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开发和验证复杂干预 (OFES-CI) 的整体忠实性授权量表
Liane Ginsburg1, Matthias Hoben2, Whitney Berta3
1School of Health Policy and Management, Faculty of Health, York University, Toronto, Ontario, Canada lgins@yorku.ca.
BMJ quality & safety
|August 30, 2023
概括
复杂干预的整体忠实性实施量表 (OFES-CI) 提供了一种实用的新方法来评估参与者如何实施复杂干预. 这种尺度显示出良好的可靠性,使得在质量改进举措中,可靠性评估更为可行.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高科学 提高质量
- 干预真实性评估 干预真实性评估
背景情况:
- 在质量改进 (QI) 和复杂干预中,评估干预忠实度,或参与者如何按照预期执行活动,往往未被充分研究.
- 现有的忠实性评估方法可能不适合广泛使用.
- 需要实用和可靠的工具来衡量忠诚度的制定.
研究的目的:
- 在复杂的干预中开发和验证评估忠实性制定的实用方法.
- 引入复杂干预的整体忠实性授权量表 (OFES-CI).
- 评估OFES-CI的可靠性和实施质量.
主要方法:
- OFES-CI是为了评估SCOPE QI干预而开发的,重点是计划-做-研究-行动 (PDSA) 周期.
- 评级机构之间的可靠性是使用类内相关系数 (ICC) 来评估的,该系数将 OFES-CI 评级与编码定性数据的黄金标准进行比较.
- 这项研究涉及27个团队,通过专家对演示文稿的评价和分析过程评估数据来评估忠诚度.
主要成果:
- 两个编码器之间的黄金标准互评分可靠性非常好 (ICC=0.93).
- OFES-CI表现出与黄金标准 (ICC=0.71) 相比的良好的评级者间可靠性.
- 评价者反表明,OFES-CI具有强大的面部有效性,可接受,易于使用,并且需要最低限度的培训.
结论:
- OFES-CI是一种有前途的新方法,用于评估QI和复杂干预中的忠实性制定.
- 由于其有利的实施品质,该尺度解决了忠实性评估中的实用性挑战.
- 该研究提供了一种可靠和实用的工具来衡量干预措施的实施方式,并有可能适应其他复杂干预措施.
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