开发一份经过验证的问卷，以衡量初级卫生专业人员在为慢性病患者提供营养护理方面的自我认知能力。

Development of a validated questionnaire to measure the self-perceived competence of primary health professionals in providing nutrition care to patients with chronic disease.

作者信息

Ball Lauren E, Leveritt Michael D

机构信息

Menzies Health Institute Queensland, Griffith University, Gold Coast and

School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia.

出版信息

Fam Pract. 2015 Dec;32(6):706-10. doi: 10.1093/fampra/cmv073. Epub 2015 Sep 28.

DOI:10.1093/fampra/cmv073

PMID:26415817

Abstract

BACKGROUND

Nutrition is an important aspect of chronic disease prevention and management by primary health professionals, including GPs, dietitians, practice nurses, diabetes educators and exercise professionals. In order to better understand how to improve the delivery of nutrition care, it is important to have valid and reliable tools to measure self-perceived competence.

OBJECTIVE

This study aimed to develop a valid, structured, questionnaire that measures the self-perceived competence of primary health professionals to provide nutrition care to patients with chronic disease.

METHODS

The development of the questionnaire was carried out in four stages (1): preparation of scope and structure, through a literature review and consultation with an expert reference group (2); development of questionnaire items, which were refined through feedback from the reference group and 18 primary health professionals (3); investigation of internal consistency and concurrent validity through a pilot study on 118 primary health professionals (4) and investigation of test-retest reliability through a pilot study on 33 primary health professionals who completed the questionnaire twice, 2-3 weeks apart.

RESULTS

Stages 1 and 2 resulted in four constructs and 35 questions in the questionnaire. Stage 3 confirmed internal consistency, with Cronbach's α ranging from 0.88 to 0.98 for each construct and 0.98 for all items combined. Dietitians scored significantly higher than speech pathologists (P < 0.05) in each construct, confirming concurrent validity. Stage 4 confirmed test-retest reliability, with correlation coefficients ranging from 0.89 to 0.94 for each construct and 0.95 for all items combined.

CONCLUSION

The NUTrition COMPetence (NUTCOMP) questionnaire is a valid, reliable and suitable tool that can be used to directly inform professional development and identify opportunities to support safe and effective practice.

摘要

背景

营养是包括全科医生、营养师、执业护士、糖尿病教育者和运动专业人员在内的初级卫生保健专业人员预防和管理慢性病的一个重要方面。为了更好地理解如何改善营养护理的提供，拥有有效且可靠的工具来衡量自我感知能力很重要。

目的

本研究旨在开发一份有效、结构化的问卷，以衡量初级卫生保健专业人员为慢性病患者提供营养护理的自我感知能力。

方法

问卷的开发分四个阶段进行：（1）通过文献综述和与专家参考小组协商来准备范围和结构；（2）开发问卷项目，这些项目通过参考小组和18名初级卫生保健专业人员的反馈进行完善；（3）通过对118名初级卫生保健专业人员的预试验研究来调查内部一致性和同时效度；（4）通过对33名初级卫生保健专业人员进行的预试验研究来调查重测信度，这些人员在相隔2至3周的时间内完成问卷两次。

结果

第1阶段和第2阶段产生了问卷中的四个结构和35个问题。第3阶段确认了内部一致性，每个结构的Cronbach's α系数在0.88至0.98之间，所有项目合并后的系数为0.98。在每个结构中，营养师的得分显著高于言语病理学家（P < 0.05），证实了同时效度。第4阶段确认了重测信度，每个结构的相关系数在0.89至0.94之间，所有项目合并后的系数为0.95。