School of Health Sciences, University of South Australia, North Terrace, Adelaide, SA 5000, Australia.
Med Teach. 2010;32(9):e373-80. doi: 10.3109/0142159X.2010.494741.
Previous survey tools operationalising knowledge, attitudes or beliefs about evidence-based practice (EBP) have shortcomings in content, psychometric properties and target audience.
This study developed and psychometrically assessed a self-report trans-professional questionnaire to describe an EBP profile.
Sixty-six items were collated from existing EBP questionnaires and administered to 526 academics and students from health and non-health backgrounds. Principal component factor analysis revealed the presence of five factors (Relevance, Terminology, Confidence, Practice and Sympathy). Following expert panel review and pilot testing, the 58-item final questionnaire was disseminated to 105 subjects on two occasions. Test-retest and internal reliability were quantified using intra-class correlation coefficients (ICCs) and Cronbach's alpha, convergent validity against a commonly used EBP questionnaire by Pearson's correlation coefficient and discriminative validity via analysis of variance (ANOVA) based on exposure to EBP training.
The final questionnaire demonstrated acceptable internal consistency (Cronbach's alpha 0.96), test-retest reliability (ICCs range 0.77-0.94) and convergent validity (Practice 0.66, Confidence 0.80 and Sympathy 0.54). Three factors (Relevance, Terminology and Confidence) distinguished EBP exposure groups (ANOVA p < 0.001-0.004).
The evidence-based practice profile (EBP(2)) questionnaire is a reliable instrument with the ability to discriminate for three factors, between respondents with differing EBP exposures.
之前用于描述循证实践(EBP)知识、态度或信念的调查工具在内容、心理测量学特性和目标受众方面存在不足。
本研究开发并心理测量评估了一种自我报告的跨专业问卷,以描述 EBP 概况。
从现有的 EBP 问卷中收集了 66 个项目,并将其施测于来自健康和非健康背景的 526 名学者和学生。主成分因子分析揭示了存在五个因素(相关性、术语、信心、实践和同情)。在专家小组审查和试点测试后,最终的 58 项问卷分两次发放给 105 名受试者。使用组内相关系数(ICC)和克朗巴赫α评估测试-重测信度和内部信度,使用 Pearson 相关系数评估与常用 EBP 问卷的聚合效度,使用方差分析(ANOVA)基于 EBP 培训的暴露来评估区分效度。
最终问卷表现出可接受的内部一致性(克朗巴赫α为 0.96)、测试-重测信度(ICC 范围为 0.77-0.94)和聚合效度(实践 0.66、信心 0.80 和同情 0.54)。三个因素(相关性、术语和信心)区分了 EBP 暴露组(ANOVA p < 0.001-0.004)。
循证实践概况(EBP(2))问卷是一种可靠的工具,能够区分具有不同 EBP 暴露程度的受访者的三个因素。