrestricted 000156635 5203_ $$aBackground: Healthcare systems can present unique challenges for individuals in the lesbian, gay, bisexual, and transgender (LGBT) community, often making it difficult for them to access suitable and respectful care. Objectives: The aim of this study was to perform a transcultural adaptations and to evaluate psychometric properties of the Spanish version of the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS-ES). This adaptation is intended for application within Spanish-speaking healthcare settings. Material and methods: The LGBT-DOCSS was translated and adapted from the original English version into Spanish using a standardized process, including forward translation, back-translation, and expert panel review. Psychometric properties were tested on a sample of 270 participants from Spain. Internal consistency was evaluated using confirmatory factor analysis (CFA), Cronbach's alpha, the discriminative power index, and McDonald's omega (ω). Results: The study included 270 participants, with 58.9% being female and 38.9% male. Of the respondents, 52.2% identified as heterosexual, 32.6% as homosexual and 13% as bisexual. The internal consistency of the Spanish version and its domains was good with an overall Cronbach's alpha of 0.746. The alpha ranges for each subscale domains were between 0.769 and 0.822. The McDonald's ω coefficient was 0.808. Conclusions: The Spanish version of the LGBT-DOCSS-ES has good properties of factorial validity. This tool is a valuable resource for assessing cultural competence and clinical skills among healthcare providers in Spanish-speaking settings. 000156635 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es 000156635 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000156635 700__ $$aJuárez-Vela, Raúl 000156635 700__ $$aDissen, Anthony 000156635 700__ $$aMartinez Sabater, Antonio 000156635 700__ $$aDel Pozo Herce, Pablo 000156635 700__ $$aGea-Caballero, Vicente 000156635 700__ $$0(orcid)0000-0002-4753-630X$$aEchániz Serrano, Emmanuel$$uUniversidad de Zaragoza 000156635 700__ $$aChover-Sierra, Elena 000156635 700__ $$aPerez-Elvira, Ruben 000156635 700__ $$aCzapla, Michal 000156635 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería 000156635 773__ $$g(2025), [12 pp.]$$pAdv. Clin. Exp. Med.$$tAdvances in Clinical and Experimental Medicine$$x1899-5276 000156635 8564_ $$s417033$$uhttps://zaguan.unizar.es/record/156635/files/texto_completo.pdf$$yVersión publicada 000156635 8564_ $$s2237517$$uhttps://zaguan.unizar.es/record/156635/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000156635 909CO $$ooai:zaguan.unizar.es:156635$$particulos$$pdriver 000156635 951__ $$a2025-10-17-14:36:51 000156635 980__ $$aARTICLE