在多专业康复中测量实施行为的决定因素
Maija Paukkunen1,2, Leena Ala-Mursula3, Birgitta Öberg4
1Institution for Health, Medicine and Caring Sciences, University of Linköping, Linköping, Sweden - maija.paukkunen@oulu.fi.
European journal of physical and rehabilitation medicine
|July 24, 2023
概括
一个新的问卷,实施行为问卷的多专业决定因素 (DIBQ-mp),是为康复设置开发的. 该工具有效地评估了在多专业护理中实施基于证据的实践的障碍和促进因素.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 康复医学 康复医学 康复医学
背景情况:
- 实施行为调查问卷的决定因素 (DIBQ) 评估了影响医疗保健专业人员采用实践的因素.
- 之前的版本 (DIBQ-t) 专注于腰部疼痛护理,需要适应更广泛的康复环境.
- 理论领域框架 (TDF) 为理解医疗保健中的行为变化提供了基础.
研究的目的:
- 为多专业康复机构调整和缩短DIBQ.
- 将DIBQ翻译成芬兰语进行跨文化改编.
- 开发一个有效和可靠的工具来评估康复中的实施决定因素.
主要方法:
- 一项为期两轮的德尔菲研究,涉及25名专门招募的多专业康复专家.
- DIBQ的跨文化翻译成芬兰语.
- 专家们使用5分利克尔特等级评价项目重要性;共识定义为≥75%的同意,平均得分≥4.4.
- 开放评论的诱导性内容分析指导项目改进.
主要成果:
- 最终的多专业DIBQ (DIBQ-mp) 包含11个TDF领域的21个项目.
- DIBQ-mp显示出优异的内容有效性,项目级I-CVI≥0.78和规模级S-CVI/Ave为0.93.
- 根据专家反和共识,Delphi处理精细的项目.
结论:
- 德尔菲研究成功地将DIBQ缩小为DIBQ-mp,这是一个具有优异内容有效性的工具,用于多专业康复.
- DIBQ-mp是评估影响基于证据的多专业康复干预措施实施的决定因素的宝贵工具.
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