Journal of evaluation in clinical practice最新文献

{"title":"LGBTIQA+ Patient Liaison Service—Seeking to Improve the Experience of Hospitalised LGBTIQA+ People","authors":"Suzi Hayes,&nbsp;Connor Gryffydd,&nbsp;Jane Jolley,&nbsp;Michelle Lin,&nbsp;Aruska N. D'Souza","doi":"10.1111/jep.70160","DOIUrl":"https://doi.org/10.1111/jep.70160","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>People in LGBTIQA+ communities often have high unmet health care needs partially due to experiences of poor treatment and LGBTIQA+ identity-based discrimination in health care settings. LGBTIQA+ informed health care providers are essential to enhancing care. In 2021, The Royal Melbourne Hospital established an LGBTIQA+ Liaison Service. This service consisted of lived experience practitioners with allied health backgrounds; they supported patients and delivered education to staff.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to evaluate the feasibility (demand, practicality and limited efficacy) of an LGBTIQA+ Liaison Service at a large tertiary hospital in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This prospective feasibility study was conducted at a large tertiary hospital in Victoria, Australia. Patient demographics (demand) and services provided (practicality) were documented. Self-rated staff understanding of LGBTIQA+ care in hospital was collected pre and post-education sessions (limited efficacy).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In 2022, 63 referrals were made to the LGBTIQA+ Liaison Service from 44 patients (median age 27 [26–40 years]). Most were transgender and gender diverse people (<i>n</i> = 34, 54%) and one quarter were First Nations people (<i>n</i> = 16, 25%). The most common interventions were liaising with internal and external parties—including multidisciplinary teams—and providing peer support. Staff (<i>n</i> = 1226) who attended LGBTIQA+ education sessions reported statistical improvements in understanding the experience of LGBTIQA+ people, inclusive practice, available supports and referring to the Service.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Within a large tertiary hospital, there was demand for the LGBTIQA+ Liaison Service from both staff and patients, particularly transgender, gender diverse and First Nations peoples. The education and support delivered and provided in this setting improved clinician capability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Concise Overview of Outcome Measures in Clinical Practice","authors":"Ariyibi Liad Abimbola","doi":"10.1111/jep.70173","DOIUrl":"https://doi.org/10.1111/jep.70173","url":null,"abstract":"<div>\u0000 \u0000 <p>The patient-reported outcome measure (PROM) is an umbrella term covering different ranges of outcome instruments such as the multidimensional health-related quality of life measures (WHOQOL, HRQOL) and others like Short Form 36, EuroQol-5D, and PROMIS. These instruments were developed by experts to address issues that borders directly on the patient's needs and preferences, consequently in contemporary clinical practise it has largely replaced or supplemented traditional outcome measures which are flawed by a host of limitations. The PROM, though designed to address most of the shortcomings observed in the traditional instruments is still subject to constant improvement and validation for it to be at pace with rapid technological advancement as well as variation in human activity and behavior. This is to ensure that ultimately, the care provided is centered around what benefits the patient most. The International Consortium for Health Outcomes Measurement, COSMIN, etc. have developed a set of instruments, standardized for use in clinical practice to ensure that the patient remains at the center of their care. This is continually being improved upon so that it will not lag behind as cutting-edge technological inventions and medical innovations advance healthcare delivery.</p>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Am I not Talking to any Medical Doctors Today?’—Evaluation of Effective and Ineffective Interactional Practices in Spinal Pain Clinic Consultations","authors":"Christina Emborg,&nbsp;Camilla Blach Rossen,&nbsp;Lise Hestbæk","doi":"10.1111/jep.70134","DOIUrl":"https://doi.org/10.1111/jep.70134","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Evaluating communication in clinical settings is essential for enhancing patient satisfaction and improving treatment outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study examined the quality of consultations and communication practices used at a hospital-based Danish Medical Spine Clinic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data included audio-taped consultations with patients suffering from low back pain and subsequent patient interviews. The methodological approach to analysing consultation recordings was Conversation Analysis, while interviews were openly coded and analysed thematically. By comparing the services delivered by the healthcare professionals and the patients' reflections, effective and less effective practices were identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analyses showed that (1) diagnostic and prognostic information provided, partly based on MR imaging, was generally perceived as satisfactory by patients, and (2) treatment plans were meaningful to patients and developed through a collaborative process. Moreover, (3) healthcare professionals' communication was clear and displayed an orientation towards achieving mutual understanding with patients. Finally, (4) an initial outline of the consultation facilitated alignment of expectations. However, the analyses also demonstrated discrepancies between patient expectations and the actual consultation experience concerning (1) the occupational background of the clinician, (2) the purpose of the consultation, and (3) the kind of help offered by the clinic. These mismatches contributed to lower patient satisfaction and prompted negotiations around epistemic authority and legitimation of professional identity during consultations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Improved alignment of patients' expectations could facilitate more effective consultations. Furthermore, despite the patients' satisfaction, the routine practice of explaining MR findings should be reconsidered based on recent evidence from prognostic research, which questions their relevance.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing Standards for Rapid Evaluation and Appraisal Methods (STREAM): An e-Delphi Consensus Study","authors":"Sigrún Eyrúnardóttir Clark,&nbsp;Norha Vera San Juan,&nbsp;Cecilia Vindrola-Padros","doi":"10.1111/jep.70207","DOIUrl":"https://doi.org/10.1111/jep.70207","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Timeliness is key to influencing the utility of evaluation and research findings and has given rise to a range of rapid evaluation and appraisal approaches. However, issues in the design, implementation and transparency in their reporting has led to concerns around their rigour and validity. To address this, we have developed the Standards for Rapid Evaluation and Appraisal Methods (STREAM).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We followed a four-stage consensus process, starting with a (1) steering group consultation; (2) three-stage e-Delphi study; (3) stakeholder consensus workshop; and (4) piloting exercise. The stakeholders invited to participate in the consensus process had experience in conducting, being part of, or commissioning rapid evaluations or appraisals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-eight standards were developed with the purpose of guiding the design and implementation of rapid evaluations and appraisals and supporting the reporting of methods used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Rapid evaluations and appraisals can be useful in time and resource limited contexts and in the response to new or changing services, but close attention needs to be paid to their rigour and other factors that might influence the production of knowledge and validity of the findings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screening for Atrial Fibrillation: A Perspective From Critical Appraisal of the Guidelines","authors":"Peng Wang,&nbsp;Jing Zhang,&nbsp;Tong Liu,&nbsp;Yangsheng He,&nbsp;Menghui Liu,&nbsp;Xinxue Liao,&nbsp;Xiaodong Zhuang,&nbsp;Li Feng","doi":"10.1111/jep.70157","DOIUrl":"https://doi.org/10.1111/jep.70157","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Current guidelines involving screening for atrial fibrillation (AF) have some discrepancies in the recommendations for AF screening, which might confuse clinicians. Therefore, it is necessary to appraise the quality of the guidelines and summarize the consensus and discrepancies regarding AF screening.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search was conducted for guidelines containing recommendations for AF screening between 2012 and 2024. Two reviewers appraised the quality of the included guidelines with the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven guidelines met the inclusion criteria, with AGREE II scores ranging from 42% to 80%, of which 4 guidelines were defined as ‘strongly recommended’ guidelines. Most current guidelines reach consensus that AF screening should be performed in individuals aged ≥ 65 years and patients with stroke or cardiac implantable electronic devices (CIED). However, there was no consensus on whether to perform systematic ECG screening in patients ≥ 75 years of age and the optimal method of prolonged ECG monitoring in patients with stroke. Moreover, the recommendation regarding AF screening in other subgroups was limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The guidelines from European and American regions had higher AGREE II scores. Most of the current guidelines reached consensus that the elderly population (≥ 65 years) and patients with stroke or CIED need AF screening, but there was no consensus on the methods or intensity of screening for specific subgroups.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Google Scholar as a Resource for Systematic Reviews in Clinical Medicine","authors":"Matthew E. Falagas,&nbsp;Paraskevi Maria Paliogianni,&nbsp;Dimitrios S. Kontogiannis,&nbsp;Dimitrios Ragias,&nbsp;Elizabeth Johnson","doi":"10.1111/jep.70206","DOIUrl":"https://doi.org/10.1111/jep.70206","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Authors of systematic reviews must select, among several options, the databases for searching articles for inclusion in their analyses. Google Scholar is readily available, easy to use, and widely accepted for everyday information searches, including scientific research. However, there is no consensus for its use as a resource in systematic reviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study assessed the proportion of systematic reviews that used Google Scholar as a resource, the search strategies used, and the number of potentially missed articles if the search in Google Scholar was omitted and focused on PubMed, Cochrane Library, and Scopus. We also analyzed data from the most recent systematic reviews in clinical medicine indexed in PubMed that listed Google Scholar as one of the resources used for literature searches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The term ‘Google Scholar’ was included in the title and/or abstract of 6.1% of systematic reviews archived by PubMed, compared to 37.5%, 36.1%, 31.8%, 18.5%, and 14.1% for the terms ‘PubMed’, ‘Embase’, ‘Cochrane’, ‘Web of Science’, and ‘Scopus’, respectively. Almost all (1029/1030) articles in the results section of the evaluated systematic reviews could be found in Google Scholar searches. If Google Scholar was omitted as a resource, the missed articles were 5% (53/1029). Twenty-one of 50 (42%) of the evaluated systematic reviews did not mention the number of articles identified from Google Scholar searches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Google Scholar, as the most inclusive resource, should be used along with other established resources for systematic reviews. Advances in artificial intelligence may facilitate its use for this scientific purpose.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Psychometric Testing of Powerlessness Assessment Scale for Patients","authors":"Betul Bal,&nbsp;Havva Ozturk","doi":"10.1111/jep.70194","DOIUrl":"https://doi.org/10.1111/jep.70194","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Powerlessness is a negative perception that can affect all people throughout their lives. Individuals are particularly vulnerable in times of illness and are prone to experience powerlessness. It is therefore important to learn about powerlessness, recognize the symptoms and take action.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>This study aimed to develop a measurement tool that can evaluate the powerlessness of patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this methodological study, face and content validity, construct validity and reliability analyses were examined to develop the scale and determine its psychometric properties. The scale's psychometric properties were tested with 1044 nurses and patients in different sample groups. Data were collected between 22 November 2022 and 2 December 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The content validity index of the scale is 0.75. According to principal components analysis, the scale consisted of 24 items and four sub-dimensions. The total variance of the scale was 64.62%, and the factor loading values were in the range of 0.649−0.882. In confirmatory factor analysis, fit indices were acceptable or good. According to the reliability analysis, the scale's reliability is high. Test−retest showed that the scale made stable measurements over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In conclusion, the patient powerlessness assessment scale is a valid and reliable measurement tool for patients and nurses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation and Strategy Provision to Promote the Indicators of Integrated Geriatric Care Program in an Iranian Community: Protocol for a Participatory Action Research","authors":"Neda Sadat Nazaripanah,&nbsp;Haidar Nadrian,&nbsp;Mina Hashemiparast,&nbsp;Neda Gilani,&nbsp;Hassan Rezaeipandari","doi":"10.1111/jep.70199","DOIUrl":"https://doi.org/10.1111/jep.70199","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The presence of an effective primary healthcare system can serve as a pivotal factor in promoting and fostering a state of well-being conducive to healthy aging in older adults. The objective of this investigation was to evaluate and strategy provisions to promote the indicators of the Integrated Geriatric Care Program (IGCP) for community-dwelling older adults in Yazd, Iran.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The current study is a quantitative-qualitative study with a Participatory Action Research (PAR) approach. One of the healthcare centers that has recently obtained the weakest health indicators of the IGCP will be selected as the center for the PAR. The present study aims to enhance the health indicators of IGCP in the designated healthcare center. The principles of this PAR study are based on a cyclical approach including problem identification, planning, implementation, feedback, and evaluation. The study participants comprise the healthcare providers and the older adults covered by this healthcare center. The data will be collected in two phases quantitative and qualitative. The quantitative data will be obtained through Electronic Health Records (EHRs) and a researcher-made questionnaire. The qualitative data will be collected via semi-structured interviews using conventional content analysis design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>PAR studies can be used to empower and create innovative recommendations for the health promotion of older persons. Through the PAR methodology, this investigation seeks to evaluate and promote the health indicators of IGCP in a healthcare center of a developing country. The findings will offer valuable insights for healthcare settings serving older adults, enabling them to conduct similar assessments aligned with their organizational goals to improve the quality of care for older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Clarity and Interpretability of Items in a Bilingual Index of Propensity to Integrate Research Evidence Into Clinical Decision-Making in Rehabilitation","authors":"Jacqueline Roberge-Dao,&nbsp;Nancy Mayo,&nbsp;Annie Rochette,&nbsp;Keiko Shikako,&nbsp;Aliki Thomas","doi":"10.1111/jep.70196","DOIUrl":"https://doi.org/10.1111/jep.70196","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Clear, interpretable measures that account for linguistic differences are critical to accurately assess rehabilitation clinicians' propensity to integrate research evidence into clinical decision-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>To contribute evidence for the clarity and interpretability of a new five-item bilingual multidimensional index of a rehabilitation clinician's propensity to integrate research evidence into clinical decision-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was conducted in three sequential steps: (1) We conducted a focus group with occupational therapists, physical therapists, and researchers to review the items and response options for clarity, consistency, and interval properties and agree on equivalency in English and French. (2) We conducted cognitive interviews whereby clinicians elaborated on their interpretation of the item, comprehensibility of items, and appropriateness of response options. Accepted modifications were integrated and tested with subsequent participants. (3) We conducted an online survey to validate the English and French equivalency of response options on a 0–100 scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>During the qualitative revision process (one focus group with seven participants followed by 27 interviews), the index was revised 12 times with substantial modifications to the <i>use of research evidence</i> and <i>attitudes</i> items.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study increases the clinical relevance and reduces measurement error of this brief index which can inform on individual or organizational factors influencing a clinician's propensity of integrating research evidence into decision-making and ultimately improve rehabilitation outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70196","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community Based Healthcare Services Satisfaction Scale Among Older Adults Development and Psychometric Evaluation","authors":"Ji-Peng Yang,&nbsp;Xu-Miao Li,&nbsp;Zhuo-Lin Liang,&nbsp;Rong-Sai Wei,&nbsp;Jing-Ying Liu","doi":"10.1111/jep.70201","DOIUrl":"https://doi.org/10.1111/jep.70201","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Community home-based elderly healthcare services play a crucial role in combating the aging trend. However, China's community home-based elderly healthcare is still in its infancy, and the quality of these services must be enhanced. The satisfaction of older adults as a significant indicator of older adults healthcare services quality is crucial for promoting the enhancement of service quality. Currently, an appropriate instrument to assess community home-based elderly healthcare services satisfaction is limited. The present study aimed to develop and examine the community home-based elderly healthcare services satisfaction scale (CHEHSSS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Developing and assessing the scale was carried out in two phases: Phase I involved a literature review and Delphi to explore the themes of satisfaction for community home-based elderly healthcare services and instrument development; Phase II established construct validity of the scale using a sample of 439 elderly in Tianjin. Data from the questionnaire were analysed using Item analysis, exploratory factor analysis, confirmatory factor analysis, and internal consistency. Analysis results were used to determine the reliability and validity of the developed scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The scale was developed and validated in two phases. Phase I involved a literature review and Delphi expert consultation (<i>n</i> = 15) to identify satisfaction domains and generate items. Phase II evaluated psychometric properties using a cross-sectional sample of 439 older adults in Tianjin, China. Item analysis, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability tests (Cronbach's <i>α</i>, split-half reliability) were conducted. The results showed seven factors including diagnosis and treatment capacity, professional skills, preventive care, care and respect, transitional care, medical circumstances, and service attitude were generated by exploratory factor analysis, and these factors explained 78.463% of the total variance. Cronbach's <i>α</i> of the community home-based elderly healthcare services satisfaction scale was 0.896.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The establishment of the tool will help to accurately assess the satisfaction of older adults with community home-based healthcare services, which can inform the construction of policies aimed at promoting the quality improvement of community home-based elderly healthcare services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}