Protocol for development and validation of a context-appropriate tool for assessing organisational readiness for change in primary health clinics in South Africa.
Protocol for development and validation of a context-appropriate tool for assessing organisational readiness for change in primary health clinics in South Africa.
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DOI：
10.1136/bmjopen-2017-020539
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发表时间：
2018-04-09
期刊：
影响因子：
2.9
通讯作者：
Myers B
中科院分区：
文献类型：
--
作者：
Brooke-Sumner C;Sorsdahl K;Lombard C;Petersen-Williams P;Myers B
南非对常见精神障碍（如抑郁症）的治疗存在很大差距。与其他慢性疾病，包括艾滋病毒和生活方式疾病的合并症，是全球日益关注的公共卫生问题。目前，作为慢性病患者护理点的初级卫生设施对常见精神障碍提供的服务有限。需要利用适合具体情况的措施评估组织变革准备情况，以便采用卫生创新（如精神卫生服务），以促进这些服务的实施。本研究旨在探讨德州基督教大学组织变革准备（TCU-ORC）量表在南非情境下的有效性。随后，我们将开发这个规模的缩短版本。这项研究是MIND项目的一部分，该项目是一项多年的随机对照试验，旨在测试两种不同的方法，将普通精神障碍咨询纳入慢性病护理。虽然将在将精神卫生纳入初级卫生保健服务的背景下，在拟议的研究中制定经过修改的、适合具体情况的ORC措施，但推广该工具以进一步了解在初级卫生保健环境中实施任何改变的障碍的可能性很高。我们将建立内部一致性（Cronbach’s alpha系数）、重测信度（类内相关系数）和构建长格式TCU-ORC问卷的效度。将从实施MIND项目试验的24个初级卫生设施的288名临床、管理和业务人员中收集调查数据。改进的德尔菲法将评估TCU-ORC项目的内容效度，并确定可能调整和减少项目的领域。南非医学研究理事会（议定书ID: EC004-2-2015, 2017年8月20日修订）已给予伦理批准。结果将提交给与实施和加强卫生系统有关的同行评议期刊。
A large treatment gap for common mental disorders (such as depression) exists in South Africa. Comorbidity with other chronic diseases, including HIV and diseases of lifestyle, is an increasing public health concern globally. Currently, primary health facilities as points of care for those with chronic disease provide limited services for common mental disorders. Assessing organisational readiness for change (ORC) towards adopting health innovations (such as mental health services) using contextually appropriate measures is needed to facilitate implementation of these services. This study aims to investigate the validity of the Texas Christian University Organisational Readiness for Change (TCU-ORC) scale in the South African context. Subsequently, we will develop a shortened version of this scale. This study is nested within Project MIND, a multiyear randomised controlled trial that is testing two different approaches for integrating counselling for common mental disorders into chronic disease care. Although the modified, contextually appropriate ORC measure resulting from the proposed study will be developed in the context of integrating mental health into primary healthcare services, the potential for the tool to be generalised to further understanding barriers to any change being implemented in primary care settings is high. We will establish internal consistency (Cronbach’s alpha coefficients), test-retest reliability (intraclass correlation coefficient) and construct validity of the long-form TCU-ORC questionnaire. Survey data will be collected from 288 clinical, management and operational staff from 24 primary health facilities where the Project MIND trial is implemented. A modified Delphi approach will assess the content validity of the TCU-ORC items and identify areas for potential adaptation and item reduction. Ethical approval has been granted by the South African Medical Research Council (Protocol ID EC004-2-2015, amendment of 20 August 2017). Results will be submitted to peer-reviewed journals relevant to implementation and health systems strengthening.
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影响因子：
3.6
作者：
Aarons, Gregory A.;Hoagwood, Kimberly;Landsverk, John;Glisson, Charles;Kelleher, Kelly;Cafri, Guy
通讯作者：
Cafri, Guy
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
5.7
作者：
Hamilton, Alison B.;Cohen, Amy N.;Young, Alexander S.
通讯作者：
Young, Alexander S.
DOI：
10.1186/1748-5908-5-46
发表时间：
2010-06-14
期刊：
Implementation science : IS
影响因子：
--
作者：
Hagedorn HJ;Heideman PW
通讯作者：
Heideman PW
影响因子：
3.7
作者：
Gagnon MP;Attieh R;Ghandour el K;Légaré F;Ouimet M;Estabrooks CA;Grimshaw J
通讯作者：
Grimshaw J