Development and Testing of a Patient Outcome Measure for Interprofessional Tuberculosis Care: A Delphi Study

Background: A chronic medical condition such as tuberculosis can be physically and emotionally challenging for both health practitioners and patients and their families. Tuberculosis requires a team-based care model that provides resilience and coordinated work, such as the one offered by an interpr...

Full description

Saved in:
Bibliographic Details
Main Authors: Bau D. Ardyansyah, Reinie Cordier, Margo Brewer, Dave Parsons
Format: Article
Language:English
Published: Ital Publication 2025-02-01
Series:Emerging Science Journal
Subjects:
Online Access:https://ijournalse.org/index.php/ESJ/article/view/2750
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823865168450289664
author Bau D. Ardyansyah
Reinie Cordier
Margo Brewer
Dave Parsons
author_facet Bau D. Ardyansyah
Reinie Cordier
Margo Brewer
Dave Parsons
author_sort Bau D. Ardyansyah
collection DOAJ
description Background: A chronic medical condition such as tuberculosis can be physically and emotionally challenging for both health practitioners and patients and their families. Tuberculosis requires a team-based care model that provides resilience and coordinated work, such as the one offered by an interprofessional collaborative practice team. Despite the increasing interest in interprofessional-based care globally, there is a notable lack of measures to assess patient impact. We aimed to develop a patient outcome measure to quantify the functional impact of interprofessional care on tuberculosis patients. Methods: The study involved four phases: 1) developing a conceptual framework and creating items, 2) evaluating the construct through Delphi studies to obtain international consensus, 3) back-to-back translation into Indonesian, and 4) re-evaluating the construct with Delphi study to obtain Indonesian consensus. The consensus was reached if the Content Validity Index covers at least 70% agreement from experts, an interquartile range <1, and a median score of 4 or 5 on a 5-point Likert-type scale. The COnsensus-based Standards for the Selection of Health Measurement INstruments (COSMIN) guidelines were used to assess item relevance, comprehensibility, and comprehensiveness. Results: A total of 65 international and 61 Indonesian participants in the Delphi studies. The final instrument consists of 44 items organized into five domains. All items were relevant to the construct being measured and deemed understandable, and significant concerns related to TB care were comprehensively addressed in the instrument. Conclusion:The findings indicate that the instrument content validity was good, fulfilling COSMIN requirements for items' relevance, comprehensibility, and comprehensiveness.   Doi: 10.28991/ESJ-2025-09-01-08 Full Text: PDF
format Article
id doaj-art-f001f987c4e14d8a93db5e9d2aa37da6
institution Kabale University
issn 2610-9182
language English
publishDate 2025-02-01
publisher Ital Publication
record_format Article
series Emerging Science Journal
spelling doaj-art-f001f987c4e14d8a93db5e9d2aa37da62025-02-08T14:26:26ZengItal PublicationEmerging Science Journal2610-91822025-02-019113114710.28991/ESJ-2025-09-01-08768Development and Testing of a Patient Outcome Measure for Interprofessional Tuberculosis Care: A Delphi StudyBau D. Ardyansyah0Reinie Cordier1Margo Brewer2Dave Parsons31) Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Australia. 2) Department of Medical Education, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia. 3) Hasanuddin University Hospital, Makassar, Indonesia.1) Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Australia. 4) Department of Social Work, Education and Community Wellbeing, Faculty of Health & Life Sciences, Northumbria University, Newcastle upon the Tyne, United Kingdom. 5) Department of Health & Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth,1) Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Australia. 6) St John of God Public and Private Hospitals Midland, Perth, Australia.Background: A chronic medical condition such as tuberculosis can be physically and emotionally challenging for both health practitioners and patients and their families. Tuberculosis requires a team-based care model that provides resilience and coordinated work, such as the one offered by an interprofessional collaborative practice team. Despite the increasing interest in interprofessional-based care globally, there is a notable lack of measures to assess patient impact. We aimed to develop a patient outcome measure to quantify the functional impact of interprofessional care on tuberculosis patients. Methods: The study involved four phases: 1) developing a conceptual framework and creating items, 2) evaluating the construct through Delphi studies to obtain international consensus, 3) back-to-back translation into Indonesian, and 4) re-evaluating the construct with Delphi study to obtain Indonesian consensus. The consensus was reached if the Content Validity Index covers at least 70% agreement from experts, an interquartile range <1, and a median score of 4 or 5 on a 5-point Likert-type scale. The COnsensus-based Standards for the Selection of Health Measurement INstruments (COSMIN) guidelines were used to assess item relevance, comprehensibility, and comprehensiveness. Results: A total of 65 international and 61 Indonesian participants in the Delphi studies. The final instrument consists of 44 items organized into five domains. All items were relevant to the construct being measured and deemed understandable, and significant concerns related to TB care were comprehensively addressed in the instrument. Conclusion:The findings indicate that the instrument content validity was good, fulfilling COSMIN requirements for items' relevance, comprehensibility, and comprehensiveness.   Doi: 10.28991/ESJ-2025-09-01-08 Full Text: PDFhttps://ijournalse.org/index.php/ESJ/article/view/2750interprofessional educationinterprofessional practicecontent validitytuberculosis carepatient outcome measure.
spellingShingle Bau D. Ardyansyah
Reinie Cordier
Margo Brewer
Dave Parsons
Development and Testing of a Patient Outcome Measure for Interprofessional Tuberculosis Care: A Delphi Study
Emerging Science Journal
interprofessional education
interprofessional practice
content validity
tuberculosis care
patient outcome measure.
title Development and Testing of a Patient Outcome Measure for Interprofessional Tuberculosis Care: A Delphi Study
title_full Development and Testing of a Patient Outcome Measure for Interprofessional Tuberculosis Care: A Delphi Study
title_fullStr Development and Testing of a Patient Outcome Measure for Interprofessional Tuberculosis Care: A Delphi Study
title_full_unstemmed Development and Testing of a Patient Outcome Measure for Interprofessional Tuberculosis Care: A Delphi Study
title_short Development and Testing of a Patient Outcome Measure for Interprofessional Tuberculosis Care: A Delphi Study
title_sort development and testing of a patient outcome measure for interprofessional tuberculosis care a delphi study
topic interprofessional education
interprofessional practice
content validity
tuberculosis care
patient outcome measure.
url https://ijournalse.org/index.php/ESJ/article/view/2750
work_keys_str_mv AT baudardyansyah developmentandtestingofapatientoutcomemeasureforinterprofessionaltuberculosiscareadelphistudy
AT reiniecordier developmentandtestingofapatientoutcomemeasureforinterprofessionaltuberculosiscareadelphistudy
AT margobrewer developmentandtestingofapatientoutcomemeasureforinterprofessionaltuberculosiscareadelphistudy
AT daveparsons developmentandtestingofapatientoutcomemeasureforinterprofessionaltuberculosiscareadelphistudy