Change search
ReferencesLink to record
Permanent link

Direct link
Response process and test-retest reliability of the Context Assessment for Community Health tool in Vietnam
Show others and affiliations
2016 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 9, 31572Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The recently developed Context Assessment for Community Health (COACH) tool aims to measure aspects of the local healthcare context perceived to influence knowledge translation in low- and middle-income countries. The tool measures eight dimensions (organizational resources, community engagement, monitoring services for action, sources of knowledge, commitment to work, work culture, leadership, and informal payment) through 49 items.

OBJECTIVE: The study aimed to explore the understanding and stability of the COACH tool among health providers in Vietnam.

DESIGNS: To investigate the response process, think-aloud interviews were undertaken with five community health workers, six nurses and midwives, and five physicians. Identified problems were classified according to Conrad and Blair's taxonomy and grouped according to an estimation of the magnitude of the problem's effect on the response data. Further, the stability of the tool was examined using a test-retest survey among 77 respondents. The reliability was analyzed for items (intraclass correlation coefficient (ICC) and percent agreement) and dimensions (ICC and Bland-Altman plots).

RESULTS: In general, the think-aloud interviews revealed that the COACH tool was perceived as clear, well organized, and easy to answer. Most items were understood as intended. However, seven prominent problems in the items were identified and the content of three dimensions was perceived to be of a sensitive nature. In the test-retest survey, two-thirds of the items and seven of eight dimensions were found to have an ICC agreement ranging from moderate to substantial (0.5-0.7), demonstrating that the instrument has an acceptable level of stability.

CONCLUSIONS: This study provides evidence that the Vietnamese translation of the COACH tool is generally perceived to be clear and easy to understand and has acceptable stability. There is, however, a need to rephrase and add generic examples to clarify some items and to further review items with low ICC.

Place, publisher, year, edition, pages
2016. Vol. 9, 31572
Keyword [en]
context assessment; implementation science; knowledge translation; reliability; response process; test–retest; think-aloud interview; validity
National Category
Health Sciences
Research subject
Health and Welfare
URN: urn:nbn:se:du-21702DOI: 10.3402/gha.v9.31572ISI: 000377802800001PubMedID: 27293124OAI: diva2:937146
Available from: 2016-06-15 Created: 2016-06-15 Last updated: 2016-08-03Bibliographically approved

Open Access in DiVA

fulltext(528 kB)13 downloads
File information
File name FULLTEXT01.pdfFile size 528 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Wallin, Lars
By organisation
Caring Science/Nursing
In the same journal
Global Health Action
Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 13 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 109 hits
ReferencesLink to record
Permanent link

Direct link