Development and Validation of a Measure of Organizational Readiness (motivation x capacity) for Implementation

组织就绪性在实施循证干预(EBI)方面发挥着关键作用 癌症防控。考虑到测量对于这两项研究对于实践的重要性，有一个 需要全面、有效和可靠的组织就绪性衡量标准，旨在获取关键信息 这些因素贯穿于整个实施过程。拟议的研究将制定和验证一项措施，以 评估组织在联邦实施用于结直肠癌筛查(CRC)的EBI的准备情况 合格的健康中心(FQHC)。它还将调整和测试这项措施，以便在提供 营养计划。这一措施是由交互系统框架和过去的研究提供信息的 确定组织激励和能力(特定于创新和一般情况)的重要性 由R=MC2启发式捕获。研究目标包括：目标1：适应和进一步发展当前的准备状态 监测工具，用于评估实施以证据为基础的干预措施以增加结直肠癌的准备情况 在社区卫生诊所进行癌症筛查。目标2：测验的结构效度、判别效度和效标效度 通过评估内部一致性、时间稳定性、 和评分员之间的可靠性。目标3：调整和评估就绪监测工具的可用性和有效性 在学校环境中实施以营养为基础的计划。目标1将通过混合方案实现 方法介绍测量适应的方法和DeVellis量表开发过程中的方法。目标 2将通过对测试样本实施新开发的测量来测试有效性和可靠性 使用多水平验证性因素分析模型，并对内部一致性、重测信度、 和评分员之间的可靠性。目标3将使用混合方法方法来调整该措施以用于不同的 环境(学校)和主题领域(健康饮食)，并评估这一领域的信度和效度。 这项研究具有非常重要的意义，因为它将通过开发一种就绪状态来促进实现科学 适用于各种设置的测量。它将验证组织的全面衡量标准 做好准备，将有助于增加FQHC中的CRC，并在学校实施营养计划。这个 研究是创新的，因为它将是第一个使用大的嵌套样本进行开发和验证的公司，而且 一种统计方法，考虑了数据的多层次性质。其他创新包括：1) 开发可使用的组织准备度量值(在研究和实践中都很有用) 在整个实施过程中，2)验证为实施信用评级机构实施EBI做好准备的措施 在FQHC中，以及3)以系统的方式为不同的环境(学校)调整就绪衡量标准，以及 主题(营养)和经验性验证，这将导致在不同环境中衡量适应指南。 鉴于就绪性是实施成功的一个重要预测因素， 研究和实践都需要做好准备，拟议的研究有可能产生很大的影响。

Organizational readiness plays a critical role in the implementation of evidence-based interventions (EBIs) for cancer prevention and control. Given the importance of measurement for both research for practice, there is a need for a comprehensive, valid, and reliability measure of organizational readiness designed to capture key factors throughout the implementation process. The proposed study will develop and validate a measure to assess organizational readiness for implementing EBIs for colorectal cancer screening (CRCS) in federally qualified health centers (FQHCs). It will also adapt and test the measure for use in schools delivering a nutrition program. The measure is informed by the Interactive Systems Framework and past research identifying the importance of organizational motivation and capacity (innovation-specific and general) as captured by the R=MC2 heuristic. Study aims include: Aim 1: Adapt and further develop the current Readiness Monitoring Tool to assess readiness for implementing evidence-based interventions for increasing colorectal cancer screening in community health clinics. Aim 2: Test structural, discriminant, and criterion validity of the revised Readiness Monitoring Tool as well as reliability by assessing internal consistency, temporal stability, and inter-rater reliability. Aim 3: Adapt and assess the usability and validity of the Readiness Monitoring Tool in the school setting for implementing a nutrition based program. Aim 1 will be accomplished using a mixed methods approach to inform measure adaptation and methods from DeVellis's scale development process. Aim 2 will test the validity and reliability by administering the newly developed measure to a testing sample and using multilevel confirmatory factor analysis models, and tests for internal consistency, test-retest reliability, and inter-rater reliability. Aim 3 will use a mixed methods approach to adapt the measure for use in a different setting (school) and topic area (healthy eating), and, assess the reliability and validity in this area. This study is highly significant in that it will advance implementation science by developing a readiness measure that is applicable across settings. It will validate a comprehensive measure for organizational readiness that will help increase CRCS in FQHCs, and implementation of a nutrition program in schools. The study is innovative in that it will be the first to use large, nested samples for development and validation and a statistical approach that takes into account the multilevel nature of the data. Other innovations include: 1) developing an organizational readiness measure (useful in both research and practice) that can be used throughout the implementation process, 2) validating a measure of readiness for implementing EBIs for CRCS in FQHCs, and 3) adapting the readiness measure in a systematic manner for a different setting (schools) and topic (nutrition) and validating it empirically, which will lead to measure adaptation guidelines across settings. Given that readiness is an important predictor of implementation success and that validated measures of readiness are needed for both research and practice, the proposed study has the potential for high impact.