Toward an Objective Assessment of Implementation Processes for Innovations in Health Care: Psychometric Evaluation of the Normalization Measure Development (NoMAD) Questionnaire Among Mental Health Care Professionals

Journal of Medical Internet Research
Christiaan VisJan Smit

Abstract

Successfully implementing eMental health (eMH) interventions in routine mental health care constitutes a major challenge. Reliable instruments to assess implementation progress are essential. The Normalization MeAsure Development (NoMAD) study developed a brief self-report questionnaire that could be helpful in measuring implementation progress. Based on the Normalization Process Theory, this instrument focuses on 4 generative mechanisms involved in implementation processes: coherence, cognitive participation, collective action, and reflexive monitoring. The aim of this study was to translate the NoMAD questionnaire to Dutch and to confirm the factor structure in Dutch mental health care settings. Dutch mental health care professionals involved in eMH implementation were invited to complete the translated NoMAD questionnaire. Confirmatory factor analysis (CFA) was conducted to verify interpretability of scale scores for 3 models: (1) the theoretical 4-factor structure, (2) a unidimensional model, and (3) a hierarchical model. Potential improvements were explored, and correlated scale scores with 3 control questions were used to assess convergent validity. A total of 262 professionals from mental health care settings in the Neth...Continue Reading

References

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Citations

Aug 21, 2019·Journal of Clinical Medicine·Nickolai TitovBlake F Dear
Jul 9, 2020·Current Opinion in Psychiatry·Stojan BajraktarovNikolina Jovanovic
Apr 15, 2021·BMC Pregnancy and Childbirth·Fieke van HoornUNKNOWN RESPECT 2 study group

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Software Mentioned

semPlot
lavaan
ImpleMentAll
NETQ Internet Surveys
sjPlot
ggplot2
semTools
NoMAD
RStudio
psych

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