项目库的内容有效性,以评估实施循证实践的干预特征决定因素。

Implementation research and practice Pub Date : 2023-05-16 eCollection Date: 2023-01-01 DOI:10.1177/26334895231175527
Salene M W Jones, Aditya Shrey, Bryan J Weiner
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引用次数: 0

摘要

背景:循证实践实施的障碍和促进者,统称为决定因素,是确定促进实施的最佳战略的关键。在实施之前评估决定因素有助于根据最有效的战略调整战略。目前的决定因素衡量标准在实施环境中不具有可比性,实施科学家和从业者往往必须制定自己的衡量标准。这项研究是创建跨环境可用的决定因素项目库的第一步,重点关注干预特征。我们旨在建立项目库的内容有效性。方法:本研究采用并行混合方法。评估干预特征决定因素的项目首先通过系统审查确定。执行科学家随后完成了一项调查,他们对这些项目提供了定量和定性反馈。最后,三位具有临床和实施经验的专家就冗余性和代表性提供了反馈。结果:系统审查确定了超过1959个项目,因此后续步骤仅限于关注干预特征的决定因素(271个项目),如实践的适应性。根据30名实施科学家的反馈,项目减少到92个,但增加了53个,大部分是由于质量反馈。项目也根据定性结果改写。三名专家审查了其余145个项目。根据他们的反馈,项目数量减少到109个。结论:创建决定因素项目库是可行的,最终项目具有内容有效性。接下来的步骤包括在更多实施循证实践的临床医生样本中测试可靠性和有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Content validity of an item bank to assess intervention characteristic determinants of implementing evidence-based practices.

Background: Barriers and facilitators, collectively called determinants, of evidence-based practice implementation are key to identifying the best strategies for promoting implementation. Assessing determinants before implementation can help tailor strategies to those that would be most effective. Current measures of determinants are not comparable across implementation settings and implementation scientists and practitioners often have to create their own measures. This study was the first step in creating determinants item banks that are usable across settings and focused on intervention characteristics. We aimed to establish the content validity of the item bank.

Method: This study used a concurrent mixed methods approach. Items for assessing intervention characteristic determinants were first identified through systematic reviews. Implementation scientists then completed a survey where they provided both quantitative and qualitative feedback on the items. Finally, three experts with both clinical and implementation experience provided feedback on redundancy and representativeness.

Results: The systematic reviews identified over 1,959 items so subsequent steps were limited to focus on intervention characteristic determinants (271 items) such as adaptability of the practice. Based on feedback from thirty implementation scientists, the items were reduced to 92 but an additional 53 were added, most due to qualitative feedback. Items were also rewritten based on qualitative results. Three experts reviewed the remaining 145 items. Based on their feedback, the number of items was reduced to 109.

Conclusions: Creating a determinants item bank was feasible and the final items had content validity. The next steps include testing reliability and validity in a larger sample of clinicians implementing evidence-based practices.

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审稿时长
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