Using cognitive interviews to improve a measure of organizational readiness for implementation

BMC Health Services Research

Research

Robert Gibson¹  Maria McClam²  Lauren Workman³  Bryan J. Weiner⁴  Heather M. Brandt⁵  Emanuelle M. Dias⁶  Timothy J. Walker⁶  Derek W. Craig⁶  Maria E. Fernandez⁶  Andrea Lamont⁷  Abraham Wandersman⁷ 

[1] Augusta University, Augusta, GA, USA;Center for Applied Research and Evaluation, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA;Center for Applied Research and Evaluation, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA;Department of Health Services, Policy, and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA;Department of Global Health, University of Washington, Seattle, WA, USA;St. Jude Children’s Research Hospital, Memphis, TN, USA;The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA;Wandersman Center, Columbia, SC, USA;

关键词: Organizational readiness;    Qualitative methods;    Cognitive interviewing;    Evidence-based interventions;    cancer prevention;    Measure development;   

DOI  :  10.1186/s12913-022-09005-y

 received in 2022-09-27, accepted in 2022-12-22,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundOrganizational readiness is a key factor for successful implementation of evidence-based interventions (EBIs), but a valid and reliable measure to assess readiness across contexts and settings is needed. The R = MC2 heuristic posits that organizational readiness stems from an organization’s motivation, capacity to implement a specific innovation, and its general capacity. This paper describes a process used to examine the face and content validity of items in a readiness survey developed to assess organizational readiness (based on R = MC2) among federally qualified health centers (FQHC) implementing colorectal cancer screening (CRCS) EBIs.MethodsWe conducted 20 cognitive interviews with FQHC staff (clinical and non-clinical) in South Carolina and Texas. Participants were provided a subset of items from the readiness survey to review. A semi-structured interview guide was developed to elicit feedback from participants using “think aloud” and probing techniques. Participants were recruited using a purposive sampling approach and interviews were conducted virtually using Zoom and WebEx. Participants were asked 1) about the relevancy of items, 2) how they interpreted the meaning of items or specific terms, 3) to identify items that were difficult to understand, and 4) how items could be improved. Interviews were transcribed verbatim and coded in ATLAS.ti. Findings were used to revise the readiness survey.ResultsKey recommendations included reducing the survey length and removing redundant or difficult to understand items. Additionally, participants recommended using consistent terms throughout (e.g., other units/teams vs. departments) the survey and changing pronouns (e.g., people, we) to be more specific (e.g., leadership, staff). Moreover, participants recommended specifying ambiguous terms (e.g., define what “better” means).ConclusionUse of cognitive interviews allowed for an engaged process to refine an existing measure of readiness. The improved and finalized readiness survey can be used to support and improve implementation of CRCS EBIs in the clinic setting and thus reduce the cancer burden and cancer-related health disparities.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

41116_2022_35_Article_IEq250.gif

41116_2022_35_Article_IEq241.gif