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dc.contributor.authorBrooke-Sumner, C.
dc.contributor.authorPetersen-Williams, P.
dc.contributor.authorWagener, E.
dc.contributor.authorSorsdahl, K.
dc.contributor.authorAarons, G.A.
dc.contributor.authorMyers-Franchi, Bronwyn
dc.date.accessioned2022-12-06T21:02:26Z
dc.date.available2022-12-06T21:02:26Z
dc.date.issued2021
dc.identifier.citationBrooke-Sumner, C. and Petersen-Williams, P. and Wagener, E. and Sorsdahl, K. and Aarons, G.A. and Myers, B. 2021. Adaptation of the Texas Christian University Organisational Readiness for Change Short Form (TCU-ORC-SF) for use in primary health facilities in South Africa. BMJ Open. 11 (12): ARTN e047320.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/89765
dc.identifier.doi10.1136/bmjopen-2020-047320
dc.description.abstract

Objectives The Texas Christian University Organisational Readiness for Change Scale (TCU-ORC) assesses factors influencing adoption of evidence-based practices. It has not been validated in low-income and middle-income countries (LMIC). This study assessed its psychometric properties in a South African setting with the aim of adapting it into a shorter measure. Methods This study was conducted in 24 South African primary healthcare clinics in the Western Cape Province. The TCU-ORC and two other measures, the Organisational Readiness to Change Assessment (ORCA) and the Checklist for Assessing Readiness for Implementation (CARI) were administered. The questionnaire was readministered after 2 weeks to obtain data on test-retest reliability. Three hundred and ninety-five surveys were completed: 281 participants completed the first survey, and 118 recompleted the assessments. Results We used exploratory factor analysis (EFA) to identify latent dimensions represented in the data. Cronbach's alpha for each subscale was assessed and we examined the extent to which the subscales and total scale scores for the first and retest surveys correlated. Convergent validity was assessed by the correlation coefficient between the TCU-ORC, ORCA and CARI total scale scores. EFA resulted in a three-factor solution. The three subscales proposed are Clinic Organisational Climate (8 items), Motivational Readiness for Change (13 items) and Individual Change Efficacy (5 items) (26 items total). Cronbach's alpha for each subscale was >0.80. The overall shortened scale had a test-retest correlation of r=0.80, p<0.01, acceptable convergent validity with the ORCA scale (r=0.56, p<0.05), moderate convergence with the CARI (r=39, p<0.05) and strong correlation with the original scale (r=0.79, p<0.05). Conclusions This study presents the first psychometric data on the TCU-ORC from an LMIC. The proposed shortened tool may be more feasible for use in LMICs. Trial registration number Results stage. Project MIND trial. Pan-African Clinical Trials Registry. PACTR201610001825405.

dc.languageEnglish
dc.publisherBMJ PUBLISHING GROUP
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectScience & Technology
dc.subjectLife Sciences & Biomedicine
dc.subjectMedicine, General & Internal
dc.subjectGeneral & Internal Medicine
dc.subjectprimary care
dc.subjectorganisational development
dc.subjectchange management
dc.subjectEXPLORATORY FACTOR-ANALYSIS
dc.subjectGLOBAL MENTAL-HEALTH
dc.subjectMIDDLE-INCOME
dc.subjectCARE
dc.subjectTRUST
dc.subjectINSTRUMENTS
dc.subjectVALIDATION
dc.subjectDISORDERS
dc.subjectATTITUDES
dc.subjectADOPTION
dc.titleAdaptation of the Texas Christian University Organisational Readiness for Change Short Form (TCU-ORC-SF) for use in primary health facilities in South Africa
dc.typeJournal Article
dcterms.source.volume11
dcterms.source.number12
dcterms.source.issn2044-6055
dcterms.source.titleBMJ Open
dc.date.updated2022-12-06T21:02:24Z
curtin.departmentEnAble Institute
curtin.accessStatusOpen access
curtin.facultyFaculty of Health Sciences
curtin.identifier.article-numberARTN e047320
dcterms.source.eissn2044-6055
curtin.contributor.scopusauthoridMyers-Franchi, Bronwyn [7202684194]


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