Measuring evidence-based practice knowledge and skills in occupational therapy—a brief instrument

Background Valid and reliable instruments are required to measure the effect of educational interventions to improve evidence-based practice (EBP) knowledge and skills in occupational therapy. The aims of this paper are to: 1) describe amendments to the Adapted Fresno Test of Competence in EBP (AFT), and 2) report the psychometric properties of the modified instrument when used with South African occupational therapists. Methods The clinical utility of the AFT was evaluated for use with South African occupational therapists and modifications made. The modified AFT was used in two studies to assess its reliability and validity. In Study 1 a convenience sample of 26 occupational therapists in private practice or government-funded health facilities in a South African province were recruited to complete the modified AFT on two occasions 1 week apart. Completed questionnaires were scored independently by two raters. Inter-rater, test-retest reliability and internal consistency were determined. Study 2 was a pragmatic randomised controlled trial involving occupational therapists in four Western Cape Department of Health district municipalities (n = 58). Therapists were randomised in matched pairs to one of two educational interventions (interactive or didactic), and completed the modified AFT at baseline and 12 weeks after the intervention. An intention-to-treat analysis was performed. Data were not normally distributed, thus non-parametric statistics were used. Results In Study 1, 21 of 26 participants completed the questionnaire twice. Test-retest (ICC = 0.95, 95 % CI = 0.88–0.98) and inter-rater reliability (Time 1: ICC = 0.995, 95 % CI = 0.99–0.998; Time 2: ICC = 0.99, 95 % CI = 0.97–0.995) were excellent for total scores. Internal consistency based on time 1 scores was satisfactory (α = 0.70). In Study 2, 28 participants received an interactive educational intervention and completed the modified AFT at baseline and 12 weeks later. Median total SAFT scores increased significantly from baseline to 12-weeks (Z = −4.078, p < 0.001) with a moderate effect size (r = 0.55). Conclusion The modified AFT has demonstrated validity for detecting differences in EBP knowledge between two groups. It also has excellent test-retest and inter-rater reliability. The instrument is recommended for contexts where EBP is an emerging approach and time is at a premium. Trial registration Pan African Controlled Trials Register PACTR201201000346141. Registered 31 January 2012. Clinical Trials NCT01512823. Registered 1 February 2012. South African National Clinical Trial Register DOH2710093067. Registered 27 October 2009. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Buchanan, Helen [verfasserIn] Jelsma, Jennifer Siegfried, Nandi

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Schlagwörter:	Occupational therapy Evidence-based Practice Knowledge Skills Adapted Fresno Test of Competence in Evidence-based Practice Evaluation Instrument Psychometric Reliability Responsiveness

Anmerkung:	© Buchanan et al. 2015

Übergeordnetes Werk:	Enthalten in: BMC medical education - London : BioMed Central, 2001, 15(2015), 1 vom: 30. Okt.
Übergeordnetes Werk:	volume:15 ; year:2015 ; number:1 ; day:30 ; month:10

Links:	Volltext

DOI / URN:	10.1186/s12909-015-0475-2

Katalog-ID:	SPR028175824

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allfields	10.1186/s12909-015-0475-2 doi (DE-627)SPR028175824 (SPR)s12909-015-0475-2-e DE-627 ger DE-627 rakwb eng Buchanan, Helen verfasserin (orcid)0000-0001-5540-9928 aut Measuring evidence-based practice knowledge and skills in occupational therapy—a brief instrument 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Buchanan et al. 2015 Background Valid and reliable instruments are required to measure the effect of educational interventions to improve evidence-based practice (EBP) knowledge and skills in occupational therapy. The aims of this paper are to: 1) describe amendments to the Adapted Fresno Test of Competence in EBP (AFT), and 2) report the psychometric properties of the modified instrument when used with South African occupational therapists. Methods The clinical utility of the AFT was evaluated for use with South African occupational therapists and modifications made. The modified AFT was used in two studies to assess its reliability and validity. In Study 1 a convenience sample of 26 occupational therapists in private practice or government-funded health facilities in a South African province were recruited to complete the modified AFT on two occasions 1 week apart. Completed questionnaires were scored independently by two raters. Inter-rater, test-retest reliability and internal consistency were determined. Study 2 was a pragmatic randomised controlled trial involving occupational therapists in four Western Cape Department of Health district municipalities (n = 58). Therapists were randomised in matched pairs to one of two educational interventions (interactive or didactic), and completed the modified AFT at baseline and 12 weeks after the intervention. An intention-to-treat analysis was performed. Data were not normally distributed, thus non-parametric statistics were used. Results In Study 1, 21 of 26 participants completed the questionnaire twice. Test-retest (ICC = 0.95, 95 % CI = 0.88–0.98) and inter-rater reliability (Time 1: ICC = 0.995, 95 % CI = 0.99–0.998; Time 2: ICC = 0.99, 95 % CI = 0.97–0.995) were excellent for total scores. Internal consistency based on time 1 scores was satisfactory (α = 0.70). In Study 2, 28 participants received an interactive educational intervention and completed the modified AFT at baseline and 12 weeks later. Median total SAFT scores increased significantly from baseline to 12-weeks (Z = −4.078, p < 0.001) with a moderate effect size (r = 0.55). Conclusion The modified AFT has demonstrated validity for detecting differences in EBP knowledge between two groups. It also has excellent test-retest and inter-rater reliability. The instrument is recommended for contexts where EBP is an emerging approach and time is at a premium. Trial registration Pan African Controlled Trials Register PACTR201201000346141. Registered 31 January 2012. Clinical Trials NCT01512823. Registered 1 February 2012. South African National Clinical Trial Register DOH2710093067. Registered 27 October 2009. Occupational therapy (dpeaa)DE-He213 Evidence-based Practice (dpeaa)DE-He213 Knowledge (dpeaa)DE-He213 Skills (dpeaa)DE-He213 Adapted Fresno Test of Competence in Evidence-based Practice (dpeaa)DE-He213 Evaluation (dpeaa)DE-He213 Instrument (dpeaa)DE-He213 Psychometric (dpeaa)DE-He213 Reliability (dpeaa)DE-He213 Responsiveness (dpeaa)DE-He213 Jelsma, Jennifer aut Siegfried, Nandi aut Enthalten in BMC medical education London : BioMed Central, 2001 15(2015), 1 vom: 30. Okt. (DE-627)327961260 (DE-600)2044473-4 1472-6920 nnns volume:15 year:2015 number:1 day:30 month:10 https://dx.doi.org/10.1186/s12909-015-0475-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2044 GBV_ILN_2086 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2015 1 30 10
spelling	10.1186/s12909-015-0475-2 doi (DE-627)SPR028175824 (SPR)s12909-015-0475-2-e DE-627 ger DE-627 rakwb eng Buchanan, Helen verfasserin (orcid)0000-0001-5540-9928 aut Measuring evidence-based practice knowledge and skills in occupational therapy—a brief instrument 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Buchanan et al. 2015 Background Valid and reliable instruments are required to measure the effect of educational interventions to improve evidence-based practice (EBP) knowledge and skills in occupational therapy. The aims of this paper are to: 1) describe amendments to the Adapted Fresno Test of Competence in EBP (AFT), and 2) report the psychometric properties of the modified instrument when used with South African occupational therapists. Methods The clinical utility of the AFT was evaluated for use with South African occupational therapists and modifications made. The modified AFT was used in two studies to assess its reliability and validity. In Study 1 a convenience sample of 26 occupational therapists in private practice or government-funded health facilities in a South African province were recruited to complete the modified AFT on two occasions 1 week apart. Completed questionnaires were scored independently by two raters. Inter-rater, test-retest reliability and internal consistency were determined. Study 2 was a pragmatic randomised controlled trial involving occupational therapists in four Western Cape Department of Health district municipalities (n = 58). Therapists were randomised in matched pairs to one of two educational interventions (interactive or didactic), and completed the modified AFT at baseline and 12 weeks after the intervention. An intention-to-treat analysis was performed. Data were not normally distributed, thus non-parametric statistics were used. Results In Study 1, 21 of 26 participants completed the questionnaire twice. Test-retest (ICC = 0.95, 95 % CI = 0.88–0.98) and inter-rater reliability (Time 1: ICC = 0.995, 95 % CI = 0.99–0.998; Time 2: ICC = 0.99, 95 % CI = 0.97–0.995) were excellent for total scores. Internal consistency based on time 1 scores was satisfactory (α = 0.70). In Study 2, 28 participants received an interactive educational intervention and completed the modified AFT at baseline and 12 weeks later. Median total SAFT scores increased significantly from baseline to 12-weeks (Z = −4.078, p < 0.001) with a moderate effect size (r = 0.55). Conclusion The modified AFT has demonstrated validity for detecting differences in EBP knowledge between two groups. It also has excellent test-retest and inter-rater reliability. The instrument is recommended for contexts where EBP is an emerging approach and time is at a premium. Trial registration Pan African Controlled Trials Register PACTR201201000346141. Registered 31 January 2012. Clinical Trials NCT01512823. Registered 1 February 2012. South African National Clinical Trial Register DOH2710093067. Registered 27 October 2009. Occupational therapy (dpeaa)DE-He213 Evidence-based Practice (dpeaa)DE-He213 Knowledge (dpeaa)DE-He213 Skills (dpeaa)DE-He213 Adapted Fresno Test of Competence in Evidence-based Practice (dpeaa)DE-He213 Evaluation (dpeaa)DE-He213 Instrument (dpeaa)DE-He213 Psychometric (dpeaa)DE-He213 Reliability (dpeaa)DE-He213 Responsiveness (dpeaa)DE-He213 Jelsma, Jennifer aut Siegfried, Nandi aut Enthalten in BMC medical education London : BioMed Central, 2001 15(2015), 1 vom: 30. Okt. (DE-627)327961260 (DE-600)2044473-4 1472-6920 nnns volume:15 year:2015 number:1 day:30 month:10 https://dx.doi.org/10.1186/s12909-015-0475-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2044 GBV_ILN_2086 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2015 1 30 10
allfields_unstemmed	10.1186/s12909-015-0475-2 doi (DE-627)SPR028175824 (SPR)s12909-015-0475-2-e DE-627 ger DE-627 rakwb eng Buchanan, Helen verfasserin (orcid)0000-0001-5540-9928 aut Measuring evidence-based practice knowledge and skills in occupational therapy—a brief instrument 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Buchanan et al. 2015 Background Valid and reliable instruments are required to measure the effect of educational interventions to improve evidence-based practice (EBP) knowledge and skills in occupational therapy. The aims of this paper are to: 1) describe amendments to the Adapted Fresno Test of Competence in EBP (AFT), and 2) report the psychometric properties of the modified instrument when used with South African occupational therapists. Methods The clinical utility of the AFT was evaluated for use with South African occupational therapists and modifications made. The modified AFT was used in two studies to assess its reliability and validity. In Study 1 a convenience sample of 26 occupational therapists in private practice or government-funded health facilities in a South African province were recruited to complete the modified AFT on two occasions 1 week apart. Completed questionnaires were scored independently by two raters. Inter-rater, test-retest reliability and internal consistency were determined. Study 2 was a pragmatic randomised controlled trial involving occupational therapists in four Western Cape Department of Health district municipalities (n = 58). Therapists were randomised in matched pairs to one of two educational interventions (interactive or didactic), and completed the modified AFT at baseline and 12 weeks after the intervention. An intention-to-treat analysis was performed. Data were not normally distributed, thus non-parametric statistics were used. Results In Study 1, 21 of 26 participants completed the questionnaire twice. Test-retest (ICC = 0.95, 95 % CI = 0.88–0.98) and inter-rater reliability (Time 1: ICC = 0.995, 95 % CI = 0.99–0.998; Time 2: ICC = 0.99, 95 % CI = 0.97–0.995) were excellent for total scores. Internal consistency based on time 1 scores was satisfactory (α = 0.70). In Study 2, 28 participants received an interactive educational intervention and completed the modified AFT at baseline and 12 weeks later. Median total SAFT scores increased significantly from baseline to 12-weeks (Z = −4.078, p < 0.001) with a moderate effect size (r = 0.55). Conclusion The modified AFT has demonstrated validity for detecting differences in EBP knowledge between two groups. It also has excellent test-retest and inter-rater reliability. The instrument is recommended for contexts where EBP is an emerging approach and time is at a premium. Trial registration Pan African Controlled Trials Register PACTR201201000346141. Registered 31 January 2012. Clinical Trials NCT01512823. Registered 1 February 2012. South African National Clinical Trial Register DOH2710093067. Registered 27 October 2009. Occupational therapy (dpeaa)DE-He213 Evidence-based Practice (dpeaa)DE-He213 Knowledge (dpeaa)DE-He213 Skills (dpeaa)DE-He213 Adapted Fresno Test of Competence in Evidence-based Practice (dpeaa)DE-He213 Evaluation (dpeaa)DE-He213 Instrument (dpeaa)DE-He213 Psychometric (dpeaa)DE-He213 Reliability (dpeaa)DE-He213 Responsiveness (dpeaa)DE-He213 Jelsma, Jennifer aut Siegfried, Nandi aut Enthalten in BMC medical education London : BioMed Central, 2001 15(2015), 1 vom: 30. Okt. (DE-627)327961260 (DE-600)2044473-4 1472-6920 nnns volume:15 year:2015 number:1 day:30 month:10 https://dx.doi.org/10.1186/s12909-015-0475-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2044 GBV_ILN_2086 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2015 1 30 10
allfieldsGer	10.1186/s12909-015-0475-2 doi (DE-627)SPR028175824 (SPR)s12909-015-0475-2-e DE-627 ger DE-627 rakwb eng Buchanan, Helen verfasserin (orcid)0000-0001-5540-9928 aut Measuring evidence-based practice knowledge and skills in occupational therapy—a brief instrument 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Buchanan et al. 2015 Background Valid and reliable instruments are required to measure the effect of educational interventions to improve evidence-based practice (EBP) knowledge and skills in occupational therapy. The aims of this paper are to: 1) describe amendments to the Adapted Fresno Test of Competence in EBP (AFT), and 2) report the psychometric properties of the modified instrument when used with South African occupational therapists. Methods The clinical utility of the AFT was evaluated for use with South African occupational therapists and modifications made. The modified AFT was used in two studies to assess its reliability and validity. In Study 1 a convenience sample of 26 occupational therapists in private practice or government-funded health facilities in a South African province were recruited to complete the modified AFT on two occasions 1 week apart. Completed questionnaires were scored independently by two raters. Inter-rater, test-retest reliability and internal consistency were determined. Study 2 was a pragmatic randomised controlled trial involving occupational therapists in four Western Cape Department of Health district municipalities (n = 58). Therapists were randomised in matched pairs to one of two educational interventions (interactive or didactic), and completed the modified AFT at baseline and 12 weeks after the intervention. An intention-to-treat analysis was performed. Data were not normally distributed, thus non-parametric statistics were used. Results In Study 1, 21 of 26 participants completed the questionnaire twice. Test-retest (ICC = 0.95, 95 % CI = 0.88–0.98) and inter-rater reliability (Time 1: ICC = 0.995, 95 % CI = 0.99–0.998; Time 2: ICC = 0.99, 95 % CI = 0.97–0.995) were excellent for total scores. Internal consistency based on time 1 scores was satisfactory (α = 0.70). In Study 2, 28 participants received an interactive educational intervention and completed the modified AFT at baseline and 12 weeks later. Median total SAFT scores increased significantly from baseline to 12-weeks (Z = −4.078, p < 0.001) with a moderate effect size (r = 0.55). Conclusion The modified AFT has demonstrated validity for detecting differences in EBP knowledge between two groups. It also has excellent test-retest and inter-rater reliability. The instrument is recommended for contexts where EBP is an emerging approach and time is at a premium. Trial registration Pan African Controlled Trials Register PACTR201201000346141. Registered 31 January 2012. Clinical Trials NCT01512823. Registered 1 February 2012. South African National Clinical Trial Register DOH2710093067. Registered 27 October 2009. Occupational therapy (dpeaa)DE-He213 Evidence-based Practice (dpeaa)DE-He213 Knowledge (dpeaa)DE-He213 Skills (dpeaa)DE-He213 Adapted Fresno Test of Competence in Evidence-based Practice (dpeaa)DE-He213 Evaluation (dpeaa)DE-He213 Instrument (dpeaa)DE-He213 Psychometric (dpeaa)DE-He213 Reliability (dpeaa)DE-He213 Responsiveness (dpeaa)DE-He213 Jelsma, Jennifer aut Siegfried, Nandi aut Enthalten in BMC medical education London : BioMed Central, 2001 15(2015), 1 vom: 30. Okt. (DE-627)327961260 (DE-600)2044473-4 1472-6920 nnns volume:15 year:2015 number:1 day:30 month:10 https://dx.doi.org/10.1186/s12909-015-0475-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2044 GBV_ILN_2086 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2015 1 30 10
allfieldsSound	10.1186/s12909-015-0475-2 doi (DE-627)SPR028175824 (SPR)s12909-015-0475-2-e DE-627 ger DE-627 rakwb eng Buchanan, Helen verfasserin (orcid)0000-0001-5540-9928 aut Measuring evidence-based practice knowledge and skills in occupational therapy—a brief instrument 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Buchanan et al. 2015 Background Valid and reliable instruments are required to measure the effect of educational interventions to improve evidence-based practice (EBP) knowledge and skills in occupational therapy. The aims of this paper are to: 1) describe amendments to the Adapted Fresno Test of Competence in EBP (AFT), and 2) report the psychometric properties of the modified instrument when used with South African occupational therapists. Methods The clinical utility of the AFT was evaluated for use with South African occupational therapists and modifications made. The modified AFT was used in two studies to assess its reliability and validity. In Study 1 a convenience sample of 26 occupational therapists in private practice or government-funded health facilities in a South African province were recruited to complete the modified AFT on two occasions 1 week apart. Completed questionnaires were scored independently by two raters. Inter-rater, test-retest reliability and internal consistency were determined. Study 2 was a pragmatic randomised controlled trial involving occupational therapists in four Western Cape Department of Health district municipalities (n = 58). Therapists were randomised in matched pairs to one of two educational interventions (interactive or didactic), and completed the modified AFT at baseline and 12 weeks after the intervention. An intention-to-treat analysis was performed. Data were not normally distributed, thus non-parametric statistics were used. Results In Study 1, 21 of 26 participants completed the questionnaire twice. Test-retest (ICC = 0.95, 95 % CI = 0.88–0.98) and inter-rater reliability (Time 1: ICC = 0.995, 95 % CI = 0.99–0.998; Time 2: ICC = 0.99, 95 % CI = 0.97–0.995) were excellent for total scores. Internal consistency based on time 1 scores was satisfactory (α = 0.70). In Study 2, 28 participants received an interactive educational intervention and completed the modified AFT at baseline and 12 weeks later. Median total SAFT scores increased significantly from baseline to 12-weeks (Z = −4.078, p < 0.001) with a moderate effect size (r = 0.55). Conclusion The modified AFT has demonstrated validity for detecting differences in EBP knowledge between two groups. It also has excellent test-retest and inter-rater reliability. The instrument is recommended for contexts where EBP is an emerging approach and time is at a premium. Trial registration Pan African Controlled Trials Register PACTR201201000346141. Registered 31 January 2012. Clinical Trials NCT01512823. Registered 1 February 2012. South African National Clinical Trial Register DOH2710093067. Registered 27 October 2009. Occupational therapy (dpeaa)DE-He213 Evidence-based Practice (dpeaa)DE-He213 Knowledge (dpeaa)DE-He213 Skills (dpeaa)DE-He213 Adapted Fresno Test of Competence in Evidence-based Practice (dpeaa)DE-He213 Evaluation (dpeaa)DE-He213 Instrument (dpeaa)DE-He213 Psychometric (dpeaa)DE-He213 Reliability (dpeaa)DE-He213 Responsiveness (dpeaa)DE-He213 Jelsma, Jennifer aut Siegfried, Nandi aut Enthalten in BMC medical education London : BioMed Central, 2001 15(2015), 1 vom: 30. Okt. (DE-627)327961260 (DE-600)2044473-4 1472-6920 nnns volume:15 year:2015 number:1 day:30 month:10 https://dx.doi.org/10.1186/s12909-015-0475-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2044 GBV_ILN_2086 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2015 1 30 10
language	English
source	Enthalten in BMC medical education 15(2015), 1 vom: 30. Okt. volume:15 year:2015 number:1 day:30 month:10
sourceStr	Enthalten in BMC medical education 15(2015), 1 vom: 30. Okt. volume:15 year:2015 number:1 day:30 month:10
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Occupational therapy Evidence-based Practice Knowledge Skills Adapted Fresno Test of Competence in Evidence-based Practice Evaluation Instrument Psychometric Reliability Responsiveness
isfreeaccess_bool	true
container_title	BMC medical education
authorswithroles_txt_mv	Buchanan, Helen @@aut@@ Jelsma, Jennifer @@aut@@ Siegfried, Nandi @@aut@@
publishDateDaySort_date	2015-10-30T00:00:00Z
hierarchy_top_id	327961260
id	SPR028175824
language_de	englisch
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The aims of this paper are to: 1) describe amendments to the Adapted Fresno Test of Competence in EBP (AFT), and 2) report the psychometric properties of the modified instrument when used with South African occupational therapists. Methods The clinical utility of the AFT was evaluated for use with South African occupational therapists and modifications made. The modified AFT was used in two studies to assess its reliability and validity. In Study 1 a convenience sample of 26 occupational therapists in private practice or government-funded health facilities in a South African province were recruited to complete the modified AFT on two occasions 1 week apart. Completed questionnaires were scored independently by two raters. Inter-rater, test-retest reliability and internal consistency were determined. Study 2 was a pragmatic randomised controlled trial involving occupational therapists in four Western Cape Department of Health district municipalities (n = 58). Therapists were randomised in matched pairs to one of two educational interventions (interactive or didactic), and completed the modified AFT at baseline and 12 weeks after the intervention. An intention-to-treat analysis was performed. Data were not normally distributed, thus non-parametric statistics were used. Results In Study 1, 21 of 26 participants completed the questionnaire twice. Test-retest (ICC = 0.95, 95 % CI = 0.88–0.98) and inter-rater reliability (Time 1: ICC = 0.995, 95 % CI = 0.99–0.998; Time 2: ICC = 0.99, 95 % CI = 0.97–0.995) were excellent for total scores. Internal consistency based on time 1 scores was satisfactory (α = 0.70). In Study 2, 28 participants received an interactive educational intervention and completed the modified AFT at baseline and 12 weeks later. Median total SAFT scores increased significantly from baseline to 12-weeks (Z = −4.078, p < 0.001) with a moderate effect size (r = 0.55). Conclusion The modified AFT has demonstrated validity for detecting differences in EBP knowledge between two groups. It also has excellent test-retest and inter-rater reliability. The instrument is recommended for contexts where EBP is an emerging approach and time is at a premium. Trial registration Pan African Controlled Trials Register PACTR201201000346141. Registered 31 January 2012. Clinical Trials NCT01512823. Registered 1 February 2012. South African National Clinical Trial Register DOH2710093067. 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author	Buchanan, Helen
spellingShingle	Buchanan, Helen misc Occupational therapy misc Evidence-based Practice misc Knowledge misc Skills misc Adapted Fresno Test of Competence in Evidence-based Practice misc Evaluation misc Instrument misc Psychometric misc Reliability misc Responsiveness Measuring evidence-based practice knowledge and skills in occupational therapy—a brief instrument
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topic_title	Measuring evidence-based practice knowledge and skills in occupational therapy—a brief instrument Occupational therapy (dpeaa)DE-He213 Evidence-based Practice (dpeaa)DE-He213 Knowledge (dpeaa)DE-He213 Skills (dpeaa)DE-He213 Adapted Fresno Test of Competence in Evidence-based Practice (dpeaa)DE-He213 Evaluation (dpeaa)DE-He213 Instrument (dpeaa)DE-He213 Psychometric (dpeaa)DE-He213 Reliability (dpeaa)DE-He213 Responsiveness (dpeaa)DE-He213
topic	misc Occupational therapy misc Evidence-based Practice misc Knowledge misc Skills misc Adapted Fresno Test of Competence in Evidence-based Practice misc Evaluation misc Instrument misc Psychometric misc Reliability misc Responsiveness
topic_unstemmed	misc Occupational therapy misc Evidence-based Practice misc Knowledge misc Skills misc Adapted Fresno Test of Competence in Evidence-based Practice misc Evaluation misc Instrument misc Psychometric misc Reliability misc Responsiveness
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title	Measuring evidence-based practice knowledge and skills in occupational therapy—a brief instrument
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title_full	Measuring evidence-based practice knowledge and skills in occupational therapy—a brief instrument
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title_sort	measuring evidence-based practice knowledge and skills in occupational therapy—a brief instrument
title_auth	Measuring evidence-based practice knowledge and skills in occupational therapy—a brief instrument
abstract	Background Valid and reliable instruments are required to measure the effect of educational interventions to improve evidence-based practice (EBP) knowledge and skills in occupational therapy. The aims of this paper are to: 1) describe amendments to the Adapted Fresno Test of Competence in EBP (AFT), and 2) report the psychometric properties of the modified instrument when used with South African occupational therapists. Methods The clinical utility of the AFT was evaluated for use with South African occupational therapists and modifications made. The modified AFT was used in two studies to assess its reliability and validity. In Study 1 a convenience sample of 26 occupational therapists in private practice or government-funded health facilities in a South African province were recruited to complete the modified AFT on two occasions 1 week apart. Completed questionnaires were scored independently by two raters. Inter-rater, test-retest reliability and internal consistency were determined. Study 2 was a pragmatic randomised controlled trial involving occupational therapists in four Western Cape Department of Health district municipalities (n = 58). Therapists were randomised in matched pairs to one of two educational interventions (interactive or didactic), and completed the modified AFT at baseline and 12 weeks after the intervention. An intention-to-treat analysis was performed. Data were not normally distributed, thus non-parametric statistics were used. Results In Study 1, 21 of 26 participants completed the questionnaire twice. Test-retest (ICC = 0.95, 95 % CI = 0.88–0.98) and inter-rater reliability (Time 1: ICC = 0.995, 95 % CI = 0.99–0.998; Time 2: ICC = 0.99, 95 % CI = 0.97–0.995) were excellent for total scores. Internal consistency based on time 1 scores was satisfactory (α = 0.70). In Study 2, 28 participants received an interactive educational intervention and completed the modified AFT at baseline and 12 weeks later. Median total SAFT scores increased significantly from baseline to 12-weeks (Z = −4.078, p < 0.001) with a moderate effect size (r = 0.55). Conclusion The modified AFT has demonstrated validity for detecting differences in EBP knowledge between two groups. It also has excellent test-retest and inter-rater reliability. The instrument is recommended for contexts where EBP is an emerging approach and time is at a premium. Trial registration Pan African Controlled Trials Register PACTR201201000346141. Registered 31 January 2012. Clinical Trials NCT01512823. Registered 1 February 2012. South African National Clinical Trial Register DOH2710093067. Registered 27 October 2009. © Buchanan et al. 2015
abstractGer	Background Valid and reliable instruments are required to measure the effect of educational interventions to improve evidence-based practice (EBP) knowledge and skills in occupational therapy. The aims of this paper are to: 1) describe amendments to the Adapted Fresno Test of Competence in EBP (AFT), and 2) report the psychometric properties of the modified instrument when used with South African occupational therapists. Methods The clinical utility of the AFT was evaluated for use with South African occupational therapists and modifications made. The modified AFT was used in two studies to assess its reliability and validity. In Study 1 a convenience sample of 26 occupational therapists in private practice or government-funded health facilities in a South African province were recruited to complete the modified AFT on two occasions 1 week apart. Completed questionnaires were scored independently by two raters. Inter-rater, test-retest reliability and internal consistency were determined. Study 2 was a pragmatic randomised controlled trial involving occupational therapists in four Western Cape Department of Health district municipalities (n = 58). Therapists were randomised in matched pairs to one of two educational interventions (interactive or didactic), and completed the modified AFT at baseline and 12 weeks after the intervention. An intention-to-treat analysis was performed. Data were not normally distributed, thus non-parametric statistics were used. Results In Study 1, 21 of 26 participants completed the questionnaire twice. Test-retest (ICC = 0.95, 95 % CI = 0.88–0.98) and inter-rater reliability (Time 1: ICC = 0.995, 95 % CI = 0.99–0.998; Time 2: ICC = 0.99, 95 % CI = 0.97–0.995) were excellent for total scores. Internal consistency based on time 1 scores was satisfactory (α = 0.70). In Study 2, 28 participants received an interactive educational intervention and completed the modified AFT at baseline and 12 weeks later. Median total SAFT scores increased significantly from baseline to 12-weeks (Z = −4.078, p < 0.001) with a moderate effect size (r = 0.55). Conclusion The modified AFT has demonstrated validity for detecting differences in EBP knowledge between two groups. It also has excellent test-retest and inter-rater reliability. The instrument is recommended for contexts where EBP is an emerging approach and time is at a premium. Trial registration Pan African Controlled Trials Register PACTR201201000346141. Registered 31 January 2012. Clinical Trials NCT01512823. Registered 1 February 2012. South African National Clinical Trial Register DOH2710093067. Registered 27 October 2009. © Buchanan et al. 2015
abstract_unstemmed	Background Valid and reliable instruments are required to measure the effect of educational interventions to improve evidence-based practice (EBP) knowledge and skills in occupational therapy. The aims of this paper are to: 1) describe amendments to the Adapted Fresno Test of Competence in EBP (AFT), and 2) report the psychometric properties of the modified instrument when used with South African occupational therapists. Methods The clinical utility of the AFT was evaluated for use with South African occupational therapists and modifications made. The modified AFT was used in two studies to assess its reliability and validity. In Study 1 a convenience sample of 26 occupational therapists in private practice or government-funded health facilities in a South African province were recruited to complete the modified AFT on two occasions 1 week apart. Completed questionnaires were scored independently by two raters. Inter-rater, test-retest reliability and internal consistency were determined. Study 2 was a pragmatic randomised controlled trial involving occupational therapists in four Western Cape Department of Health district municipalities (n = 58). Therapists were randomised in matched pairs to one of two educational interventions (interactive or didactic), and completed the modified AFT at baseline and 12 weeks after the intervention. An intention-to-treat analysis was performed. Data were not normally distributed, thus non-parametric statistics were used. Results In Study 1, 21 of 26 participants completed the questionnaire twice. Test-retest (ICC = 0.95, 95 % CI = 0.88–0.98) and inter-rater reliability (Time 1: ICC = 0.995, 95 % CI = 0.99–0.998; Time 2: ICC = 0.99, 95 % CI = 0.97–0.995) were excellent for total scores. Internal consistency based on time 1 scores was satisfactory (α = 0.70). In Study 2, 28 participants received an interactive educational intervention and completed the modified AFT at baseline and 12 weeks later. Median total SAFT scores increased significantly from baseline to 12-weeks (Z = −4.078, p < 0.001) with a moderate effect size (r = 0.55). Conclusion The modified AFT has demonstrated validity for detecting differences in EBP knowledge between two groups. It also has excellent test-retest and inter-rater reliability. The instrument is recommended for contexts where EBP is an emerging approach and time is at a premium. Trial registration Pan African Controlled Trials Register PACTR201201000346141. Registered 31 January 2012. Clinical Trials NCT01512823. Registered 1 February 2012. South African National Clinical Trial Register DOH2710093067. Registered 27 October 2009. © Buchanan et al. 2015
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title_short	Measuring evidence-based practice knowledge and skills in occupational therapy—a brief instrument
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