用于评估心理健康工作人员在心理健康服务使用者代谢健康方面的障碍、态度、信心和知识的M-BACK问卷的有效性和可靠性特征。
The Validity and Reliability Characteristics of the M-BACK Questionnaire to Assess the Barriers, Attitudes, Confidence, and Knowledge of Mental Health Staff Regarding Metabolic Health of Mental Health Service Users.
作者信息
Watkins Andrew, Rosenbaum Simon, Ward Philip B, Patching Joanna, Denney-Wilson Elizabeth, Stein-Parbury Jane
机构信息
Keeping the Body in Mind Program, The Bondi Centre, South Eastern Sydney Local Health District, Sydney, NSW, Australia.
Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.
出版信息
Front Public Health. 2017 Dec 11;5:321. doi: 10.3389/fpubh.2017.00321. eCollection 2017.
BACKGROUND
Addressing the burden of poor physical health and the subsequent gap in life expectancy experienced by people with mental illness is a major priority in mental health services. To equip mental health staff with the competence to deliver evidence-based interventions, targeted staff training regarding metabolic health is required. In order to evaluate the effectiveness of staff training regarding metabolic health, we aimed to develop a succinct measure to determine the barriers, attitudes, confidence, and knowledge of health practitioners through the development and test-retest reliability of the Metabolic-Barriers, Attitudes, Confidence, and Knowledge Questionnaire (M-BACK).
METHODS
The M-BACK questionnaire was developed to evaluate the impact of specialized training in metabolic health care for mental health nurses. Content of the M-BACK was developed from a literature review and refined by an expert review panel and validated a piloting process. To determine the test-retest reliability of the M-BACK, 31 nursing students recruited from the University of Notre Dame, Sydney completed the questionnaire on two separate occasions, 7 days apart. Intraclass correlation coefficients (ICCs) were calculated for the total score, as well as each of the four domains.
RESULTS
Pilot testing was undertaken with a sample of 106 mental health nurses with a mean age 48.2, ranging from 24 to 63 years of age, who participated in six training courses. Questionnaire development resulted in a 16-item instrument, with each item is scored on a five-point Likert scale ranging from "strongly disagree" to "strongly agree." Test-retest reliability of the M-BACK was completed by 30 of 31 nursing students recruited, ICCs ranged from 0.62 to 0.96.
CONCLUSION
The M-BACK is a reliable measure of the key elements of practitioner perceptions of barriers, and their knowledge, attitudes, and confidence regarding metabolic monitoring in people with mental illness. It can be used to assess the effectiveness of interventions aimed at increasing uptake of metabolic monitoring, a key component of programs to reduce the life expectancy gap in people living with severe mental illness.
背景
解决身体健康不佳的负担以及精神疾病患者预期寿命方面的后续差距是精神卫生服务的一项主要优先事项。为使精神卫生工作人员具备提供循证干预措施的能力，需要开展关于代谢健康的针对性工作人员培训。为了评估关于代谢健康的工作人员培训的效果，我们旨在通过开发代谢障碍、态度、信心和知识问卷（M-BACK）并测试其重测信度，制定一种简洁的测量方法来确定卫生从业人员的障碍、态度、信心和知识。
方法
开发M-BACK问卷以评估针对精神卫生护士的代谢健康护理专业培训的影响。M-BACK的内容是根据文献综述制定的，并由一个专家评审小组进行完善，通过试点过程进行验证。为了确定M-BACK的重测信度，从悉尼圣母大学招募的31名护理专业学生在相隔7天的两个不同时间完成了问卷。计算总分以及四个领域各自的组内相关系数（ICC）。
结果
对106名平均年龄为48.2岁（年龄范围为24至63岁）的精神卫生护士样本进行了试点测试，这些护士参加了六个培训课程。问卷开发产生了一份包含16个条目的工具，每个条目根据从“强烈不同意”到“强烈同意”的五点李克特量表进行评分。招募的31名护理专业学生中有30名完成了M-BACK的重测信度测试，ICC范围为0.62至0.96。
结论
M-BACK是一种可靠的测量方法，可用于衡量从业者对障碍的认知以及他们对精神疾病患者代谢监测的知识、态度和信心等关键要素。它可用于评估旨在增加代谢监测采用率的干预措施的效果，而代谢监测是减少重度精神疾病患者预期寿命差距计划的一个关键组成部分。
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