Measuring the determinants of implementation behavior in multiprofessional rehabilitation

Area of Science:

• Health Services Research
• Implementation Science
• Rehabilitation Medicine

Background:

• The Determinants of Implementation Behavior Questionnaire (DIBQ) assesses factors influencing healthcare professionals' adoption of practices.
• A previous version (DIBQ-t) focused on low back pain care, necessitating adaptation for broader rehabilitation contexts.
• The Theoretical Domains Framework (TDF) provides a basis for understanding behavior change in healthcare.

Purpose of the Study:

• To adapt and shorten the DIBQ for multiprofessional rehabilitation settings.
• To perform a cross-cultural adaptation of the DIBQ into Finnish.
• To develop a valid and reliable instrument for assessing implementation determinants in rehabilitation.

Main Methods:

• A two-round Delphi study involving 25 purposively recruited multiprofessional rehabilitation experts.
• Cross-cultural translation of the DIBQ into Finnish.
• Experts rated item importance using a 5-point Likert scale; consensus defined as ≥75% agreement with a mean score of ≥4.
• Inductive content analysis of open comments guided item refinement.

Main Results:

• The final multiprofessional DIBQ (DIBQ-mp) comprises 21 items across 11 TDF domains.
• The DIBQ-mp demonstrated excellent content validity, with item-level I-CVIs ≥0.78 and a scale-level S-CVI/Ave of 0.93.
• The Delphi process refined items based on expert feedback and consensus.

Conclusions:

• The Delphi study successfully condensed the DIBQ into the DIBQ-mp, a tool with excellent content validity for multiprofessional rehabilitation.
• The DIBQ-mp is a valuable instrument for evaluating determinants influencing the implementation of evidence-based multiprofessional rehabilitation interventions.