Development and Testing of the Context Assessment Index (CAI)

McCormack, Brendan; McCarthy, Geraldine; Wright, Jayne; Coffey, Alice

doi:10.1111/j.1741-6787.2008.00130.x

Cited by 101 publications

(99 citation statements)

References 16 publications

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“…92 Instruments Context Assessment Index Clinician perceptions of organisational factors that may influence their ability to integrate childbearing women as stakeholders of the collaborative alliance will be explored by the Context Assessment Index (CAI). 93 The CAI examines organisational context by reviewing perceptions of clinicians on the receptiveness of the organisation to change and to develop work practices that are 'person centred'. 93 The theoretical framework underpinning development of the CAI is the Promoting Action on Research Implementation in Health Services (PARiHS).…”

Section: Data Sourcesmentioning

confidence: 99%

“…93 The CAI examines organisational context by reviewing perceptions of clinicians on the receptiveness of the organisation to change and to develop work practices that are 'person centred'. 93 The theoretical framework underpinning development of the CAI is the Promoting Action on Research Implementation in Health Services (PARiHS). 94 According to the PARiHS framework, successful implementation of evidence in practice is dependent on the inter-relationship between the nature of the evidence, the quality of the context and expert facilitation.…”

Section: Data Sourcesmentioning

confidence: 99%

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Labouring Together: collaborative alliances in maternity care in Victoria, Australia—protocol of a mixed-methods study

et al. 2017

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IntroductionFor over a decade, enquiries into adverse perinatal outcomes have led to reports that poor collaboration has been detrimental to the safety and experience of maternity care. Despite efforts to improve collaboration, investigations into maternity care at Morecambe Bay (UK) and Djerriwarrh Health Services (Australia) have revealed that poor collaboration and decision-making remain a threat to perinatal safety. The Labouring Together study will investigate how elements hypothesised to influence the effectiveness of collaboration are reflected in perceptions and experiences of clinicians and childbearing women in Victoria, Australia. The study will explore conditions that assist clinicians and women to work collaboratively to support positive maternity outcomes. Results of the study will provide a platform for consumers, clinician groups, organisations and policymakers to work together to improve the quality, safety and experience of maternity care.Methods and analysis4 case study sites have been selected to represent a range of models of maternity care in metropolitan and regional Victoria, Australia. A mixed-methods approach including cross-sectional surveys and interviews will be used in each case study site, involving both clinicians and consumers. Quantitative data analysis will include descriptive statistics, 2-way multivariate analysis of variance for the dependent and independent variables, and χ2 analysis to identify the degree of congruence between consumer preferences and experiences. Interview data will be analysed for emerging themes and concepts. Data will then be analysed for convergent lines of enquiry supported by triangulation of data to draw conclusions.Ethics and disseminationOrganisational ethics approval has been received from the case study sites and Deakin University Human Research Ethics Committee (2014–238). Dissemination of the results of the Labouring Together study will be via peer-reviewed publications and conference presentations, and in written reports for each case study site to support organisational change.

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Section: Data Sourcesmentioning

confidence: 99%

Section: Data Sourcesmentioning

confidence: 99%

Labouring Together: collaborative alliances in maternity care in Victoria, Australia—protocol of a mixed-methods study

et al. 2017

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“…Helpful in this regard is the Context Assessment Index. This 37-item, five-factor instrument was designed to assess the many components of context [41].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Facilitating the implementation of empirically valid interventions in psychosocial oncology and supportive care

Hack

Carlson

Butler

et al. 2011

Support Care Cancer

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The successful implementation of empirically promising interventions requires research networks and practice groups to work together in a concerted, theory-guided effort to identify and address the contextual factors most relevant to any particular intervention. The growing support of knowledge implementation activities by research funders, policy-makers, opinion leaders, and advocates of psychosocial and supportive care interventions is a positive move in this direction.

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“…Context is seen as existing on a continuum, from those supporting the use of evidence (high context) moving to those who do not support the use of evidence (low context), and comprises three sub-elements: culture, leadership, and evaluation [10]. Tools aimed at assessing context, and developed within the PARIHS framework, include the Alberta Context Tool (ACT) [11], the Context Assessment Index [12] and the Organizational Readiness to Change Assessment (ORCA) tool [13]. …”

Section: Introductionmentioning

confidence: 99%

Ready to deliver maternal and newborn care? Health providers’ perceptions of their work context in rural Mozambique

Mocumbi

McKee

Munguambe

et al. 2018

Global Health Action

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Background: Deficiencies in the provision of evidence-based obstetric care are common in low-income countries, including Mozambique. Constraints relate to lack of human and financial resources and weak health systems, however limited resources alone do not explain the variance. Understanding the healthcare context ahead of implementing new interventions can inform the choice of strategies to achieve a successful implementation. The Context Assessment for Community Health (COACH) tool was developed to assess modifiable aspects of the healthcare context that theoretically influence the implementation of evidence. Objectives: To investigate the comprehensibility and the internal reliability of COACH and its use to describe the healthcare context as perceived by health providers involved in maternal care in Mozambique. Methods: A response process evaluation was completed with six purposively selected health providers to uncover difficulties in understanding the tool. Internal reliability was tested using Cronbach’s α. Subsequently, a cross-sectional survey using COACH, which contains 49 items assessing eight dimensions, was administered to 175 health providers in 38 health facilities within six districts in Mozambique. Results: The content of COACH was clear and most items were understood. All dimensions were near to or exceeded the commonly accepted standard for satisfactory internal reliability (0.70). Analysis of the survey data indicated that items on all dimensions were rated highly, revealing positive perception of context. Significant differences between districts were found for the Work culture, Leadership, and Informal payment dimensions. Responses to many items had low variance and were left-skewed. Conclusions: COACH was comprehensible and demonstrated good reliability, although biases may have influenced participants’ responses. The study suggests that COACH has the potential to evaluate the healthcare context to identify shortcomings and enable the tailoring of strategies ahead of implementation. Supplementing the tool with qualitative approaches will provide an in-depth understanding of the healthcare context.

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Development and Testing of the Context Assessment Index (CAI)

Abstract: The CAI provides clinicians with the means to assess and understand the context in which they work and the effect this has on using evidence in practice.

Cited by 101 publications

References 16 publications

Labouring Together: collaborative alliances in maternity care in Victoria, Australia—protocol of a mixed-methods study

Labouring Together: collaborative alliances in maternity care in Victoria, Australia—protocol of a mixed-methods study

Facilitating the implementation of empirically valid interventions in psychosocial oncology and supportive care

Ready to deliver maternal and newborn care? Health providers’ perceptions of their work context in rural Mozambique

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