Cultural Adaptation and Psychometric Properties of the Persian Version of the Evidence-Based Practice Attitudes Scale in Audiologists
-
Soheila Shayanmehr
,
Maryam Sadeghijam
,
Shohreh Jalaie
,
Akram Pourbakht
,
Farnoush Jarollahi
,
Alimohamad Asghari
,
Maryam Karimi Boroujeni
Abstract
Background and Aim: Evidence-based practice improves the quality of clinical performance. Attitude affects the implementation of research findings into practice. The Evidence-Based Practice Attitude Scale (EBPAS-36) evaluates the attitude of therapists toward evidence-based practice. The present study aimed to provide a validated Persian translation of the EBPAS-36 for audiologists.
Methods: The original EBPAS-36 was translated by using the international quality of life assessment protocol. The validity of translated version was surveyed by an expert panel and the Persian version with 35 questions was yielded. A demographic questionnaire and EBPAS P-35 were given to 182 audiologists to evaluate the psychometric properties. The reliability was evaluated by completing the EBPAS P-35 after 2 weeks by 30 of the participants and Cronbach’s alpha and Intra-Class Correlation (ICC) were calculated. Confirmatory Factor Analyses (CFA) were also conducted.
Results: The content validity ratio was above 0.33 for all except item 10 which was removed from the Persian version. The mean(SD) total score was 2.38(0.46). A significant relationship was observed between the total score and all subscales (p<0.05). The original factor structure showed an acceptable model fit (CMIN/DF=1.39, GFI=0.84, CFI=0.94, IFI=0.94, RMSEA=0.04) confirming the 12-factor structure of the EBPAS-36. The internal consistency was very good for the total score (α=0.88) and adequate to very good for the subscales (0.65–0.84), indicating high reliability. The ICC showed good agreement in the score of test-retest (total ICC=0.65).
Conclusion: This study confirms good psychometric properties and validity of the EBPAS P-35 in a sample of audiologists.
[1] Doyle J. A survey of Australian audiologists’ clinical decisionmaking. Australian Journal of Audiology. 1989;11(2):75-88.
[2] Richards T, Montori VM, Godlee F, Lapsley P, Paul D. Let the patient revolution begin. BMJ. 2013;346:f2614. [DOI:10.1136/bmj.f2614]
[3] Berwick DM. Era 3 for Medicine and Health Care. JAMA. 2016;315(13):1329-30. [DOI:10.1001/jama.2016.1509]
[4] Moodie ST, Kothari A, Bagatto MP, Seewald R, Miller LT, Scollie SD. Knowledge translation in audiology: promoting the clinical application of best evidence. Trends Amplif. 2011;15(1):5-22. [DOI:10.1177/1084713811420740]
[5] Grenness C, Hickson L, Laplante-Lévesque A, Davidson B. Patient-centred care: a review for rehabilitative audiologists. Int J Audiol. 2014;53 Suppl 1:S60-7. [DOI:10.3109/14992027.2013.847286]
[6] Mueller HG, Picou EM. Survey examines popularity of real-ear probe-microphone measures. Hear J. 2010;63(5):27-28,30,32. [DOI:10.1097/01.HJ.0000373447.52956.25]
[7] Naghibi D, Mohammadzadeh S, Azami-Aghdash S. Barriers to Evidence-Based Practice in Health System: A Systematic Review. Evid Based Care J. 2021;11(2):74-82. [DOI:10.22038/EBCJ.2021.60075.2561]
[8] Moullin JC, Dickson KS, Stadnick NA, Albers B, Nilsen P, Broder-Fingert S, et al. Ten recommendations for using implementation frameworks in research and practice. Implement Sci Commun. 2020;1:42.
[9] Candel MJJM, Pennings JME. Attitude-based models for binary choices: A test for choices involving an innovation. J Econ Psychol. 1999;20(5):547-69. [DOI:10.1016/S0167-4870(99)00024-0]
[10] Fishman J, Yang C, Mandell D. Attitude theory and measurement in implementation science: a secondary review of empirical studies and opportunities for advancement. Implement Sci. 2021;16(1):87. [DOI:10.1186/s13012-021-01153-9]
[11] Aarons GA. Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Ment Health Serv Res. 2004;6(2):61-74. [DOI:10.1023/b:mhsr.0000024351.12294.65]
[12] Santesson AHE, Bäckström M, Holmberg R, Perrin S, Jarbin H. Confirmatory factor analysis of the Evidence-Based Practice Attitude Scale (EBPAS) in a large and representative Swedish sample: is the use of the total scale and subscale scores justified? BMC Med Res Methodol. 2020;20(1):254.
[13] Szota K, Thielemann JFB, Christiansen H, Rye M, Aarons GA, Barke A. Cross-cultural adaption and psychometric investigation of the German version of the Evidence Based Practice Attitude Scale (EBPAS-36D). Health Res Policy Syst. 2021;19(1):90. [DOI:10.1186/s12961-021-00736-8]
[14] van Sonsbeek MA, Hutschemaekers GJ, Veerman JW, Kleinjan M, Aarons GA, Tiemens BG. Psychometric properties of the Dutch version of the Evidence-Based Practice Attitude Scale (EBPAS). Health Res Policy Syst. 2015;13:69. [DOI:10.1186/s12961-015-0058-z]
[15] Egeland KM, Ruud T, Ogden T, Lindstrøm JC, Heiervang KS. Psychometric properties of the Norwegian version of the Evidence-Based Practice Attitude Scale (EBPAS): to measure implementation readiness. Health Res Policy Syst. 2016;14(1):47. [DOI:10.1186/s12961-016-0114-3]
[16] De Paúl J, Indias S, Arruabarrena I. Adaptation of the Evidence-Based Practices Attitude Scale in Spanish child welfare professionals. Psicothema. 2015;27(4):341-6. [DOI:10.7334/psicothema2015.67]
[17] Yildiz D, Fidanci BE, Acikel C, Kaygusuz N, Yildirim C. Evaluating the Properties of the Evidence-Based Practice Attitude Scale (EBPAS-50) in Nurses in Turkey. Int J Caring Sci. 2018;11(2):768-75.
[18] Aarons GA, Cafri G, Lugo L, Sawitzky A. Expanding the domains of attitudes towards evidence-based practice: the evidence based practice attitude scale-50. Adm Policy Ment Health. 2012;39(5):331-40. [DOI:10.1007/s10488-010-0302-3]
[19] Bullinger M, Alonso J, Apolone G, Leplège A, Sullivan M, Wood-Dauphinee S, et al. Translating health status questionnaires and evaluating their quality: the IQOLA Project approach. International Quality of Life Assessment. J Clin Epidemiol. 1998;51(11):913-23. [DOI:10.1016/s0895-4356(98)00082-1]
[20] Rye M, Torres EM, Friborg O, Skre I, Aarons GA. The Evidence-based Practice Attitude Scale-36 (EBPAS-36): a brief and pragmatic measure of attitudes to evidence-based practice validated in US and Norwegian samples. Implement Sci. 2017;12(1):44. [DOI:10.1186/s13012-017-0573-0]
[21] Lawshe CH. A quantitative approach to content validity. Pers. Psychol. 1975;28(4):563-75. [DOI:10.1111/j.1744-6570.1975.tb01393.x]
[22] O’Keefe-McCarthy S, McGillion M, Nelson S, Clarke S, McFetridge-Durdle J, Watt-Watson J. Content validity of the Toronto Pain Management Inventory-Acute Coronary Syndrome Version. Can J Cardiovasc Nurs. 2014;24(2):11-8.
[23] Zamanzadeh V, Rassouli M, Abbaszadeh A, Alavi Majd H, Nikanfar A, Ghahramanian A. Details of content validity and objectifying it in instrument development. Nurs Pract Today. 2014;1(3):163-71.
[24] Hu Lt, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Modeling. 1999;6(1):1-55. [DOI:10.1080/10705519909540118]
[25] Bland JM, Altman DG. Agreement between methods of measurement with multiple observations per individual. J Biopharm Stat. 2007;17(4):571-82. [DOI:10.1080/10543400701329422]
[26] Melas CD, Zampetakis LA, Dimopoulou A, Moustakis V. Evaluating the properties of the Evidence-Based Practice Attitude Scale (EBPAS) in health care. Psychol Assess. 2012;24(4):867-76. [DOI:10.1037/a0027445]
[27] Majid S, Foo S, Luyt B, Zhang X, Theng YL, Chang YK, et al. Adopting evidence-based practice in clinical decision making: nurses’ perceptions, knowledge, and barriers. J Med Libr Assoc. 2011;99(3):229-36. [DOI:10.3163/1536-5050.99.3.010]
[28] Chan R, Molassiotis A, Chan E, Chan V, Ho B, Lai CY, et al. Nurses’ knowledge of and compliance with universal precautions in an acute care hospital. Int J Nurs Stud. 2002;39(2):157-63. [DOI:10.1016/s0020-7489(01)00021-9]
[29] Michalsen A, Delclos GL, Felknor SA, Davidson AL, Johnson PC, Vesley D, et al. Compliance with universal precautions among physicians. J Occup Environ Med. 1997;39(2):130-7. [DOI:10.1097/00043764-199702000-00010]
[30] Lyons C, Brown T, Tseng MH, Casey J, McDonald R. Evidence-based practice and research utilisation: perceived research knowledge, attitudes, practices and barriers among Australian paediatric occupational therapists. Aust Occup Ther J. 2011;58(3):178-86. [DOI:10.1111/j.1440-1630.2010.00900.x]
[31] Vallino-Napoli LD, Reilly S. Evidence-based health care: A survey of speech pathology practice. Int J Speech Lang Pathol. 2004;6(2):107-12. [DOI:10.1080/14417040410001708530]
[32] Shaw G. Disruptive Innovation in Hearing Health Care: Seismic Shift or Ripple Effect? Hear J. 2016;69(5):16,18,19. [DOI:10.1097/01.HJ.0000483266.92816.3e]
[2] Richards T, Montori VM, Godlee F, Lapsley P, Paul D. Let the patient revolution begin. BMJ. 2013;346:f2614. [DOI:10.1136/bmj.f2614]
[3] Berwick DM. Era 3 for Medicine and Health Care. JAMA. 2016;315(13):1329-30. [DOI:10.1001/jama.2016.1509]
[4] Moodie ST, Kothari A, Bagatto MP, Seewald R, Miller LT, Scollie SD. Knowledge translation in audiology: promoting the clinical application of best evidence. Trends Amplif. 2011;15(1):5-22. [DOI:10.1177/1084713811420740]
[5] Grenness C, Hickson L, Laplante-Lévesque A, Davidson B. Patient-centred care: a review for rehabilitative audiologists. Int J Audiol. 2014;53 Suppl 1:S60-7. [DOI:10.3109/14992027.2013.847286]
[6] Mueller HG, Picou EM. Survey examines popularity of real-ear probe-microphone measures. Hear J. 2010;63(5):27-28,30,32. [DOI:10.1097/01.HJ.0000373447.52956.25]
[7] Naghibi D, Mohammadzadeh S, Azami-Aghdash S. Barriers to Evidence-Based Practice in Health System: A Systematic Review. Evid Based Care J. 2021;11(2):74-82. [DOI:10.22038/EBCJ.2021.60075.2561]
[8] Moullin JC, Dickson KS, Stadnick NA, Albers B, Nilsen P, Broder-Fingert S, et al. Ten recommendations for using implementation frameworks in research and practice. Implement Sci Commun. 2020;1:42.
[9] Candel MJJM, Pennings JME. Attitude-based models for binary choices: A test for choices involving an innovation. J Econ Psychol. 1999;20(5):547-69. [DOI:10.1016/S0167-4870(99)00024-0]
[10] Fishman J, Yang C, Mandell D. Attitude theory and measurement in implementation science: a secondary review of empirical studies and opportunities for advancement. Implement Sci. 2021;16(1):87. [DOI:10.1186/s13012-021-01153-9]
[11] Aarons GA. Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Ment Health Serv Res. 2004;6(2):61-74. [DOI:10.1023/b:mhsr.0000024351.12294.65]
[12] Santesson AHE, Bäckström M, Holmberg R, Perrin S, Jarbin H. Confirmatory factor analysis of the Evidence-Based Practice Attitude Scale (EBPAS) in a large and representative Swedish sample: is the use of the total scale and subscale scores justified? BMC Med Res Methodol. 2020;20(1):254.
[13] Szota K, Thielemann JFB, Christiansen H, Rye M, Aarons GA, Barke A. Cross-cultural adaption and psychometric investigation of the German version of the Evidence Based Practice Attitude Scale (EBPAS-36D). Health Res Policy Syst. 2021;19(1):90. [DOI:10.1186/s12961-021-00736-8]
[14] van Sonsbeek MA, Hutschemaekers GJ, Veerman JW, Kleinjan M, Aarons GA, Tiemens BG. Psychometric properties of the Dutch version of the Evidence-Based Practice Attitude Scale (EBPAS). Health Res Policy Syst. 2015;13:69. [DOI:10.1186/s12961-015-0058-z]
[15] Egeland KM, Ruud T, Ogden T, Lindstrøm JC, Heiervang KS. Psychometric properties of the Norwegian version of the Evidence-Based Practice Attitude Scale (EBPAS): to measure implementation readiness. Health Res Policy Syst. 2016;14(1):47. [DOI:10.1186/s12961-016-0114-3]
[16] De Paúl J, Indias S, Arruabarrena I. Adaptation of the Evidence-Based Practices Attitude Scale in Spanish child welfare professionals. Psicothema. 2015;27(4):341-6. [DOI:10.7334/psicothema2015.67]
[17] Yildiz D, Fidanci BE, Acikel C, Kaygusuz N, Yildirim C. Evaluating the Properties of the Evidence-Based Practice Attitude Scale (EBPAS-50) in Nurses in Turkey. Int J Caring Sci. 2018;11(2):768-75.
[18] Aarons GA, Cafri G, Lugo L, Sawitzky A. Expanding the domains of attitudes towards evidence-based practice: the evidence based practice attitude scale-50. Adm Policy Ment Health. 2012;39(5):331-40. [DOI:10.1007/s10488-010-0302-3]
[19] Bullinger M, Alonso J, Apolone G, Leplège A, Sullivan M, Wood-Dauphinee S, et al. Translating health status questionnaires and evaluating their quality: the IQOLA Project approach. International Quality of Life Assessment. J Clin Epidemiol. 1998;51(11):913-23. [DOI:10.1016/s0895-4356(98)00082-1]
[20] Rye M, Torres EM, Friborg O, Skre I, Aarons GA. The Evidence-based Practice Attitude Scale-36 (EBPAS-36): a brief and pragmatic measure of attitudes to evidence-based practice validated in US and Norwegian samples. Implement Sci. 2017;12(1):44. [DOI:10.1186/s13012-017-0573-0]
[21] Lawshe CH. A quantitative approach to content validity. Pers. Psychol. 1975;28(4):563-75. [DOI:10.1111/j.1744-6570.1975.tb01393.x]
[22] O’Keefe-McCarthy S, McGillion M, Nelson S, Clarke S, McFetridge-Durdle J, Watt-Watson J. Content validity of the Toronto Pain Management Inventory-Acute Coronary Syndrome Version. Can J Cardiovasc Nurs. 2014;24(2):11-8.
[23] Zamanzadeh V, Rassouli M, Abbaszadeh A, Alavi Majd H, Nikanfar A, Ghahramanian A. Details of content validity and objectifying it in instrument development. Nurs Pract Today. 2014;1(3):163-71.
[24] Hu Lt, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Modeling. 1999;6(1):1-55. [DOI:10.1080/10705519909540118]
[25] Bland JM, Altman DG. Agreement between methods of measurement with multiple observations per individual. J Biopharm Stat. 2007;17(4):571-82. [DOI:10.1080/10543400701329422]
[26] Melas CD, Zampetakis LA, Dimopoulou A, Moustakis V. Evaluating the properties of the Evidence-Based Practice Attitude Scale (EBPAS) in health care. Psychol Assess. 2012;24(4):867-76. [DOI:10.1037/a0027445]
[27] Majid S, Foo S, Luyt B, Zhang X, Theng YL, Chang YK, et al. Adopting evidence-based practice in clinical decision making: nurses’ perceptions, knowledge, and barriers. J Med Libr Assoc. 2011;99(3):229-36. [DOI:10.3163/1536-5050.99.3.010]
[28] Chan R, Molassiotis A, Chan E, Chan V, Ho B, Lai CY, et al. Nurses’ knowledge of and compliance with universal precautions in an acute care hospital. Int J Nurs Stud. 2002;39(2):157-63. [DOI:10.1016/s0020-7489(01)00021-9]
[29] Michalsen A, Delclos GL, Felknor SA, Davidson AL, Johnson PC, Vesley D, et al. Compliance with universal precautions among physicians. J Occup Environ Med. 1997;39(2):130-7. [DOI:10.1097/00043764-199702000-00010]
[30] Lyons C, Brown T, Tseng MH, Casey J, McDonald R. Evidence-based practice and research utilisation: perceived research knowledge, attitudes, practices and barriers among Australian paediatric occupational therapists. Aust Occup Ther J. 2011;58(3):178-86. [DOI:10.1111/j.1440-1630.2010.00900.x]
[31] Vallino-Napoli LD, Reilly S. Evidence-based health care: A survey of speech pathology practice. Int J Speech Lang Pathol. 2004;6(2):107-12. [DOI:10.1080/14417040410001708530]
[32] Shaw G. Disruptive Innovation in Hearing Health Care: Seismic Shift or Ripple Effect? Hear J. 2016;69(5):16,18,19. [DOI:10.1097/01.HJ.0000483266.92816.3e]
| Files | ||
| Issue | Vol 32 No 4 (2023) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/avr.v32i4.13596 | |
| Keywords | ||
| Evidence-based practice research-based intervention clinical implementation attitude audiologist | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Shayanmehr S, Sadeghijam M, Jalaie S, Pourbakht A, Jarollahi F, Asghari A, Karimi Boroujeni M. Cultural Adaptation and Psychometric Properties of the Persian Version of the Evidence-Based Practice Attitudes Scale in Audiologists. Aud Vestib Res. 2023;32(4):322-333.
