Development of an Instrument to Assess the Perceived Effectiveness of Academic Detailing
Autor: | Aleksandrina Ruseva, Andrea L. Monteiro, Mary H. Smart, Alan S. Pickard, Michael A. Fischer, Christopher D. Saffore, Todd A. Lee |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Program evaluation
Adult Male 020205 medical informatics Psychometrics Applied psychology 02 engineering and technology behavioral disciplines and activities Article Education Academic detailing 03 medical and health sciences 0302 clinical medicine Cronbach's alpha Behavior Therapy Surveys and Questionnaires Item response theory 0202 electrical engineering electronic engineering information engineering Humans 030212 general & internal medicine Reliability (statistics) Behavior change Reproducibility of Results General Medicine Exploratory factor analysis Outreach Research Design Evidence-Based Practice Female Perception Psychology |
Zdroj: | J Contin Educ Health Prof |
Popis: | Introduction Academic detailing (AD) is an effective, evidence-based education outreach method of promoting clinician behavior change. Detailer feedback is important for program evaluation but is rarely systematically collected. The study's objective was to develop a measure capturing the detailer's perception of the effectiveness of an AD program. Methods A six-item measure with a five-level scale was initially developed from the literature review and expert panel consultation. Item constructs were usefulness, acceptability, feasibility, relevance, effectiveness of communication, and readiness to change. The measure was piloted, refined, and tested during an opioid-focused AD program that included two visits. The instrument structure was evaluated using exploratory factor analysis, measure reliability was assessed using item-item correlation (rho), corrected item-total correlation, Cronbach alpha (α), and item response theory. Results The initial six-item instrument demonstrated unidimensionality. The Cronbach α for the measure was 0.74 (visit 1) and 0.79 (visit 2); one item (relevance) was redundant (α = 0.73 and 0.79 when deleted) and therefore dropped. Items related to usefulness, acceptability, and readiness to change displayed high item-item correlation (rho ≥ 0.50) and contributed the most information and seemed to operate as a single scale (ie, "likelihood to change") based on item response theory analysis. Items related to feasibility and communication were slightly different constructs and should be reported separately. Discussion The five-item detailer assessment of visit effectiveness (the "DAVE") instrument provides a standardized approach to assess AD. Further study of its validity and broader use in other programs and educational outreach activities is encouraged. |
Databáze: | OpenAIRE |
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