一份经过修改的基于证据的实践——知识、态度、行为及决策/结果问卷，在涉及疼痛管理的多个专业领域中均有效。
A modified evidence-based practice- knowledge, attitudes, behaviour and decisions/outcomes questionnaire is valid across multiple professions involved in pain management.
作者信息
Shi Qiyun, Chesworth Bert M, Law Mary, Haynes R Brian, MacDermid Joy C
机构信息
Health & Rehabilitation Sciences, Western University, Room 1014, Elborn College, 1201 Western Road, London, ON, N6G 1H1, Canada.
Hand and Upper Limb Centre Clinical Research Laboratory, St. Joseph's Health Centre, 268 Grosvenor St, London, ON, N6A 3A8, Canada.
出版信息
BMC Med Educ. 2014 Dec 14;14:263. doi: 10.1186/s12909-014-0263-4.
BACKGROUND
A validated and reliable instrument was developed to knowledge, attitudes and behaviours with respect to evidence-based practice (EBB-KABQ) in medical trainees but requires further adaptation and validation to be applied across different health professionals.
METHODS
A modified 33-item evidence-based practice scale (EBP-KABQ) was developed to evaluate EBP perceptions and behaviors in clinicians. An international sample of 673 clinicians interested in treatment of pain (mean age = 45 years, 48% occupational therapists/physical therapists, 25% had more than 5 years of clinical training) completed an online English version of the questionnaire and demographics. Scaling properties (internal consistency, floor/ceiling effects) and construct validity (association with EBP activities, comparator constructs) were examined. A confirmatory factor analysis was used to assess the 4-domain structure EBP knowledge, attitudes, behavior, outcomes/decisions).
RESULTS
The EBP-KABQ scale demonstrated high internal consistency (Cronbach's alpha = 0.85), no evident floor/ceiling effects, and support for a priori construct validation hypotheses. A 4-factor structure provided the best fit statistics (CFI =0.89, TLI =0.86, and RMSEA = 0.06).
CONCLUSIONS
The EBP-KABQ scale demonstrates promising psychometric properties in this sample. Areas for improvement are described.
背景
已开发出一种经过验证且可靠的工具，用于评估医学实习生在循证实践方面的知识、态度和行为（循证实践知识、态度和行为问卷，EBB - KABQ），但需要进一步调整和验证，以便应用于不同的卫生专业人员。
方法
开发了一个经过修改的包含33个条目的循证实践量表（EBP - KABQ），以评估临床医生对循证实践的认知和行为。一个由673名对疼痛治疗感兴趣的临床医生组成的国际样本（平均年龄 = 45岁，48%为职业治疗师/物理治疗师，25%接受过5年以上临床培训）完成了在线英文版问卷及人口统计学信息调查。检验了量表特性（内部一致性、地板效应/天花板效应）和结构效度（与循证实践活动、比较结构的相关性）。采用验证性因素分析来评估循证实践知识、态度、行为、结果/决策这4个领域的结构。
结果
EBP - KABQ量表显示出较高的内部一致性（克朗巴哈系数α = 0.85），无明显的地板效应/天花板效应，并支持先验结构效度假设。一个4因素结构提供了最佳拟合统计量（CFI = 0.89，TLI = 0.86，RMSEA = 0.06）。
结论
EBP - KABQ量表在该样本中显示出良好的心理测量特性。文中描述了有待改进的方面。
Zotero 插件