Translation and psychometric evaluation of the German version of the Organisational Readiness for Implementing Change measure (ORIC): a cross-sectional study

Lindig, Anja; Hahlweg, Pola; Christalle, Eva; Scholl, Isabelle

doi:10.1136/bmjopen-2019-034380

Cited by 14 publications

(14 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The evidence for whether readiness for change predicts change adoption is an area of great interest and the ORIC instrument has been noted as a scale with promising psychometric properties, but has yet to be tested for predictive validity [ 23 ]. If readiness for change is high, organizational members invest more in the change effort and exhibit greater persistence to overcome barriers and setbacks [ 20 ]. The ORIC survey is but one element of the planned evaluation of the regional midwifery MoC in South Australia.…”

Section: Discussionmentioning

confidence: 99%

Measuring organizational readiness for implementing change (ORIC) in a new midwifery model of care in rural South Australia

Adelson

Yates

Fleet

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

Background The sustainability of Australian rural maternity services is under threat due to current workforce shortages. In July 2019, a new midwifery caseload model of care was implemented in rural South Australia to provide midwifery continuity of care and promote a sustainable workforce in the area. The model is unique as it brings together five birthing sites connecting midwives, doctors, nurses and community teams. A critical precursor to successful implementation requires those working in the model be ready to adopt to the change. We surveyed clinicians at the five sites transitioning to the new model of care in order to assess their organizational readiness to implement change. Methods A descriptive study assessing readiness for change was measured using the Organizational Readiness for Implementing Change scale (ORIC). The 12 item Likert scale measures a participant’s commitment to change and change efficacy. All clinicians working within the model of care (midwives, nurses and doctors) were invited to complete an e-survey. Results Overall, 55% (56/102) of clinicians participating in the model responded. The mean ORIC score was 41.5 (range 12–60) suggesting collectively, midwives, nurses and doctors began the new model of care with a sense of readiness for change. Participants were most likely to agree on the change efficacy statements, “People who work here feel confident that the organization can get people invested in implementing this change and the change commitment statements “People who work here are determined to implement this change”, “People who work here want to implement this change”, and “People who work here are committed to implementing this change. Conclusion Results of the ORIC survey indicate that clinicians transitioning to the new model of care were willing to embrace change and commit to the new model. The process of organizational change in health care settings is challenging and a continuous process. If readiness for change is high, organizational members invest more in the change effort and exhibit greater persistence to overcome barriers and setbacks. This is the first reported use of the instrument amongst midwives and nurses in Australia and should be considered for use in other national and international clinical implementation studies.

show abstract

Section: Discussionmentioning

confidence: 99%

Measuring organizational readiness for implementing change (ORIC) in a new midwifery model of care in rural South Australia

Adelson

Yates

Fleet

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…We also added an introductory description to explain the meaning of the term “change” in the given context, which in our case, are the changes at the organizational level concerning PA promotion that result from the research project. Yet, for future studies of organizational readiness in the German language, it should be noted that a German version of the ORIC questionnaire has recently been tested and published by Lindig et al [ 53 ].…”

Section: Methodsmentioning

confidence: 99%

Co-creating physical activity interventions: a mixed methods evaluation approach

Popp

Grüne

Carl

et al. 2021

Health Res Policy Sys

View full text Add to dashboard Cite

Background Co-creation strategies, such as cooperative planning, are promising as a means to ensure that physical activity interventions address real-world problems and are tailored to the target group. This has already been validated in diverse settings. However, questions targeting the transferability of cooperative planning to new settings and the key factors influencing its success or failure remain unclear. At the same time, co-creation processes are complex, and evaluation can be challenging. Following calls for detailed reporting, this paper describes the programme activities, the underlying logic, and methodological design of a study that aims to evaluate the transfer of cooperative planning to new settings and to explore the associated key determinants. Methods Cooperative planning was utilized as a strategy to target physical activity promotion in three real-world German settings in the nursing care and automotive mechatronics sectors. This involved researchers working alongside stakeholders from practice and policy to conjointly develop new interventions to promote physical activity in physically demanding jobs. A pragmatic approach is used to evaluate both the transferability and key determinants of this strategy. We developed a logic model for this co-creation process that describes the underlying assumptions and guides the evaluation. The evaluation outcomes of this study include planning meetings, newly developed interventions, and the determinants that are likely to affect cooperative planning. Quantitative and qualitative data will be collected using questionnaires, documents, and interviews. The quantitative data will be analysed descriptively, while the qualitative data will mainly be analysed using qualitative content analysis, split by settings. Subsequently, data triangulation will be used to integrate the quantitative and qualitative findings, which will then be compared across all three settings. Discussion The study findings will contribute to a better understanding of co-creation strategies, their transferability, and key determinants. The practical implications can include a checklist for assessing key determinants and a guideline for transferring cooperative planning into new settings to benefit more people. Ultimately, this study will help to advance co-creation strategies and may be relevant for researchers, practitioners, and policy-makers targeting physical activity promotion in various contexts. Trial registration: Open Science Framework: https://osf.io/r6xnt/ (retrospectively registered).

show abstract

“…We previously published the translation and psychometric evaluation of a second measure, the Organizational Readiness for Implementing Chance (ORIC), which was assessed together with the IcanSDM within the same survey [ 42 ]. The translation and adaptation procedure as well as the psychometric evaluation of the ORIC and the IcanSDM was done in parallel using very similar methods.…”

Section: Methodsmentioning

confidence: 99%

“…A value of at least .70 is acceptable and higher coefficients indicate a more stable measure [ 57 , 60 , 70 ]. Note: This table has been adapted from Lindig et al [ 53 ] …”

Section: Methodsmentioning

confidence: 99%

Translation and psychometric evaluation of the German version of the IcanSDM measure – a cross-sectional study among healthcare professionals

Lindig

Hahlweg

Christalle

et al. 2021

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

Background Shared decision-making (SDM) between patients and healthcare professionals (HCPs) is a key component of patient-centred care. To implement SDM in clinical practice and to evaluate its effects, it is helpful to know about HCPs’ perception of SDM barriers. The measure IcanSDM was developed in Canada and assesses the perception of SDM barriers. To our knowledge, no equivalent measure exists in German. Therefore, the aim of this study was to translate and adapt the IcanSDM measure to be used by a German speaking population and evaluate its psychometric properties. Methods This is a cross-sectional psychometric study based on a secondary analysis of baseline data from a SDM implementation study. The original 8-item IcanSDM was translated into German using a team translation protocol. We assessed comprehensibility via cognitive interviews with n = 11 HCPs. Based on results of cognitive interviews, the translated IcanSDM version was revised. Two hundred forty-two HCPs filled out the measure. Psychometric analysis included acceptance (completion rate), item characteristics (response distribution, skewness, item difficulties, corrected item-total correlations, inter-item correlations), factorial structure (confirmatory factor analysis (CFA), model fit), and internal consistency (Cronbach’s α). Results We translated and adapted the German IcanSDM successfully except for item 8, which had to be revised after the cognitive interviews. Completion rate was 98%. Skewness of the items ranged between −.797 and 1.25, item difficulties ranged between 21.63 and 70.85, corrected item-total-correlations ranged between .200 and .475, inter-item correlations ranged between .005 and .412. Different models based on CFA results did not provide a valid factorial structure. Cronbach’s α ranged between .563 and .651 for different factor models. Conclusion We provide the first German measure for assessing perception of SDM barriers by HCPs. The German IcanSDM is a brief measure with good acceptance. However, we found unsatisfying psychometric properties, which were comparable to results of the original scale. In a next step, the IcanSDM should be further developed and modified and predictive validity should be evaluated.

show abstract

Translation and psychometric evaluation of the German version of the Organisational Readiness for Implementing Change measure (ORIC): a cross-sectional study

Cited by 14 publications

References 63 publications

Measuring organizational readiness for implementing change (ORIC) in a new midwifery model of care in rural South Australia

Measuring organizational readiness for implementing change (ORIC) in a new midwifery model of care in rural South Australia

Co-creating physical activity interventions: a mixed methods evaluation approach

Translation and psychometric evaluation of the German version of the IcanSDM measure – a cross-sectional study among healthcare professionals

Contact Info

Product

Resources

About