The Swedish version of the Normalization Process Theory Measure S-NoMAD: translation, adaptation, and pilot testing

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The Swedish version of the Normalization Process Theory Measure S-NoMAD : translation, adaptation, and pilot testing

Elf, Marie, 1962- (författare): Högskolan Dalarna,Omvårdnad,Karolinska institutet,Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden;Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden

Nordmark, Sofi (författare): Luleå tekniska universitet,Omvårdnad,Lulea Univ Technol, Dept Hlth Sci, Lulea, Sweden

Lyhagen, Johan, 1969- (författare): Uppsala universitet,Statistiska institutionen

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Lindberg, Inger (författare): Luleå tekniska universitet,Omvårdnad,Lulea Univ Technol, Dept Hlth Sci, Lulea, Sweden

Finch, Tracy (författare): Department of Nursing, Midwifery & Health, Faculty of Health & Life Sciences, Northumbria University, Newcastle upon Tyne, UK,Northumbria Univ, Fac Hlth & Life Sci, Dept Nursing Midwifery & Hlth, Newcastle Upon Tyne, Tyne & Wear, England

Åberg, Anna Cristina (författare): Högskolan Dalarna,Medicinsk vetenskap,Uppsala universitet,Geriatrik,Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden

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2018-12-04
2018
Engelska.
Ingår i: Implementation Science. - : Springer. - 1748-5908. ; 13:1

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BackgroundThe original British instrument the Normalization Process Theory Measure (NoMAD) is based on the four core constructs of the Normalization Process Theory: Coherence, Cognitive Participation, Collective Action, and Reflexive Monitoring. They represent ways of thinking about implementation and are focused on how interventions can become part of everyday practice.AimTo translate and adapt the original NoMAD into the Swedish version S-NoMAD and to evaluate its psychometric properties based on a pilot test in a health care context including in-hospital, primary, and community care contexts.MethodsA systematic approach with a four-step process was utilized, including forward and backward translation and expert reviews for the test and improvement of content validity of the S-NoMAD in different stages of development. The final S-NoMAD version was then used for process evaluation in a pilot study aimed at the implementation of a new working method for individualized care planning. The pilot was executed in two hospitals, four health care centres, and two municipalities in a region in northern Sweden. The S-NoMAD pilot results were analysed for validity using confirmatory factor analysis, i.e. a one-factor model fitted for each of the four constructs of the S-NoMAD. Cronbach’s alpha was used to ascertain the internal consistency reliability.ResultsIn the pilot, S-NoMAD data were collected from 144 individuals who were different health care professionals or managers. The initial factor analysis model showed good fit for two of the constructs (Coherence and Cognitive Participation) and unsatisfactory fit for the remaining two (Collective Action and Reflexive Monitoring) based on three items. Deleting those items from the model yielded a good fit and good internal consistency (alphas between 0.78 and 0.83). However, the estimation of correlations between the factors showed that the factor Reflexive Monitoring was highly correlated (around 0.9) with the factors Coherence and Collective Action.ConclusionsThe results show initial satisfactory psychometric properties for the translation and first validation of the S-NoMAD. However, development of a highly valid and reliable instrument is an iterative process, requiring more extensive validation in various settings and populations. Thus, in order to establish the validity and reliability of the S-NoMAD, additional psychometric testing is needed.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)

Nyckelord

Normalization process theory
NPT
Implementation
Questionnaire
Instrument development
Psychometric properties
Pilot study
Validation
Content validity index
Nursing
Omvårdnad
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Av författaren/redakt...: Elf, Marie, 1962 ...; Nordmark, Sofi; Lyhagen, Johan, ...; Lindberg, Inger; Finch, Tracy; Åberg, Anna Cris ...

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