liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Measuring the determinants of implementation behavior in multiprofessional rehabilitation
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Univ Oulu, Finland.
Univ Oulu, Finland.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0001-8612-583X
Univ Oulu, Finland; Rehabil Serv South Karel Social & Hlth Care Dist, Finland.
Show others and affiliations
2023 (English)In: European Journal of Physical and Rehabilitation Medicine, ISSN 1973-9087, E-ISSN 1973-9095, Vol. 59, no 4, p. 488-501Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The Determinants of Implementation Behavior Questionnaire (DIBQ) measures facilitators or barriers of healthcare professionals implementation behaviors based on the current implementation research on practice and policy. The DIBQ covers 18 domains of the Theoretical Domains Framework and consists of 93 items. A previously tailored version (DIBQ-t) covering 10 domains and 28 items focuses on implementing best-practice low back pain care. AIM: To tailor a shortened version of DIBQ to multiprofessional rehabilitation context with cross-cultural adaptation to Finnish language. DESIGN: A two-round Delphi study. SETTING: National-level online survey. POPULATION: Purposively recruited experts in multiprofessional rehabilitation (N.=25). METHODS: Cross-cultural translation of DIBQ to Finnish was followed by a two-round Delphi survey involving diverse experts in rehabilitation (physicians, physiotherapists, occupational therapists, psychologists, nursing scientists, social scientists). In total, 25 experts in Round 1, and 21 in Round 2 evaluated the importance of DIBQ items in changing professionals implementation behavior by rating on a 5-point Likert Scale (1 = Strongly Disagree, 5 = Strongly Agree) of including each item in the final scale. Consensus to include an item was defined as a mean score of >= 4 by >= 75% of Delphi participants. Open comments were analyzed using inductive content analysis. Items with agreement of <= 74% were either directly excluded or reconsidered and modified depending on qualitative judgements, amended with experts suggestions. After completing an analogous second-round, a comparison with DIBQ-t was performed. Lastly, the relevance of each item was indexed using content validity index on item-level (I-CVI) and scale-level (S-CVI/Ave). RESULTS: After Round 1, 17 items were included and 48 excluded by consensus whereas 28 items were reconsidered, and 20 items added for Round 2. The open comments were categorized as: 1) "modifying"; 2) "supportive"; and 3) "critical". After Round 2, consensus was reached regarding all items, to include 21 items. After comparison with DIBQ-t, the final multiprofessional DIBQ (DIBQ-mp) covers 11 TDF domains and 21 items with I-CVIs of >= 0.78 and S-CVI/Ave of 0.93. CONCLUSIONS: A Delphi study condensed a DIBQ-mp with excellent content validity for multiprofessional rehabilitation context. CLINICAL REHABILITATION IMPACT: A potential tool for evaluating determinants in implementing evidence-based multiprofessional rehabilitation interventions.

Place, publisher, year, edition, pages
EDIZIONI MINERVA MEDICA , 2023. Vol. 59, no 4, p. 488-501
Keywords [en]
Rehabilitation; Implementation science; Delphi Technique; Surveys and questionnaires
National Category
Rheumatology and Autoimmunity
Identifiers
URN: urn:nbn:se:liu:diva-199143DOI: 10.23736/S1973-9087.23.07857-7ISI: 001087047000006PubMedID: 37486174OAI: oai:DiVA.org:liu-199143DiVA, id: diva2:1811801
Available from: 2023-11-14 Created: 2023-11-14 Last updated: 2024-08-13

Open Access in DiVA

fulltext(504 kB)16 downloads
File information
File name FULLTEXT01.pdfFile size 504 kBChecksum SHA-512
55690be4460cc62cf731b4e59bc9e8b5b656ab03f48ad1e8c13b1b5b7fe1036070fb0e0f5b0845c228b6154aa52dbae4abad395f79301b93f840bc35b9e17b68
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Paukkunen, MaijaÖberg, BirgittaAbbott, Allan
By organisation
Division of Prevention, Rehabilitation and Community MedicineFaculty of Medicine and Health SciencesDepartment of Orthopaedics in Linköping
In the same journal
European Journal of Physical and Rehabilitation Medicine
Rheumatology and Autoimmunity

Search outside of DiVA

GoogleGoogle Scholar
Total: 16 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 45 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf