Kerr Claire, Bowe Steven J, Miyazaki Koki, Imms Christine
a School of Nursing and Midwifery , Medical Biology Centre, Queen's University Belfast , Belfast , United Kingdom , Great Britain and Northern Ireland.
b Centre for Disability and Development Research , Australian Catholic University , Fitzroy , Victoria , Australia.
Phys Occup Ther Pediatr. 2018 Aug;38(3):305-315. doi: 10.1080/01942638.2017.1420002. Epub 2018 Feb 5.
To understand whether knowledge translation activities are effective, good measurement of practice is required. This study investigated the psychometric properties of a self-report measure of allied health practitioner (AHP) evidence-based behaviors when working with children with cerebral palsy.
Construct validity and reliability studies were undertaken for the 12-item Evidence Based Practice Competency Questionnaire - Cerebral Palsy (EBP-CQ-CP) using the Consensus-based Standards of Measurement Instruments methods. Factor analysis tested construct validity. Weighted Kappa tested chance-corrected agreement for each item and intra-class correlation coefficients (ICC) the reliability of factors derived in the validity study.
In the validity study 259 AHP completed the EBP-CQ-CP on occasion 1, and 228 on occasion 2. In the reliability study 46 AHP completed the questionnaire twice. Exploratory factor analysis determined the EBP-CQ-CP contained two scales: 'communicating evidence based expectations' and 'evidence based assessment practices'. Confirmatory factor analysis using data from the second occasion of assessment supported the findings. Excellent consistency in ratings across factor scores were obtained from 46 pairs of raters: Factor 1, ICC = 0.93 (95% Confidence Interval 0.88-0.96); Factor 2, ICC = 0.94 (95% Confidence Interval 0.88-0.97).
This study supports the interpretation of the EBP-CQ-CP in a clinically meaningful and psychometrically robust manner.
为了解知识转化活动是否有效,需要对实践进行良好的衡量。本研究调查了一项关于联合健康专业人员(AHP)在为脑瘫儿童提供服务时基于证据的行为的自我报告测量工具的心理测量特性。
采用基于共识的测量工具标准方法,对12项《基于证据的实践能力问卷 - 脑瘫》(EBP - CQ - CP)进行结构效度和信度研究。因子分析用于检验结构效度。加权Kappa检验各项目的机遇校正一致性,组内相关系数(ICC)检验效度研究中得出的因子的信度。
在效度研究中,259名AHP在第1次时完成了EBP - CQ - CP,228名在第2次时完成。在信度研究中,46名AHP两次完成问卷。探索性因子分析确定EBP - CQ - CP包含两个量表:“传达基于证据的期望”和“基于证据的评估实践”。使用第2次评估数据进行的验证性因子分析支持了该结果。46对评分者在因子得分上的评分具有出色的一致性:因子1,ICC = 0.93(95%置信区间0.88 - 0.96);因子2,ICC = 0.94(95%置信区间0.88 - 0.97)。
本研究支持以临床有意义且心理测量稳健的方式对EBP - CQ - CP进行解释。