Assessing the content validity of the Physical Therapy Competence Assessment for Airway Suctioning (PT-CAAS) in chronic and community care settings

Author(s):  
Erin Miller ◽  
Brenda Mori ◽  
Mika Nonoyama ◽  
Pankaj Vaza ◽  
Dina Brooks
2015 ◽  
Vol 79 (07) ◽  
pp. e48-e55 ◽  
Author(s):  
R. Konrad ◽  
A. Konrad ◽  
M. Geraedts

Zusammenfassung Ziel: Ziel dieser Studie ist es zu untersuchen, ob die Vorgaben für die Physiotherapieausbildung in Deutschland konform zu den Empfehlungen der „World Confederation for Physical Therapy (WCPT) WCPT guideline for physical therapist professional entry level education“ sind. Diese Leitlinie beschreibt Ausbildungsstandards für Physiotherapeuten und Physiotherapeutinnen, die in der Lage sind, als selbständige Praktiker und Praktikerinnen, ohne ärztliche Verordnung zu handeln. Methodik: Aus der WCPT–Leitlinie wurde eine Liste der dort beschriebenen Kompetenzen inhaltsanalytisch abgeleitet. Die einzelnen Kompetenzen dienten als Einschätzungsdimensionen zur Beurteilung deutscher Ausbildungsgrundlagen. Die Inhaltsvalidität dieser Einschätzungsdimensionen wurde durch neun Expertinnenen und Experten in einem Lawshe-Verfahren ermittelt. Zur Beurteilung der Ausbildungsgrundlagen wurden die Ausbildungs und Prüfungsverordnung für Physiotherapeuten und Physiotherapeutinnen (PhysTh APrV) und alle verfügbaren Länder-Lehrpläne herangezogen und mittels einer skalierenden Strukturierung durch 2 unabhängige Kodierer beurteilt. Ergebnisse: Auf der Basis des Lawshe Verfahrens verblieben 61 von 67 geprüften Einschätzungsdimensionen, die einen Whole Test Content Validity Index (CVI) von 0,84 aufwiesen. Der Kappa Koeffizient nach Cohen für die Interkodierer-Reliabilität lag zwischen 0,71 und 0,97. Die deutschen Ausbildungsgrundlagen zeigten eine hohe Konformität zur WCPT-Leitlinie in vielen theoretischen Grundlagenfächern. Bei den übrigen Anforderungen ergab sich ein heterogenes Bild des Erfüllungsgrads. Vor allem besondere Kompetenzen autonom handelnder Praktiker und Praktikerinnen fehlten weitgehend. Schlussfolgerung: Kein deutscher Ausbildungsstandard entspricht den Anforderungen für den Direktzugang. In Anbetracht der beschriebenen Defizite der deutschen Ausbildungsgrundlagen und des Alters einiger Dokumente scheint eine kontinuierliche Weiterentwicklung der deutschen Physiotherapieausbildung noch nicht in einem für den Direktzugang ausreichenden Maße stattgefunden zu haben. Dies ist in Anbetracht der aktuellen gesundheitspolitischen Diskussion dringend nachzuholen.


2013 ◽  
Vol 93 (6) ◽  
pp. 819-832 ◽  
Author(s):  
Susanne Bernhardsson ◽  
Maria E.H. Larsson

BackgroundEvidence-based practice (EBP) and evidence-based clinical practice guidelines are becoming increasingly important in physical therapy. For the purpose of meeting the goals of designing, implementing, and evaluating strategies to facilitate the development of more EBP in primary care physical therapy, a valid and reliable questionnaire for measuring attitudes, knowledge, behavior, prerequisites, and barriers related to EBP and guidelines is needed.ObjectiveThe 3 objectives of this study were: (1) to translate and cross-culturally adapt a questionnaire to a Swedish primary care context for the purpose of measuring various aspects of EBP and guidelines in physical therapy, (2) to further develop the questionnaire to examine more aspects of guidelines, and (3) to test the validity and reliability of the adapted Swedish questionnaire.DesignThis was an instrument development study with validity and reliability testing.MethodsA previously used questionnaire about EBP was translated and cross-culturally adapted to a Swedish primary care physical therapy context. Additional items were constructed. A draft version was pilot tested for content validity (n=10), and a revised version was tested for test-retest reliability (n=42). The percentage of agreement between the 2 tests was analyzed.ResultsThe development process resulted in a first questionnaire draft containing 48 items. The validation process resulted in a second draft with acceptable content validity and consisting of 38 items. The test-retest analysis showed that the median percentage of agreement was 67% (range=41%–81%). After removal or revision of items with poor agreement, the final questionnaire included 31 items.LimitationsOnly face validity and content validity were tested.ConclusionsThe final translated and adapted questionnaire was determined to have good face and content validity and acceptable reliability for measuring self-reported attitudes, knowledge, behavior, prerequisites, and barriers related to EBP and guidelines among physical therapists in primary care settings.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ruth G. M. Vogel ◽  
Gerrie J. J. W. Bours ◽  
Silke F. Metzelthin ◽  
Petra M. G. Erkens ◽  
Gerard J. P. van Breukelen ◽  
...  

Abstract Background Community care professionals need to encourage older adults in performing functional activities to maintain independence. However, professionals often perform functional activities on behalf of older adults. To change this, insights into the behavior and barriers of professionals in encouraging activities are required. In the current study, the MAINtAIN questionnaire, which was developed for nursing homes, was adopted. The objective was to create a modified version that is suitable for measuring behavior and barriers of community care professionals in encouraging functional activities of clients in the community care setting. The overall aims were to assess the content validity, construct validity, and internal consistency of the modified version. Methods Data was collected by qualitative and quantitative methods in two phases. During phase one, the MAINtAIN was assessed on appropriateness and feasibility by community nurses (N = 7), and the adapted questionnaire was assessed on content validity by research experts (N = 9) and community care professionals (N = 18). During phase two, the psychometric properties of the adapted MAINtAIN-C were assessed in community care professionals (N = 80). Construct validity was evaluated by an Exploratory Factor Analysis (EFA), and internal consistency was determined by calculating Cronbach’s alpha coefficients. Results The formulation, verbs, and wording of the MAINtAIN were adapted; some items were excluded and relevant items were added, resulting in the MAINtAIN-C with two scales, showing good content validity. The Behaviors scale (20 items) measures perceived behavior in encouraging functional activities, expressing good internal consistency (Cronbach’s alpha: .92). The Barriers scale measures barriers in encouraging functional activities related to two dimensions: 1) the clients’ context (7 items), with good internal consistency (.78); and 2) the professional, social, and organizational contexts (21 items), showing good internal consistency (.83). Conclusions The MAINtAIN-C seems promising to assess the behavior and barriers of community care professionals in encouraging functional activities. It can be used to display a possible difference between perceived and actual behavior, to develop strategies for removing barriers in encouraging activities to foster behavioral change. The results also provide guidance for further research in a larger sample to obtain more insight into the psychometric properties.


2016 ◽  
Vol 96 (8) ◽  
pp. 1262-1275 ◽  
Author(s):  
Veronika M. Kaech Moll ◽  
Reuben Escorpizo ◽  
Ruth Portmann Bergamaschi ◽  
Monika E. Finger

Abstract Background The Comprehensive ICF Core Set for vocational rehabilitation (VR) is a list of essential categories on functioning based on the World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF), which describes a standard for interdisciplinary assessment, documentation, and communication in VR. Objective The aim of this study was to examine the content validity of the Comprehensive ICF Core Set for VR from the perspective of physical therapists. Design A 3-round email survey was performed using the Delphi method. Methods A convenience sample of international physical therapists working in VR with work experience of ≥2 years were asked to identify aspects they consider as relevant when evaluating or treating clients in VR. Responses were linked to the ICF categories and compared with the Comprehensive ICF Core Set for VR. Results Sixty-two physical therapists from all 6 WHO world regions responded with 3,917 statements that were subsequently linked to 338 ICF categories. Fifteen (17%) of the 90 categories in the Comprehensive ICF Core Set for VR were confirmed by the physical therapists in the sample. Twenty-two additional ICF categories were identified that were not included in the Comprehensive ICF Core Set for VR. Limitations Vocational rehabilitation in physical therapy is not well defined in every country and might have resulted in the small sample size. Therefore, the results cannot be generalized to all physical therapists practicing in VR. Conclusion The content validity of the ICF Core Set for VR is insufficient from solely a physical therapist perspective. The results of this study could be used to define a physical therapy–specific set of ICF categories to develop and guide physical therapist clinical practice in VR.


2014 ◽  
Vol 35 (4) ◽  
pp. 236-244 ◽  
Author(s):  
Atsushi Oshio ◽  
Shingo Abe ◽  
Pino Cutrone ◽  
Samuel D. Gosling

The Ten Item Personality Inventory (TIPI; Gosling, Rentfrow, & Swann, 2003 ) is a widely used very brief measure of the Big Five personality dimensions. Oshio, Abe, and Cutrone (2012) have developed a Japanese version of the TIPI (TIPI-J), which demonstrated acceptable levels of reliability and validity. Until now, all studies examining the validity of the TIPI-J have been conducted in the Japanese language; this reliance on a single language raises concerns about the instrument’s content validity because the instrument could demonstrate reliability (e.g., retest) and some forms of validity (e.g., convergent) but still not capture the full range of the dimensions as originally conceptualized in English. Therefore, to test the content validity of the Japanese TIPI with respect to the original Big Five formulation, we examine the convergence between scores on the TIPI-J and scores on the English-language Big Five Inventory (i.e., the BFI-E), an instrument specifically designed to optimize Big Five content coverage. Two-hundred and twenty-eight Japanese undergraduate students, who were all learning English, completed the two instruments. The results of correlation analyses and structural equation modeling demonstrate the theorized congruence between the TIPI-J and the BFI-E, supporting the content validity of the TIPI-J.


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