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补充和替代医学从业者循证实践态度与应用调查评估

Evaluation of the Evidence-Based practice Attitude and utilization SurvEy for complementary and alternative medicine practitioners.

作者信息

Leach Matthew J, Gillham David

机构信息

School of Health Sciences, University of South Australia, Adelaide, SA, Australia.

出版信息

J Eval Clin Pract. 2008 Oct;14(5):792-8. doi: 10.1111/j.1365-2753.2008.01046.x.

Abstract

RATIONALE

This paper describes the development of the Evidence-Based practice Attitude and utilization SurvEy (EBASE), which was designed to measure complementary and alternative medicine (CAM) practitioner attitude to and utilization of evidence-based practice (EBP).

AIM

The aim of this study was to evaluate the validity and reliability of the EBASE as a measure of CAM practitioner skill, attitude and use of EBP in order to adequately inform clinicians and researchers about this comprehensive survey tool.

METHODS

EBASE and the clinical effectiveness and EBP questionnaire (EBPQ) were distributed to nine experts in CAM education, research, questionnaire design and/or EBP. Responses to these questionnaires were used to evaluate the content validity, convergent validity, test-retest reliability and internal consistency of EBASE.

RESULTS

EBASE has found to have good internal consistency (Cronbach's alpha = 0.84) and acceptable test-retest reliability (ICC = 0.578-0.986). The instrument also demonstrated good content validity (CVI = 0.899), and adequately measured practitioner skill and utilization of EBP when compared to the EBPQ.

CONCLUSION

The current study supports the validity and reliability of EBASE as a measure of CAM practitioner skill, attitude, experience and training in, as well as barriers and facilitating factors of EBP.

摘要

理论依据

本文描述了循证实践态度与应用调查(EBASE)的开发过程,该调查旨在衡量补充与替代医学(CAM)从业者对循证实践(EBP)的态度及应用情况。

目的

本研究的目的是评估EBASE作为一种衡量CAM从业者在EBP方面的技能、态度和应用情况的工具的有效性和可靠性,以便为临床医生和研究人员充分介绍这一综合调查工具。

方法

将EBASE以及临床有效性和EBP问卷(EBPQ)分发给9位在CAM教育、研究、问卷设计和/或EBP领域的专家。对这些问卷的回答用于评估EBASE的内容效度、收敛效度、重测信度和内部一致性。

结果

发现EBASE具有良好的内部一致性(克朗巴哈系数=0.84)和可接受的重测信度(组内相关系数=0.578-0.986)。与EBPQ相比,该工具还显示出良好的内容效度(内容效度指数=0.899),并能充分衡量从业者在EBP方面的技能和应用情况。

结论

本研究支持EBASE作为一种衡量CAM从业者在EBP方面的技能、态度、经验和培训情况以及EBP的障碍和促进因素的工具的有效性和可靠性。

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