Reliability and Validity of the Assessment for Disaster Engagement with Partners Tool (ADEPT) for Local Health Departments
Reliability and Validity of the Assessment for Disaster Engagement with Partners Tool (ADEPT) for Local Health Departments
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DOI：
10.1177/00333549141296s411
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发表时间：
2014-11-01
影响因子：
3.3
通讯作者：
Martel, Andrea
中科院分区：
文献类型：
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作者：
Glik, Deborah C.;Eisenman, David P.;Martel, Andrea
目标。这项研究展示了灾难参与评估与合作伙伴工具(ADEPT)的信度和效度结果，该工具可用于监测当地卫生部门(LHD)与社区组织(CBO)和信仰组织(FBO)之间在备灾、应对和恢复方面的合作活动的频率和性质。我们使用形成性研究来开发该工具，根据LHD的灾害外展和参与活动对其进行排名。我们通过2011年对在LHD工作的备灾协调员(n=273)进行的全国调查验证了该量表。我们将最初的25个项目缩减为15个项目的最终措施，包括四个方面：(1)宣传和协调，(2)资源调动，(3)组织能力建设，以及(4)伙伴关系的发展和维持。采用内部一致性、信度m相关和因子分析等方法对测量结果进行验证。使用内部一致性信度，我们发现四个假设维度(Cronbach‘sα：0.71-0.88)具有合理的项目间信度。通过相关分析和因子分析(Varimax旋转)对这四个维度进行了确认。被调查者在组织能力的所有四个维度上的得分较高，表明这些组织比被调查者得分较低的组织开展了更多的组织间准备活动。这一发现表明，熟练程度较高的组织在备灾领域与CBO/FBO的关系更积极，这是创建社区应对紧急情况和备灾能力的关键要素。
Objective. This study presents reliability and validity findings for the Assessment for Disaster Engagement with Partners Tool (ADEPT), an instrument that can be used to monitor the frequency and nature of collaborative activities between local health departments (LHDs) and community-based organizations (CBOs) and faith-based organizations (FBOs) for disaster preparedness, response, and recovery.Methods. We used formative research to develop the instrument by ranking LHDs according to their disaster outreach and engagement activities. We validated the scale through a 2011 national survey of disaster preparedness coordinators (n=273) working in LHDs. We reduced the original measure of 25 items to a final measure comprising 15 items with four dimensions: (1) communication outreach and coordination, (2) resource mobilization, (3) organizational capacity building, and (4) partnership development and maintenance. We used internal consistency reliability m correlation and factor analysis to validate the measure.Results. Using internal consistency reliability, we found reasonable inter-item reliability for the four hypothesized dimensions (Cronbach's alpha: 0.71-0.88). These four dimensions were confirmed through correlation and factor analysis (Varimax rotation).Conclusion. Higher scores on all four dimensions of ADEPT for organizational respondents suggest that more activities were conducted for inter-organizational preparedness in those organizations than in organizations whose respondents had lower scores. This finding implies that organizations with higher ADEPT scores have more active relationships with CBOs/FBOs in the realm of preparedness, a key element for creating community resilience for emergencies and disaster preparedness.