阿拉伯语国家社区药剂师和医生专业协作实践工具的翻译、改编和验证。

IF 2.5 4区医学 Q3 PHARMACOLOGY & PHARMACY

Journal of the American Pharmacists Association Pub Date : 2025-05-01 DOI:10.1016/j.japh.2025.102386

Ammar Abdulrahman Jairoun, Sabaa Saleh Al-Hemyari, Faris El-Dahiyat, Moyad Shahwan, Samer H. Zyoud, Heba Jeroudy, Manar Al Kazhali, Saleh Karamah AL-Tamimi

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引用次数: 0

摘要

背景：医生和社区药剂师在医疗保健中合作的重要性日益得到认可。加强合作通过合并医疗和制药专业知识以改善卫生保健，对药物管理和患者结果产生积极影响。以前，对评估这种合作至关重要的专业协作实践工具没有阿拉伯文版本。本研究旨在翻译，文化适应，并验证该工具在阿拉伯语国家，同时侧重于社区药剂师与医生合作实践的观点。方法：这项研究历时10个月，对阿拉伯语国家的303名社区药剂师进行了横断面调查。从英语到阿拉伯语的翻译过程遵循标准的“向前-向后”技术。验证采用验证性因子分析（CFA）和结构方程模型，采用近似均方根误差（RMSEA）、增量拟合指数（IFI）、归一化拟合指数（NFI）、麦当劳拟合指数（MEI）和比较拟合指数（CFI）等指标。采用平均方差提取（AVE）和复合信度（CR）评估收敛效度，采用三因素模型中相对于AVE值平方根的潜在因子相关性评估判别效度。信度采用Cronbach’s alpha和类内相关系数（ICC）来衡量。结果：CFA证实了专业协作实践工具在阿拉伯语中的结构效度。拟合指数（CFI: 0.974, NMI: 0.954, IFI: 0.974, MEI: 0.887, RMSEA: 0.063）表明模型具有稳健性。AVE值超过0.50验证了潜在构念的解释能力。CR值（≥0.70）表明具有较强的内部一致性和可靠性。该工具具有较好的判别效度，因子间相关性低于AVE值的平方根。所有因素的高Cronbach's alpha系数（>0.70）反映了良好的内部一致性。ICC（0.95）显示了超常的长期可靠性。结论：本研究成功地翻译、验证并增强了衡量阿拉伯语国家社区药剂师合作实践的工具。该工具有效地评估了对综合药物审查等服务至关重要的协作水平，从而影响了患者的治疗结果。它支持加强医生和社区药剂师之间的伙伴关系，在提供以病人为中心的医疗保健服务方面发挥重要作用。经过验证的仪器可以纳入社区药房的定期评估，以监测和改善合作行为。

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Translation, adaptation, and validation of the professional collaborative practice tool for community pharmacists and physicians in Arabic-speaking countries

Background

The importance of collaboration between physicians and community pharmacists in health care is increasingly recognized. Enhanced cooperation positively impacts medication management and patient outcomes by merging medical and pharmaceutical expertise for improved health care. Previously, the Professional Collaborative Practice Tool, which is crucial for assessing such collaboration, was unavailable in Arabic. This study aimed to translate, culturally adapt, and validate the tool in Arabic-speaking countries while focusing on community pharmacists' perspectives on collaborative practice with physicians.

Methods

The study, which spanned 10 months, involved a cross-sectional survey of 303 community pharmacists across Arabic-speaking nations. The translation process followed the standard “forward–backward” technique from English to Arabic. Validation employed confirmatory factor analysis (CFA) and structural equation modeling, with indices like root mean square error of approximation (RMSEA), incremental fit index (IFI), normed fit index, McDonald's fit index (MEI), and comparative fit index (CFI). Convergent validity was assessed using average variance extracted (AVE) and composite reliability (CR), while discriminant validity was evaluated through latent factor correlation in the three-factor model against the square root of AVE values. Reliability was gauged using Cronbach's alpha and the intraclass correlation coefficient (ICC).

Results

CFA confirmed the Professional Collaborative Practice Tool's structural validity in Arabic. The model's robustness was indicated by fit indices (CFI: 0.974, NMI: 0.954, IFI: 0.974, MEI: 0.887, RMSEA: 0.063). AVE values exceeding 0.50 validated the explanatory power of the latent constructs. CR values (≥0.70) indicated strong internal consistency and reliability. The tool demonstrated superior discriminant validity with lower interfactor correlations than the square root of AVE values. High Cronbach's alpha coefficients (>0.70) across all factors and the model reflected excellent internal consistency. The ICC (0.95) suggested exceptional long-term reliability.

Conclusion

This study successfully translated, validated, and enhanced an instrument measuring collaborative practice among community pharmacists in Arabic-speaking countries. The tool effectively assesses collaboration levels crucial for services like comprehensive medication reviews, thereby influencing patient outcomes. It supports the essential role of strengthening the partnership between physicians and community pharmacists in delivering patient-centered health care services. The validated instrument can be incorporated into regular assessments in community pharmacies to monitor and improve collaborative behaviors.

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来源期刊

Journal of the American Pharmacists Association 医学-药学

CiteScore

3.30

自引率

14.30%

发文量

336

审稿时长

46 days

期刊介绍： The Journal of the American Pharmacists Association is the official peer-reviewed journal of the American Pharmacists Association (APhA), providing information on pharmaceutical care, drug therapy, diseases and other health issues, trends in pharmacy practice and therapeutics, informed opinion, and original research. JAPhA publishes original research, reviews, experiences, and opinion articles that link science to contemporary pharmacy practice to improve patient care.