德国标准化过程理论措施G-NoMAD的验证:翻译,调整和试点测试
Johanna Freund1,2, Alexandra Piotrowski3,4, Leah Bührmann5
1Professorship Psychology & Digital Mental Health Care, Department of Sport and Health Sciences, Technical University of Munich, Georg-Brauchle-Ring 60/62, Munich, 80992, Germany. johanna.freund@tum.de.
Implementation science communications
|October 16, 2023
概括
德国NoMAD问卷 (G-NoMAD) 是衡量基于证据的医疗保健实践 (EBP) 实施情况的可靠工具. 这种经过验证的工具支持在德国医疗保健机构使用EBP.
科学领域:
- 医疗实施科学 医疗实施科学
- 医疗服务研究 医疗服务研究
- 心理测量 心理测量 心理测量
背景情况:
- 实施基于证据的医疗保健实践 (EBP) 是一个挑战,经常在研究和临床应用之间造成差距.
- 实施理论提供了一个框架,以系统地改善EBP的采用.
- 规范化过程理论 (NPT) 提供了理解和促进新实践融入医疗保健的工具.
研究的目的:
- 将英语NoMAD问卷翻译成德语版本 (G-NoMAD),并对其进行验证.
- 评估G-NoMAD的可靠性和有效性,以探索EBP在德国医疗保健中的实施.
- 为测量EBP的正常化程度提供一个在心理测量上健全的仪器.
主要方法:
- 分析了德国四个研究项目的539名医疗保健专业人员的调查数据.
- 测量不变性分析比较了G-NoMAD的两个独立翻译版本.
- 确认因素分析评估了G-NoMAD的四因素,单维和层次模型.
- 评估了内部一致性和模型匹配指数,以确定心理特征.
主要成果:
- 测量不变性分析证实了两种G-NoMAD版本 (形状,部分度量和部分标量不变性) 之间的可比性.
- 亚尺度的内部一致性从可接受到良好的范围 (α = 0.790.85).
- 四因素模型和层次模型都被证明是可以接受的好适合,优于单维模型,尽管RMSEA值是可以接受的边界值.
结论:
- G-NoMAD是评估德国医疗保健中实施活动规范化的可靠和有前途的工具.
- 由于其相关性,建议使用分层模型,提供总分数和四个分级分数,用于实际应用.
- 调查结果支持在德国环境中继续使用G-NoMAD,以促进EBP的实施.
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