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开发一个用于衡量艾滋病预防与护理中跨专业协作的量表:对艾滋病连续护理中患者就医机会及留存率研究的启示

Developing a Scale to Measure Interprofessional Collaboration in HIV Prevention and Care: Implications for Research on Patient Access and Retention in the HIV Continuum of Care.

作者信息

Pinto Rogério M, Choi C Jean, Wall Melanie M

机构信息

School of Social Work, University of Michigan-Ann Arbor, Ann Arbor, Michigan.

Division of Biostatistics, New York State Psychiatric Institute, New York, New York.

出版信息

AIDS Educ Prev. 2020 Feb;32(1):36-50. doi: 10.1521/aeap.2020.32.1.36. Epub 2020 Feb 19.

Abstract

To adapt and validate a scale for measuring interprofessional collaboration in HIV prevention and care (IPC-HIV), primary survey data were collected (2012-2017) from 577 HIV service providers in 60 organizations in New York, New Jersey, and Michigan. Cross-sectional training data were used to develop the IPC-HIV scale. The model was validated by fitting the five-factor confirmatory factor-analysis model to a 30-item set. The scale measures five domains with reliable alpha coefficients: Interdependence, Professional Activities, Flexibility, Collective Ownership, and Reflection on Process. Correlations between subscales were significant ( < .05). The strongest correlation was between Reflection on Process and Collective Ownership subscale scores. Mean scores ranged lfrom 4.070 to 4.880, with the highest score for Flexibility across all locations. IPC-HIV is valid and reliable among HIV-prevention and care workers, and is recommended for examining the effect of IPC on patient access to HIV testing and primary care.

摘要

为了调整和验证一个用于衡量艾滋病预防与护理领域跨专业协作(IPC-HIV)的量表,收集了2012年至2017年期间来自纽约、新泽西和密歇根州60个组织的577名艾滋病服务提供者的初步调查数据。横断面培训数据用于开发IPC-HIV量表。通过将五因素验证性因素分析模型应用于一个包含30个条目的数据集来验证该模型。该量表测量五个领域,具有可靠的阿尔法系数:相互依存、专业活动、灵活性、集体所有权和过程反思。各子量表之间的相关性显著(<.05)。最强的相关性存在于过程反思和集体所有权子量表得分之间。平均得分在4.070至4.880之间,所有地点中灵活性得分最高。IPC-HIV在艾滋病预防和护理工作者中是有效且可靠的,推荐用于检验跨专业协作对患者获得艾滋病检测和初级护理的影响。

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