评估理疗师使用循证实践的改良弗雷斯诺测试：巴西-葡萄牙语简版的测量特性

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy Pub Date : 2024-09-01 DOI:10.1016/j.bjpt.2024.101112

Anderson Martins da Silva , Dafne Karen da Silva Vieira Rosa , Rosimeire Simprini Padula

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引用次数: 0

摘要

背景经修订的弗雷斯诺测试是为评估物理治疗师循证实践而开发的问卷。方法在 133 名物理治疗师样本中，由两名评分者（评分者内部和评分者之间）分析改良版弗雷斯诺测试--巴西-葡萄牙语简版的可靠性。采用类内相关系数（ICC2,1）和测量标准误差（SEM）来评估重测可靠性。内部一致性采用 Cronbach's alpha 系数进行测试。专家委员会使用内容效度指数（CVI）对内容效度进行了分析。采用主成分法进行的确认性因子分析（CFA）评估了构建效度。使用效应大小对反应性进行了估计，并对上限和下限效应进行了调查：ICC= 0.93 (95 % CI 0.91, 0.95)；评分者 1 - ICC= 0.95 (95 % CI 0.94, 0.97)；评分者 2 - ICC= 0.98 (95 % CI 0.98, 0.99)。一致性非常好（数值小于 5%）。大多数工具项目的内部一致性良好（≥ 0.80）。专家委员会成员对 CVI 的同意度为 0.96。校正后的项目总数的 Cronbach's alpha 系数大于 0.40。在 CFA 中，"模型 2 "显示了可接受的指数（≥ 0.90）。响应度被归类为非常小。结论《弗雷斯诺改良测验--巴西-葡萄牙语简易版》具有良好至卓越的可靠性。CFA 显示，拟合指数足以用于相关人群。

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Modified Fresno test to assess Physical therapists' use of evidence-based practice: measurement properties of the Brazilian-Portuguese short version

Background

The modified Fresno test is a questionnaire developed to evaluate Evidence-Based Practice among physical therapists. A previous study has indicated that a shorter version with 9 items would be more appropriate for Brazilian physical therapists.

Objectives

To test the measurement properties of the modified Fresno test - Brazilian-Portuguese short version.

Methods

To analyze the reliability of the modified Fresno test - Brazilian-Portuguese short version by two raters (intra and inter-rater) in a sample of 133 physical therapists. The intraclass correlation coefficient (ICC_2,1) and standard error of measurement (SEM) was used to assess the test-retest reliability. Internal consistency was tested using the Cronbach's alpha coefficient. An expert committee analyzed content validity using the content validity index (CVI). Confirmatory factor analysis (CFA) using the principal components method was used to assess construct validity. Responsiveness was estimated using effect size, and ceiling and floor effects were also investigated.

Results

Inter-rater and intra-rater reliability were, respectively: ICC= 0.93 (95 % CI 0.91, 0.95); rater 1 - ICC= 0.95 (95 % CI 0.94, 0.97); rater 2 - ICC= 0.98 (95 % CI 0.98, 0.99). The agreement was very good (values ≤ 5 %). Internal consistency was good for most instrument items (≥ 0.80). The CVI showed agreement among the expert committee members (0.96). The Cronbach's alpha coefficients calculated for the corrected item total showed values greater than 0.40. In the CFA, the “model 2” showed acceptable indices (≥ 0.90). Responsiveness was classified as very small. No ceiling and floor effects.

Conclusion

The Fresno Modified Test - Brazilian-Portuguese short version has good to excellent reliability. CFA showed that the fit indices were adequate to be used in the population of interest.

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来源期刊

Brazilian Journal of Physical Therapy 医学-整形外科

CiteScore

6.10

自引率

8.80%

发文量

审稿时长

74 days

期刊介绍： The Brazilian Journal of Physical Therapy (BJPT) is the official publication of the Brazilian Society of Physical Therapy Research and Graduate Studies (ABRAPG-Ft). It publishes original research articles on topics related to the areas of physical therapy and rehabilitation sciences, including clinical, basic or applied studies on the assessment, prevention, and treatment of movement disorders.