학술논문

Measuring Constructs of the Consolidated Framework for Implementation Research in the Context of Increasing Colorectal Cancer Screening in Federally Qualified Health Center
Document Type
article
Source
Health Services Research. 53(6)
Subject
Health Services and Systems
Public Health
Health Sciences
Colo-Rectal Cancer
Digestive Diseases
Aging
Cancer
Behavioral and Social Science
Prevention
Clinical Research
Adult
Colorectal Neoplasms
Early Detection of Cancer
Female
Health Plan Implementation
Health Services Research
Humans
Male
Primary Health Care
Psychometrics
Reproducibility of Results
Research Design
Safety-net Providers
Surveys and Questionnaires
Implementation science
cancer
organizational theory
safety net providers
primary care
Public Health and Health Services
Policy and Administration
Health Policy & Services
Health services and systems
Policy and administration
Language
Abstract
ObjectiveTo operationalize constructs from each of the Consolidated Framework for Implementation Research domains and to present psychometric properties within the context of evidence-based approaches for promoting colorectal cancer screening in federally qualified health centers (FQHCs).MethodsData were collected from FQHC clinics across seven states. A web-based Staff Survey and a Clinic Characteristics Survey were completed by staff and leaders (n = 277) from 59 FQHCs.ResultsInternal reliability of scales was adequate ranging from 0.62 for compatibility to 0.88 for other personal attributes (openness). Intraclass correlations for the scales indicated that 2.4 percent to 20.9 percent of the variance in scale scores occurs within clinics. Discriminant validity was adequate at the clinic level, with all correlations less than 0.75. Convergent validity was more difficult to assess given lack of hypothesized associations between factors expected to predict implementation.ConclusionsOur results move the field forward by describing initial psychometric properties of constructs across CFIR domains.