The Swedish version of the Normalization Process Theory Measure S-NoMAD: translation, adaptation, and pilot testing.
The Swedish version of the Normalization Process Theory Measure S-NoMAD: translation, adaptation, and pilot testing.
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DOI：
10.1186/s13012-018-0835-5
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发表时间：
2018-12-04
期刊：
影响因子：
--
通讯作者：
Åberg AC
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文献类型：
--
作者：
Elf M;Nordmark S;Lyhagen J;Lindberg I;Finch T;Åberg AC
最初的英国工具标准化过程理论测量（NoMAD）是基于标准化过程理论的四个核心结构：连贯性，认知参与，集体行动和反身性监测。它们代表了对实施的思考方式，并侧重于干预措施如何成为日常实践的一部分。将原始NoMAD翻译并改编为瑞典版S-NoMAD，并在包括医院、初级和社区护理在内的卫生保健环境中进行试点测试，评估其心理测量特性。在不同的开发阶段，采用系统的方法对S-NoMAD的内容效度进行测试和改进，包括前向翻译和后向翻译以及专家评审。最终的S-NoMAD版本随后被用于一项旨在实施个性化护理计划新工作方法的试点研究中的过程评估。试点项目在瑞典北部一个地区的两家医院、四个保健中心和两个市实施。采用验证性因子分析对S-NoMAD试点结果进行有效性分析，即对S-NoMAD的四个结构进行单因素模型拟合。采用Cronbach 's alpha来确定内部一致性信度。在试点中，从144名不同的卫生保健专业人员或管理人员中收集了S-NoMAD数据。最初的因素分析模型显示，基于三个项目的两个构念（连贯性和认知参与）适合度良好，其余两个构念（集体行动和反思监测）适合度不理想。从模型中删除这些项目产生了良好的拟合和良好的内部一致性（alpha在0.78和0.83之间）。然而，对因素之间相关性的估计表明，因素反射监测与因素一致性和集体行动高度相关（约0.9）。结果表明，S-NoMAD的翻译具有初步满意的心理测量学性质，并得到了初步验证。然而，开发高度有效和可靠的仪器是一个反复的过程，需要在各种环境和人群中进行更广泛的验证。因此，为了建立S-NoMAD的效度和信度，需要进行额外的心理测量测试。
The original British instrument the Normalization Process Theory Measure (NoMAD) is based on the four core constructs of the Normalization Process Theory: Coherence, Cognitive Participation, Collective Action, and Reflexive Monitoring. They represent ways of thinking about implementation and are focused on how interventions can become part of everyday practice. To translate and adapt the original NoMAD into the Swedish version S-NoMAD and to evaluate its psychometric properties based on a pilot test in a health care context including in-hospital, primary, and community care contexts. A systematic approach with a four-step process was utilized, including forward and backward translation and expert reviews for the test and improvement of content validity of the S-NoMAD in different stages of development. The final S-NoMAD version was then used for process evaluation in a pilot study aimed at the implementation of a new working method for individualized care planning. The pilot was executed in two hospitals, four health care centres, and two municipalities in a region in northern Sweden. The S-NoMAD pilot results were analysed for validity using confirmatory factor analysis, i.e. a one-factor model fitted for each of the four constructs of the S-NoMAD. Cronbach’s alpha was used to ascertain the internal consistency reliability. In the pilot, S-NoMAD data were collected from 144 individuals who were different health care professionals or managers. The initial factor analysis model showed good fit for two of the constructs (Coherence and Cognitive Participation) and unsatisfactory fit for the remaining two (Collective Action and Reflexive Monitoring) based on three items. Deleting those items from the model yielded a good fit and good internal consistency (alphas between 0.78 and 0.83). However, the estimation of correlations between the factors showed that the factor Reflexive Monitoring was highly correlated (around 0.9) with the factors Coherence and Collective Action. The results show initial satisfactory psychometric properties for the translation and first validation of the S-NoMAD. However, development of a highly valid and reliable instrument is an iterative process, requiring more extensive validation in various settings and populations. Thus, in order to establish the validity and reliability of the S-NoMAD, additional psychometric testing is needed.
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Implementation science : IS
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