协和医学杂志2025，Vol.16Issue(3)：765-776,12.DOI:10.12290/xhyxzz.2024-0660
机构实施循证实践准备度评估量表的汉化及内容效度验证
Localization and Content Validation of the Organizational Readiness of Implementing Evidence-based Practices Scale
摘要
Abstract
Objective This study aimed to localize the workplace readiness questionnaire(WRQ)and validate its applicability for assessing readiness for implementation of evidence-based practices(EBP)in pri-mary care settings in China.The localization of the instrument will provide a practical instrument for assessing organizational readiness for change(ORC).Methods The WRQ was translateed into Chinese version using the modified Brislin translation model,and its cross-cultural validity,content validity,and generalizability were evaluated by the Delphi method,and the expert feedback was evaluated using the item-level content valid-ity index(I-CVI),scale-level content validity index(S-CVI),and corrected Kappa value.The index weights were evaluated by the analytic hierarchical process(AHP).The target users of the scale were invited to quanti-tatively evaluate its item importance score(IIS),and the surface validity was evaluated by combining the qual-itative feedback from their cognitive interviews.Results To clarify the purpose of the scale,we revised its name to the Organizational Readiness of Implementing Evidence-Based Practices(ORIEBP)Scale.The ORIEBP scale contained five dimensions,which were Change Context,Change Valence,Information Evaluation,Change Commitment,Change Efficiency,and 32 items.After two rounds of the Delphi method to refine the con-struction of three dimensions and expressions of 11 items,the I-CVI were from 0.73 to 1.00,the Kappa value were from 0.70 to 1.00,and the S-CVI was over 0.92.All evaluation matrices of the hierarchical analysis method met the requirement of consistency ratio(CR＜0.1),and the weights of five dimensions were 0.2083,0.2022,0.1907,0.2193,and 0.1795,in sequence.Nine out of eleven experts identified that items were applicable to other readiness assessment scenarios.The IIS scores for the five dimensions and 32 items were ranged from 2.93 to 3.54,and 2.71 to 3.42,presenting good face validity.The cognitive interview results showed that professional expressions were complex to understand.Conclusions This study validated the ORIEBP scale and has good con-tent validity and generalizability.The scale can be further improved by expanding its scope of use and validating its structure validity and reliability in different settings.关键词
组织变革/准备度/量表汉化/内容效度/认知访谈/基层保健机构Key words
organizational change/readiness/scale localization/content validity/cognitive interview/primary health care institution分类
医药卫生引用本文复制引用
陈佳佳,蔡毅媛,杨薇,卯润,令狐浪,徐东..机构实施循证实践准备度评估量表的汉化及内容效度验证[J].协和医学杂志,2025,16(3):765-776,12.基金项目
国家自然科学基金(72164005) National Natural Science Foundation of China(72164005) （72164005）
