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Implementation research for ‘evidence‐based’ guideline development by dietitians: a pilot study to test an instrument
Author(s) -
Wammes B. M.,
Blom C. A.,
Koelen M.,
De Groot S. D. W.,
RemijnseMeester W. T. A.,
Van Staveren W. A.
Publication year - 2002
Publication title -
journal of human nutrition and dietetics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.951
H-Index - 70
eISSN - 1365-277X
pISSN - 0952-3871
DOI - 10.1046/j.1365-277x.2002.00368.x
Subject(s) - medicine , guideline , cronbach's alpha , test (biology) , family medicine , pilot test , nursing , consistency (knowledge bases) , medical education , psychometrics , applied psychology , clinical psychology , psychology , pathology , geometry , mathematics , paleontology , biology
Aim To improve the quality of dietetic care, dietitians in the University Medical Center Utrecht (UMCU) are encouraged to develop and implement ‘evidence‐based’ guidelines. The aim of this pilot study was to develop and test a questionnaire for implementation research to monitor the process of developing and implementing these guidelines. Methods A questionnaire was developed and distributed to 15 dietitians, who have started developing an ‘evidence‐based’ guideline. The questionnaire measures determinants of dietitians' behaviour and the presence of conditions facilitating the development of a guideline. Cronbach's α with a cut‐off point of 0.7 was used to analyse the internal consistence between the items related to behavioural determinants. A panel of professionals such as a member of staff from the UMCU, a communication expert and project‐managers ensured the completeness of the questionnaire. Results The internal consistency was high (α > 0.7) between the items related to the determinants of behaviour. The questionnaire gives a structured overview of factors affecting positively or negatively the process of guideline development. Although dietitians have a positive behaviour towards guideline development, they perceived barriers related to the presence of conditions to develop a guideline. Conclusion We concluded that the applied questionnaire is appropriate for implementation research and has given a structured overview of factors that influence the development of dietetic guidelines by dietitans in the UMCU.