Validity and reliability of the Spanish version of the Organizational Readiness for Knowledge Translation (OR4KT) questionnaire

Gonzalo Grandes,Marie-Pierre Gagnon,Paola Bully,Catalina Martinez

doi:10.1186/s13012-017-0664-y

Abstract

BackgroundOrganizational readiness to change healthcare practice is a major determinant of successful implementation of evidence-based interventions. However, we lack of comprehensive, valid, and reliable instruments to measure it. We assessed the validity and reliability of the Spanish version of the Organizational Readiness for Knowledge Translation (OR4KT) questionnaire in the context of the implementation of the Prescribe Vida Saludable III project, which seeks to strengthen health promotion and chronic disease prevention in primary healthcare organizations of the Osakidetza (Basque Health Service, Spain).MethodsA cross-sectional study was conducted including 127 professionals from 20 primary care centers within Osakidetza. They filled in the OR4KT questionnaire twice in a 15- to 30-day period to test repeatability. In addition, we used the Survey of Organizational Attributes for Primary Care (SOAPC) and we documented the number of healthcare professionals who formally engaged in the Prescribe Vida Saludable III project within each participating center to assess concurrent validity.ResultsCronbach’s alpha for the overall OR4KT was .95, and the overall repeatability coefficient was 6.95%, both excellent results. Confirmatory factor analysis supported the underlying theoretical structure of 6 dimensions and 23 sub-dimensions. There were positive moderate-to-high internal correlations between these six dimensions, and there was evidence of good concurrent validity (correlation coefficient of .76 with SOAPC, and .80 with the proportion of professionals engaged by center). A score higher than 64 (out of 100) would be indicative of an organization with high level of readiness to implement the intervention (sensitivity = .75, specificity = 1).ConclusionsThe Spanish version of the OR4KT exhibits very strong reliability and good validity, although it needs to be validated in a larger sample and in different implementation contexts.

Highlights

Organizational readiness to change healthcare practice is a major determinant of successful implementation of evidence-based interventions
We found no statistically significant differences in structural or sociodemographic characteristics between participating and non-participating primary care units (p > 0.1, data not shown)
Descriptive statistics of the Organizational Readiness for Knowledge Translation (OR4KT) questionnaire Table 2 presents the descriptive and reliability statistics for the six dimensions of the OR4KT questionnaire and its total score. These results show that the OR4KT scores are distributed without noticeable deviations from the normal curve and that there are no important ceiling effects

Summary

Introduction

Organizational readiness to change healthcare practice is a major determinant of successful implementation of evidence-based interventions. It is generally accepted that despite their good knowledge and positive attitudes towards health promotion, primary healthcare providers face a range of organizational and contextual barriers to providing lifestyle interventions [5,6,7,8]. In this context, assessing primary care organizations’ level of readiness for lifestyle promotion interventions could help us improve the chances that these practices are successfully adopted

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