Paul MacDonald, Derek Peters, Helen Frank, Rebecca Stack
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引用次数: 0
Abstract
Background: The relationship between knowledge, attitudes and beliefs (KAB) is complex and reciprocal. Although KAB are internal constructs, they collectively influence behaviour without necessarily determining it. In obesity management, understanding healthcare professionals' (HCPs') KAB about adult obesity is crucial. However, comprehensive and valid outcome measurement instruments (OMIs) are necessary to accurately reflect their perspectives.
Objective: This scoping review aimed to identify and evaluate published OMIs that assess HCPs' KAB about adult obesity, utilising the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) framework.
Methods: Following the COSMIN methodology and the five-stage scoping review framework proposed by Arksey and O'Malley, and refined by Levac and Colquhoun, reviewers searched six databases-Embase, Medline, Web of Science, PsycINFO, CINAHL and Google Scholar-for studies published from 1 January 1991 to 1 May 2025. Inclusion criteria required studies to focus on HCPs' KAB, OMI development, psychometric evaluation or application in relation to adult obesity. Two reviewers screened the literature and assessed methodological quality using the COSMIN Risk of Bias checklist, and evidence quality was graded with a modified GRADE approach.
Results: A total of 9213 records were identified, 45 articles were evaluated for full-text eligibility, and 4 articles were selected for final review. According to COSMIN criteria, the methodological quality of these studies was deemed inadequate. None demonstrated sufficient content validity, with common limitations including unrepresentative samples of HCPs' and poorly defined constructs. As per the COSMIN 'stop rule'," no further psychometric evaluations were conducted.
Conclusion: There is a significant gap in the availability of rigorously developed instruments for assessing HCPs' KAB about adult obesity. There is a clear need for more contemporary and reliable OMIs that adhere to quality standards, such as those outlined in the COSMIN framework.
背景：知识、态度和信念（KAB）之间的关系是复杂的、相互的。虽然KAB是内部结构，但它们共同影响行为而不一定决定行为。在肥胖管理中，了解保健专业人员（HCPs）关于成人肥胖的KAB是至关重要的。然而，全面和有效的结果测量工具（OMIs）是必要的，以准确反映他们的观点。目的：本范围综述旨在利用基于共识的健康测量工具选择标准（COSMIN）框架，识别和评估已发表的评估卫生保健提供者关于成人肥胖的KAB的omi。方法：采用COSMIN方法和Arksey和O'Malley提出并经Levac和Colquhoun改进的五阶段范围评价框架，检索embase、Medline、Web of Science、PsycINFO、CINAHL和谷歌scholar 6个数据库，检索1991年1月1日至2025年5月1日发表的研究。纳入标准要求研究关注HCPs的KAB、OMI发展、心理测量评估或与成人肥胖相关的应用。两名审稿人筛选文献并使用COSMIN偏倚风险检查表评估方法学质量，并使用改进的GRADE方法对证据质量进行分级。结果：共识别9213篇文献，45篇文献被评估为符合全文资格，4篇入选最终评审。根据COSMIN的标准，这些研究的方法学质量被认为是不足的。没有一个显示出足够的内容效度，常见的限制包括hcp的样本不具代表性和定义不清的构念。根据COSMIN的“停止规则”，“没有进行进一步的心理测量评估。结论：在评估HCPs关于成人肥胖的KAB的严格开发的工具的可用性方面存在显着差距。显然需要更多符合质量标准的现代和可靠的管理信息系统，例如COSMIN框架中概述的那些标准。
期刊介绍：
Journal of Obesity is a peer-reviewed, Open Access journal that provides a multidisciplinary forum for basic and clinical research as well as applied studies in the areas of adipocyte biology & physiology, lipid metabolism, metabolic syndrome, diabetes, paediatric obesity, genetics, behavioural epidemiology, nutrition & eating disorders, exercise & human physiology, weight control and health risks associated with obesity.
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