衡量医疗保健专业人员对其采用共同决策能力的看法:丹麦语版 IcanSDM 问卷的翻译和心理测量评估。

IF 3.3 3区 医学 Q2 MEDICAL INFORMATICS
Jeanette Finderup, Hilary L Bekker, Nadia Thielke Albèr, Susanne Boel, Louise Engelbrecht Buur, Helle Sørensen von Essen, Anne Wilhøft Kristensen, Kristian Damgaard Lyng, Tina Wang Vedelø, Gitte Susanne Rasmussen, Pernille Christiansen Skovlund, Stine Rauff Søndergaard, Anik Giguère
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引用次数: 0

摘要

背景:医疗保健中的共同决策是患者的一项基本权利。医护专业人员对自身能力的认识对于在服务中实施共同决策至关重要。IcanSDM(我能共同决策)是一项简短的测量方法,用于调查医疗保健专业人员对其实践中共同决策方法的看法。它在加拿大开发,有法语和英语版本,最近被翻译成德语。本研究旨在为丹麦语医疗保健专业人员改编 IcanSDM 测量方法,并评估其心理测量特性:方法:根据 Beaton 等人的方法进行文化适应和翻译。十人进行了正译,两人进行了反译。为了评估可理解性,对 24 名医护人员进行了认知访谈。80 名医护人员接受了一小时(65 人)或一天(15 人)的共同决策培训,并参与了心理测量评估。评估内容包括接受度、项目特征、偏度、项目难度、校正后的项目总相关性、项目间相关性、因子结构、内部一致性和反应性:结果:正向和反向翻译显示差异很小,参与者对项目的理解也很好。心理测量学评估显示完成率较高,项目难度和区分度值均可接受。因子分析和内部一致性均显示出双因子结构:1)医护人员实施共同决策的能力;2)医护人员实践共同决策的能力。IcanSDM_Danish 的 Cronbach's alpha 系数为 0.74。对响应能力的评估显示出改进,但在统计学上并不显著:IcanSDM_Danish 具有良好的跨文化有效性和内部一致性,以及双因素结构。IcanSDM_Danish 能够在评估构建的共同决策知识时提供可靠有效的测量,并能够支持共同决策培训的实施及其影响评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Measuring healthcare professionals' perceptions of their ability to adopt shared decision making: Translation and psychometric evaluation of the Danish version of the IcanSDM questionnaire.

Background: Shared  decision making in healthcare is a fundamental right for patients. Healthcare professionals' perception of their own abilities to enable shared decision making is crucial for implementing shared decision making within service. IcanSDM (I can shared decision making) is a brief measure to investigate healthcare professionals' perception of shared decision making approaches to their practices. It was developed in Canada with French and English versions, and recently translated into German. This study aims to adapt the IcanSDM measure for Danish-speaking healthcare professionals, and evaluate its psychometric properties.

Methods: Cultural adaptation and translation based on Beaton et al.'s approach was applied. A forward translation by ten people and a backward translation by two people were performed. To assess comprehensibility, cognitive interviews were conducted with 24 healthcare professionals. Eighty healthcare professionals who were trained in shared decision making for either one hour (n = 65) or one day (n = 15) participated in the psychometric evaluation. The evaluation concerned acceptance, item characteristics, skewness, item difficulties, corrected item-total correlations, inter-item correlations, factorial structure, internal consistency, and responsiveness.

Results: The forward and backward translation revealed few discrepancies, and participants understood the items well. The psychometric evaluation showed a high completion rate and acceptable item difficulties and discrimination values. Both the factor analysis and the internal consistency showed a 2-factor structure: 1) healthcare professionals' capacity to implement shared decision making; and 2) healthcare professionals' capacity to practise shared decision making. The IcanSDM_Danish obtained a Cronbach's alpha coefficient of 0.74. The evaluation of responsiveness showed improvement, but was not statistically significant.

Conclusion: The IcanSDM_Danish has good cross-cultural validity and internal consistency, and a 2-factor structure. The IcanSDM_Danish is capable of providing reliable and valid measurement when evaluating constructed knowledge about shared decision making, and may be able to support the implementation of shared decision making training and evaluation of its impact.

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来源期刊
CiteScore
7.20
自引率
5.70%
发文量
297
审稿时长
1 months
期刊介绍: BMC Medical Informatics and Decision Making is an open access journal publishing original peer-reviewed research articles in relation to the design, development, implementation, use, and evaluation of health information technologies and decision-making for human health.
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