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Journal Information
Vol. 33. Issue 2.
Pages 115-122 (March - April 2023)
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Vol. 33. Issue 2.
Pages 115-122 (March - April 2023)
Original Article
Design of an instrument to measure humor in health professionals
Diseño de un instrumento de medida del humor en profesionales sanitarios
Miriam Leñero-Cirujanoa,b,
Corresponding author

Corresponding author.
, Juan Ignacio Torres-Gonzálezc, Héctor González-Ordib, María Nieves Moro-Tejedora, Jacinto Gómez-Higuerab
a Unidad de Apoyo a la Investigación en Enfermería, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain
b Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain
c Coordinación de Trasplantes, Hospital Universitario Clínico San Carlos, Madrid, Spain
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Figures (2)
Tables (2)
Table 1. Mean score of the assessment of item suitability by the panel of experts.
Table 2. Descriptive statistics of the test-retest.
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The objective of this study was to develop an instrument for measuring humor in health professionals.


Observational, transversal and descriptive study of mixed methodology. The instrument was designed in several phases: literature review, item generation, determination of the scale format, review by the expert panel, pilot study, reevaluation by the expert panel, and test-retest. The pertinence, relevance and comprehension of the items were analyzed. Interobserver agreement was calculated with Kappa and the intraclass correlation coefficient considering values ≥0.61. Pared sample Student’s t test and Pearson's correlation coefficient were used. A level of statistical significance was established at P < 0.05.


The Three-Dimensional Scale of Humor in Health Professionals consists of 50 items measured with a 5-point Likert scale based on the degree of agreement. Experts’ panel evaluated the global scale with 3.57 (0.79) points out of 5. An interobserver reliability of 0.69 (P < 0.001) was obtained in the pilot study. A Pearson correlation coefficient of 0.71 (P = 0.002) and an intraclass correlation coefficient of 0.69 (P = 0.001) resulted in the test-retest. No statistically significant differences were observed between test-retest scores.


The Three-Dimensional Scale of Humor in Health Professionals is an innovative tool for measuring humor in the health context. This scale is created specifically for health professionals. It’s necessary its validation in future studies.

Health profesional

Diseñar un instrumento de medida del humor en los profesionales sanitarios.


Estudio descriptivo, observacional y transversal de metodología mixta. Se elaboró el instrumento en varias fases: revisión bibliográfica, generación de los ítems, determinación del formato, evaluación por panel de expertos, estudio piloto, reevaluación por panel de expertos y test-retest. Se analizó la pertinencia, la relevancia y el grado de comprensión de los ítems. Se calculó la validez interobservador con el índice kappa y el coeficiente de correlación intraclase, considerándose los valores ≥0,61. Se utilizó la t de Student para muestras relacionadas y el coeficiente de correlación de Pearson. Para todas las pruebas se aceptó un valor de p < 0,05.


La Escala Tridimensional del Humor en Profesionales Sanitarios consta de 50 ítems medidos con una escala Likert de 5 puntos en función del grado de acuerdo. El panel de expertos valoró la escala global con 3,57 (0,79) puntos sobre 5. Se obtuvo una fiabilidad interobservador de 0,69 (p < 0,001) en el estudio piloto, un coeficiente de correlación de Pearson de 0,71 (p = 0,002) y un coeficiente de correlación intraclase de 0,69 (p = 0,001) en el test-retest. No se observaron diferencias estadísticamente significativas entre las puntuaciones del test-retest.


La Escala Tridimensional del Humor en los Profesionales Sanitarios es una herramienta innovadora en la medida del humor en el contexto sanitario, creada específicamente para profesionales sanitarios. Antes de su utilización, es necesario analizar su validez y fiabilidad en futuros estudios.

Palabras clave:
Profesionales sanitarios


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