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用于分析在初级医疗保健机构开处运动处方的可行性的选择模型问卷的设计与有效性。

Design and Validity of a Choice-Modeling Questionnaire to Analyze the Feasibility of Implementing Physical Activity on Prescription at Primary Health-Care Settings.

机构信息

ImFINE Research Group, Faculty of Physical Activity and Sport Sciences-INEF, Universidad Politécnica de Madrid, C/Martín Fierro 7, 28040 Madrid, Spain.

GENUD Research Group, Faculty of Health Sciences, University of Zaragoza, Pedro Miral s/n, 50008 Zaragoza, Spain.

出版信息

Int J Environ Res Public Health. 2020 Sep 11;17(18):6627. doi: 10.3390/ijerph17186627.

Abstract

Worldwide health policies are trying to implement physical activity on prescription (PAP) at healthcare settings. However, there is not a proper methodology to analyze PHC organizational staff factors. This study aims to validate two questionnaires to assess the self-perception of nurses and general practitioners to implement PAP at primary healthcare (PHC) settings. The designed choice-modeling Google-form questionnaire was sent to 11 expert nurses and 11 expert sports medicine physicians. Experts evaluated each question on a 1-5 points Likert-type scale according to their expertise. Aiken's V coefficient values ≥0.75 were used to validate separately each question using the Visual Basic-6.0 software. A total of 10 sports medicine physicians and 10 nurses with 28.4 ± 5.1 y and 16.3 ± 11.8 y of PAP experience, respectively, validated the questionnaire. One expert in each group was not considered for offering 3 ± SD answers in ≥2 questions respect to the mean of the rest of experts. Final Aiken's V coefficient values were 0.89 (0.77-1.00) for the nurses' questionnaire and 0.84 (0.77-0.95) for the physicians' one. The questionnaires designed to assess the PAP self-perception of PHC nurses and physicians were validated. This methodology could be used to analyze PHC organizational staff factors in order to achieve an efficient PAP implementation in other PHC contexts.

摘要

全球卫生政策正试图在医疗保健环境中实施运动处方(PAP)。然而,目前还没有一种适当的方法来分析初级保健(PHC)机构工作人员的因素。本研究旨在验证两个问卷,以评估护士和全科医生在初级保健(PHC)环境中实施 PAP 的自我感知。设计的选择建模谷歌表单问卷被发送给 11 名专家护士和 11 名专家运动医学医生。专家根据自己的专业知识,在 1-5 分的李克特量表上对每个问题进行评估。使用 Visual Basic-6.0 软件分别使用 Aiken 的 V 系数值≥0.75 验证每个问题。共有 10 名运动医学医生和 10 名护士,分别具有 28.4±5.1 岁和 16.3±11.8 岁的 PAP 经验,验证了问卷。每个组中的一位专家由于在≥2 个问题上提供了 3±SD 的答案,而没有被考虑对其余专家的平均值进行评估。护士问卷的最终 Aiken 的 V 系数值为 0.89(0.77-1.00),医生问卷的最终 Aiken 的 V 系数值为 0.84(0.77-0.95)。评估 PHC 护士和医生 PAP 自我感知的问卷已通过验证。这种方法可以用于分析 PHC 组织工作人员的因素,以便在其他 PHC 环境中实现有效的 PAP 实施。

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