多方法探索性量表开发过程测量刚果民主共和国和多哥专制提供者态度的结果。

IF 5 1区 物理与天体物理 Q1 PHYSICS, PARTICLES & FIELDS Journal of High Energy Physics Pub Date : 2023-11-30 DOI:10.9745/GHSP-D-22-00421
Martha Silva, Kathryn Spielman, Leanne Dougherty, Sethson Kassegne, Amanda Kalamar
{"title":"多方法探索性量表开发过程测量刚果民主共和国和多哥专制提供者态度的结果。","authors":"Martha Silva, Kathryn Spielman, Leanne Dougherty, Sethson Kassegne, Amanda Kalamar","doi":"10.9745/GHSP-D-22-00421","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Health care providers' actions can significantly influence clients' experiences of care, adherence to recommendations, and likelihood of re-engaging with health services. There are currently no validated scales that measure provider attitudes that could affect service delivery in multiple health areas.</p><p><strong>Methods: </strong>We developed provider attitude measures in 3 phases. In phase 1 (2019), survey items were developed based on literature reviews, and quantitative items were tested through a health facility survey conducted in the Democratic Republic of the Congo (DRC). Health care providers (N=1,143) completed a 23-question survey focused on 3 subdomains: provider perceptions of clients, provider roles, and gender roles. In phase 2 (2021), cognitive interviews were administered to 17 health care providers in DRC to assess and improve respondents' understanding and interpretation of questionnaire items and response options. In phase 3 (2021), 52 family planning providers were sampled from urban health facilities in Togo to retest and validate the improved measures.</p><p><strong>Results: </strong>Phase 1 showed the provider attitude items had low scale reliability, and 8 survey items had low variability. In phase 2, results from the cognitive interviews of the 21 items retained from phase 1 found 16 questions were not well understood or had low response variability and thus modified, and 4 survey items were added to test different iterations of specific survey items. In phase 3, exploratory factor analysis resulted in 1 provider attitude scale of 14 items reflecting authoritarian attitudes related to the 3 initial subdomains.</p><p><strong>Conclusion: </strong>This research highlights the importance of iteration and testing during scale development, implementable even across geographic locations. Provider behavior change programming should consider how authoritarian provider attitudes pertaining to professional roles, their clients, and gender norms may interact and influence the quality of health services provided.</p>","PeriodicalId":48906,"journal":{"name":"Journal of High Energy Physics","volume":"2014 1","pages":""},"PeriodicalIF":5.0000,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10698232/pdf/","citationCount":"0","resultStr":"{\"title\":\"Results From a Multimethod Exploratory Scale Development Process to Measure Authoritarian Provider Attitudes in Democratic Republic of Congo and Togo.\",\"authors\":\"Martha Silva, Kathryn Spielman, Leanne Dougherty, Sethson Kassegne, Amanda Kalamar\",\"doi\":\"10.9745/GHSP-D-22-00421\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Health care providers' actions can significantly influence clients' experiences of care, adherence to recommendations, and likelihood of re-engaging with health services. There are currently no validated scales that measure provider attitudes that could affect service delivery in multiple health areas.</p><p><strong>Methods: </strong>We developed provider attitude measures in 3 phases. In phase 1 (2019), survey items were developed based on literature reviews, and quantitative items were tested through a health facility survey conducted in the Democratic Republic of the Congo (DRC). Health care providers (N=1,143) completed a 23-question survey focused on 3 subdomains: provider perceptions of clients, provider roles, and gender roles. In phase 2 (2021), cognitive interviews were administered to 17 health care providers in DRC to assess and improve respondents' understanding and interpretation of questionnaire items and response options. In phase 3 (2021), 52 family planning providers were sampled from urban health facilities in Togo to retest and validate the improved measures.</p><p><strong>Results: </strong>Phase 1 showed the provider attitude items had low scale reliability, and 8 survey items had low variability. In phase 2, results from the cognitive interviews of the 21 items retained from phase 1 found 16 questions were not well understood or had low response variability and thus modified, and 4 survey items were added to test different iterations of specific survey items. In phase 3, exploratory factor analysis resulted in 1 provider attitude scale of 14 items reflecting authoritarian attitudes related to the 3 initial subdomains.</p><p><strong>Conclusion: </strong>This research highlights the importance of iteration and testing during scale development, implementable even across geographic locations. Provider behavior change programming should consider how authoritarian provider attitudes pertaining to professional roles, their clients, and gender norms may interact and influence the quality of health services provided.</p>\",\"PeriodicalId\":48906,\"journal\":{\"name\":\"Journal of High Energy Physics\",\"volume\":\"2014 1\",\"pages\":\"\"},\"PeriodicalIF\":5.0000,\"publicationDate\":\"2023-11-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10698232/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of High Energy Physics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.9745/GHSP-D-22-00421\",\"RegionNum\":1,\"RegionCategory\":\"物理与天体物理\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PHYSICS, PARTICLES & FIELDS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of High Energy Physics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.9745/GHSP-D-22-00421","RegionNum":1,"RegionCategory":"物理与天体物理","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PHYSICS, PARTICLES & FIELDS","Score":null,"Total":0}
引用次数: 0

摘要

背景:卫生保健提供者的行为可以显著影响客户的护理体验、对建议的依从性以及重新参与卫生服务的可能性。目前还没有有效的量表来衡量可能影响多个卫生领域服务提供的提供者态度。方法:分3个阶段编制服务提供者态度量表。在第一阶段(2019年),根据文献综述制定了调查项目,并通过在刚果民主共和国(DRC)进行的卫生机构调查对定量项目进行了测试。卫生保健提供者(N=1,143)完成了一项23个问题的调查,重点关注3个子领域:提供者对客户的看法、提供者角色和性别角色。在第二阶段(2021年),对刚果民主共和国的17名卫生保健提供者进行认知访谈,以评估和提高受访者对问卷项目和回答选项的理解和解释。在第三阶段(2021年),从多哥的城市卫生设施中抽样了52名计划生育提供者,以重新测试和验证改进后的措施。结果:第一阶段调查显示,提供者态度项目量表信度较低,8个调查项目的变异性较低。在第二阶段,对第一阶段保留的21个问题的认知访谈结果发现,有16个问题没有被很好地理解或反应变异性较低,因此进行了修改,并增加了4个调查项目,以测试特定调查项目的不同迭代。在第三阶段,探索性因素分析产生了一个包含14个项目的提供者态度量表,反映了与3个初始子领域相关的权威态度。结论:这项研究强调了迭代和测试在大规模开发中的重要性,甚至可以跨地理位置实现。提供者行为改变规划应考虑与专业角色、其客户和性别规范有关的专制提供者态度如何相互作用并影响所提供的保健服务的质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Results From a Multimethod Exploratory Scale Development Process to Measure Authoritarian Provider Attitudes in Democratic Republic of Congo and Togo.

Background: Health care providers' actions can significantly influence clients' experiences of care, adherence to recommendations, and likelihood of re-engaging with health services. There are currently no validated scales that measure provider attitudes that could affect service delivery in multiple health areas.

Methods: We developed provider attitude measures in 3 phases. In phase 1 (2019), survey items were developed based on literature reviews, and quantitative items were tested through a health facility survey conducted in the Democratic Republic of the Congo (DRC). Health care providers (N=1,143) completed a 23-question survey focused on 3 subdomains: provider perceptions of clients, provider roles, and gender roles. In phase 2 (2021), cognitive interviews were administered to 17 health care providers in DRC to assess and improve respondents' understanding and interpretation of questionnaire items and response options. In phase 3 (2021), 52 family planning providers were sampled from urban health facilities in Togo to retest and validate the improved measures.

Results: Phase 1 showed the provider attitude items had low scale reliability, and 8 survey items had low variability. In phase 2, results from the cognitive interviews of the 21 items retained from phase 1 found 16 questions were not well understood or had low response variability and thus modified, and 4 survey items were added to test different iterations of specific survey items. In phase 3, exploratory factor analysis resulted in 1 provider attitude scale of 14 items reflecting authoritarian attitudes related to the 3 initial subdomains.

Conclusion: This research highlights the importance of iteration and testing during scale development, implementable even across geographic locations. Provider behavior change programming should consider how authoritarian provider attitudes pertaining to professional roles, their clients, and gender norms may interact and influence the quality of health services provided.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Journal of High Energy Physics
Journal of High Energy Physics PHYSICS, PARTICLES & FIELDS-
CiteScore
10.00
自引率
46.30%
发文量
2107
审稿时长
12 weeks
期刊介绍: The aim of the Journal of High Energy Physics (JHEP) is to ensure fast and efficient online publication tools to the scientific community, while keeping that community in charge of every aspect of the peer-review and publication process in order to ensure the highest quality standards in the journal. Consequently, the Advisory and Editorial Boards, composed of distinguished, active scientists in the field, jointly establish with the Scientific Director the journal''s scientific policy and ensure the scientific quality of accepted articles. JHEP presently encompasses the following areas of theoretical and experimental physics: Collider Physics Underground and Large Array Physics Quantum Field Theory Gauge Field Theories Symmetries String and Brane Theory General Relativity and Gravitation Supersymmetry Mathematical Methods of Physics Mostly Solvable Models Astroparticles Statistical Field Theories Mostly Weak Interactions Mostly Strong Interactions Quantum Field Theory (phenomenology) Strings and Branes Phenomenological Aspects of Supersymmetry Mostly Strong Interactions (phenomenology).
期刊最新文献
Understanding Correlation of Polysomnography Parameters with Drug Induced Sleep Endoscopy in Obstructive Sleep Apnea. Relationship of Frailty, Nutritional Status and Oral Health-Related Quality of Life in Mexico City Nursing Home Residents. Dealkenylative Functionalizations: Conversion of Alkene C(sp3)-C(sp2) Bonds into C(sp3)-X Bonds via Redox-Based Radical Processes. Erratum to: In-medium loop corrections and longitudinally polarized gauge bosons in high-energy showers Grothendieck lines in 3d $$ \mathcal{N} $$ = 2 SQCD and the quantum K-theory of the Grassmannian
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1