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家庭医生问卷的验证:痴呆症护理方面的知识、态度与实践

Validation of a Questionnaire for Family Physicians: Knowledge, Attitude, Practice on Dementia Care.

作者信息

Arsenault-Lapierre Genevieve, Sourial Nadia, Pakzad Sarah, Hardouin Marine, Couturier Yves, Bergman Howard, Vedel Isabelle

机构信息

Department of Family Medicine, Faculty of Medicine, McGill University, Montreal.

Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal.

出版信息

Can J Aging. 2021 Jun;40(2):238-247. doi: 10.1017/S0714980820000069. Epub 2020 May 5.

Abstract

Our study objective was to develop and validate a questionnaire assessing the knowledge, attitude, and practice (KAP) of family physicians regarding dementia care and dementia strategies in Canada. Using a multistage process with a panel of experts, we developed and distributed an 83-item questionnaire to 542 eligible family physicians in 42 interdisciplinary primary care teams participating in the Quebec Alzheimer Plan implementation. Altogether, 369 physicians (68%) returned questionnaires. Median item-specific non-response rate was 0.8 per cent (0.3%-8.1%). Exploratory factor analyses and scale correlation supported the questionnaire validity. The final questionnaire contained five factors and 31 items. The KAP questionnaire has proved to be a reliable instrument for assessing the KAP of family physicians regarding dementia care and dementia strategies. This questionnaire provides researchers, clinicians, managers, and decision-makers with a tool to assess an intervention, a program, or a policy change implemented in primary health care for patients with dementia.

摘要

我们的研究目标是开发并验证一份问卷,以评估加拿大全科医生在痴呆症护理和痴呆症应对策略方面的知识、态度和实践(KAP)情况。我们通过一个由专家小组参与的多阶段流程,开发了一份包含83个条目的问卷,并将其分发给参与魁北克阿尔茨海默病计划实施的42个跨学科初级保健团队中的542名符合条件的全科医生。共有369名医生(68%)返还了问卷。各条目特定的中位数无应答率为0.8%(0.3%-8.1%)。探索性因素分析和量表相关性支持了问卷的有效性。最终问卷包含五个因素和31个条目。事实证明,这份KAP问卷是评估全科医生在痴呆症护理和痴呆症应对策略方面的KAP的可靠工具。该问卷为研究人员、临床医生、管理人员和决策者提供了一种工具,用于评估在初级卫生保健中针对痴呆症患者实施的一项干预措施、一个项目或一项政策变化。

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