Primary Care Research Unit of Bizkaia, Basque Health Service-Osakidetza, Luis Power 18, 4a planta, E-48014, Bilbao, Spain.
BioCruces Health Research Institute, Plaza de Cruces 12, E-48903, Barakaldo, Bizkaia, Spain.
Implement Sci. 2017 Nov 10;12(1):128. doi: 10.1186/s13012-017-0664-y.
Organizational readiness to change healthcare practice is a major determinant of successful implementation of evidence-based interventions. However, we lack of comprehensive, valid, and reliable instruments to measure it. We assessed the validity and reliability of the Spanish version of the Organizational Readiness for Knowledge Translation (OR4KT) questionnaire in the context of the implementation of the Prescribe Vida Saludable III project, which seeks to strengthen health promotion and chronic disease prevention in primary healthcare organizations of the Osakidetza (Basque Health Service, Spain).
A cross-sectional study was conducted including 127 professionals from 20 primary care centers within Osakidetza. They filled in the OR4KT questionnaire twice in a 15- to 30-day period to test repeatability. In addition, we used the Survey of Organizational Attributes for Primary Care (SOAPC) and we documented the number of healthcare professionals who formally engaged in the Prescribe Vida Saludable III project within each participating center to assess concurrent validity.
Cronbach's alpha for the overall OR4KT was .95, and the overall repeatability coefficient was 6.95%, both excellent results. Confirmatory factor analysis supported the underlying theoretical structure of 6 dimensions and 23 sub-dimensions. There were positive moderate-to-high internal correlations between these six dimensions, and there was evidence of good concurrent validity (correlation coefficient of .76 with SOAPC, and .80 with the proportion of professionals engaged by center). A score higher than 64 (out of 100) would be indicative of an organization with high level of readiness to implement the intervention (sensitivity = .75, specificity = 1).
The Spanish version of the OR4KT exhibits very strong reliability and good validity, although it needs to be validated in a larger sample and in different implementation contexts.
组织对改变医疗实践的准备情况是成功实施基于证据的干预措施的主要决定因素。然而，我们缺乏全面、有效和可靠的工具来衡量它。我们评估了西班牙版组织知识转化准备度（OR4KT）问卷在实施 Prescribe Vida Saludable III 项目背景下的有效性和可靠性，该项目旨在加强初级保健组织的健康促进和慢性病预防。
进行了一项横断面研究，纳入了 Osakidetza（西班牙巴斯克卫生服务机构）的 20 个初级保健中心的 127 名专业人员。他们在 15 至 30 天内两次填写 OR4KT 问卷，以测试可重复性。此外，我们使用了初级保健组织属性调查（SOAPC），并记录了每个参与中心内正式参与 Prescribe Vida Saludable III 项目的卫生保健专业人员的数量，以评估同时效度。
OR4KT 的总体 Cronbach's alpha 为.95，总体可重复性系数为 6.95%，均为优异成绩。验证性因子分析支持 6 个维度和 23 个子维度的潜在理论结构。这六个维度之间存在正相关，具有中等至高度的内部相关性，并且具有良好的同时效度证据（与 SOAPC 的相关系数为.76，与中心参与专业人员的比例的相关系数为.80）。得分高于 64（满分 100 分）将表明组织有高度准备实施干预措施（灵敏度.75，特异性 1）。
OR4KT 的西班牙语版本具有很强的可靠性和良好的有效性，但需要在更大的样本和不同的实施环境中进行验证。
