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Development of the HIV/AIDS Q-Sort Instrument to Measure Physician Attitudes

机译：开发用于测量医师态度的HIV / AIDS Q-Sort仪器

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BACKGROUND: Providers' attitudes about HIV/AIDS are an important dimension in the delivery of quality care to persons with HIV/AIDS. It is believed that education can alter attitudes, but there is a need for a user-friendly instrument to measure the effect that HIV/AIDS educational programs have on attitudes. METHODS: A pool of HIV/AIDS attitude descriptors was collected through literature review and from individuals working in the HIV/AIDS field. Out of this pool of 90 descriptors, 48 descriptors with the highest face validity were selected through expert consensus ranking to create a preliminary survey instrument. Twenty-six physicians completed a pilot Q-Sort instrument with 48 descriptors. A variance analysis was conducted, and the top 28 descriptors with the most variability were selected for the final Q-Sort instrument, which was then completed by 191 physicians. A factor analysis was conducted to identify a small number of factors that explained the 28 descriptors. A subsample of 22 physicians repeated the test to establish test-retest reliability. RESULTS: Factor analysis revealed three factors: (1) emotionality, (2) ability, and (3) reluctance. The Q-Sort instrument demonstrated good test-retest reliability, with reliability for the three factors of .82, .80, and .88, respectively. CONCLUSIONS: This Q-sort instrument is a reliable method for measuring physician attitudes toward HIV/AIDS patients. Further studies can test its use for evaluating the effect of educational programs on changing provider attitudes.
机译：背景：提供者对艾滋病毒/艾滋病的态度是向艾滋病毒/艾滋病患者提供优质护理的一个重要方面。人们认为教育可以改变态度，但是需要一种用户友好的工具来衡量艾滋病毒/艾滋病教育计划对态度的影响。方法：通过文献综述和从艾滋病毒/艾滋病领域工作的个人收集了一批艾滋病毒/艾滋病态度描述符。在这90个描述符中，通过专家共识排名选择了具有最高面部有效性的48个描述符，以创建初步的调查工具。 26名医师完成了带有48个描述符的Q-Sort试验仪器。进行了方差分析，并为最终的Q-Sort仪器选择了变异性最大的前28个描述符，然后由191位医生完成了该描述符。进行了因素分析以识别解释28个描述符的少数因素。由22位医生组成的子样本重复测试以建立重新测试的可靠性。结果：因素分析揭示了三个因素：（1）情绪，（2）能力和（3）不愿。 Q-Sort仪器表现出良好的重测可靠性，其中三个因子分别为.82，.80和.88。结论：这种Q-sort仪器是测量医师对HIV / AIDS患者态度的可靠方法。进一步的研究可以测试其在评估教育计划对提供者态度变化的影响方面的用途。

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