Toronto General Hospital Research Institute, University of Toronto, Toronto, Ontario, Canada.
Department of Neurology, College of Medicine, University of Florida, Gainesville, FL, USA.
J Clin Epidemiol. 2019 Sep;113:129-136. doi: 10.1016/j.jclinepi.2019.05.024. Epub 2019 May 29.
The purpose of this research was to generate and validate a questionnaire that identifies determinants of guideline use from the clinician perspective.
From January 2017 to March 2018, a seven-member six-country multidisciplinary team used a five-step multimethod design to search for and compile determinant frameworks, map items to determinants (content validity), select the best items for each determinant (content validity), refine wording of determinants and items (face validity), merge or separate items (construct validity), and review the final questionnaire.
The Clinician Guideline Determinants Questionnaire includes four sections: clinician demographic information (including two determinants: attitudes about/experience with guidelines), 26 close-ended items reflecting clinician- and guideline-specific determinants, four open-ended items reflecting enablers and barriers perceived as most important, and three items on learning style (preferred sources of guideline information).
The Clinician Guideline Determinants Questionnaire is a comprehensive, validated instrument that addresses multiple potential determinants specific to guideline use from a clinician perspective. The Questionnaire can be used at multiple time points in the guideline development cycle to assess determinants of the use of new, updated, or adapted guidelines and before and after interventions to assess their impact on the determinants of guideline use. In future research, we will establish psychometric properties of the new questionnaire.
本研究旨在生成并验证一份从临床医生角度出发识别指南使用决定因素的问卷。
2017 年 1 月至 2018 年 3 月，一个由七名来自六个国家的多学科成员组成的团队采用五步多方法设计，用于搜索和编纂决定因素框架，将项目映射到决定因素（内容效度），为每个决定因素选择最佳项目（内容效度），完善决定因素和项目的措辞（表面效度），合并或分离项目（结构效度），以及审查最终问卷。
临床医生指南决定因素问卷包括四个部分：临床医生人口统计学信息（包括两个决定因素：对指南的态度/使用经验）、26 个反映临床医生和指南特定决定因素的封闭式项目、四个反映被认为最重要的促进因素和障碍的开放式项目，以及三个关于学习风格（首选指南信息来源）的项目。
临床医生指南决定因素问卷是一种全面、经过验证的工具，从临床医生的角度出发，针对指南使用的多个潜在决定因素进行了评估。该问卷可以在指南制定周期的多个时间点使用，以评估新的、更新的或改编的指南使用的决定因素，以及在干预前后评估其对指南使用决定因素的影响。在未来的研究中，我们将确定新问卷的心理测量学特性。
