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定义希腊初级保健环境中医生进行亲密伴侣暴力筛查和管理的准备情况。

Defining physicians' readiness to screen and manage intimate partner violence in Greek primary care settings.

机构信息

Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece.

出版信息

Eval Health Prof. 2012 Jun;35(2):199-220. doi: 10.1177/0163278711423937. Epub 2011 Dec 7.

DOI:10.1177/0163278711423937
PMID:22158688
Abstract

The current article aims to translate the PREMIS (Physician Readiness to Manage Intimate Partner Violence) survey into the Greek language and test its validity and reliability in a sample of primary care physicians. The validation study was conducted in 2010 and involved all the general practitioners serving two adjacent prefectures of Greece (n = 80). Maximum-likelihood factor analysis (MLF) was used to extract key survey factors. The instrument was further assessed for the following psychometric properties: (a) scale reliability, (b) item-specific reliability, (c) test-retest reliability, (d) scale construct validity, and (e) internal predictive validity. The MLF analysis of 23 opinion items revealed a seven-factor solution (preparation, constraint, workplace issues, screening, self-efficacy, alcohol/drugs, victim understanding), which was statistically sound (p = .293). Most of the newly derived scales displayed satisfactory internal consistency (α ≥ .60), high item-specific reliability, strong construct, and internal predictive validity (F = 2.82; p = .004), and high repeatability when retested with 20 individuals (intraclass correlation coefficient [ICC] > .70). The tool was found appropriate to facilitate the identification of competence deficits and the evaluation of training initiatives.

摘要

本文旨在将 PREMIS(Physician Readiness to Manage Intimate Partner Violence)调查翻译成希腊语,并在初级保健医生样本中测试其有效性和可靠性。验证研究于 2010 年进行,涉及希腊两个相邻州的所有全科医生(n = 80)。最大似然因子分析(MLF)用于提取关键调查因素。该工具进一步评估了以下心理测量特性:(a)量表信度,(b)项目特定信度,(c)重测信度,(d)量表结构有效性,和(e)内部预测有效性。23 个意见项目的 MLF 分析显示出七因素解决方案(准备、约束、工作场所问题、筛查、自我效能、酒精/药物、受害者理解),具有统计学意义(p =.293)。大多数新得出的量表显示出令人满意的内部一致性(α≥.60)、高项目特定信度、强结构和内部预测有效性(F = 2.82;p =.004),并且在对 20 个人进行重测时具有高可重复性(组内相关系数 [ICC]>.70)。该工具被发现适合促进识别能力缺陷和评估培训计划。

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