Adaptation of the Texas Christian University Organisational Readiness for Change Short Form (TCU-ORC-SF) for use in primary health facilities in South Africa
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- and middle-income countries (LMIC). This study assessed its psychometric properties in a South African s...
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Zusammenfassung: | 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- 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 health care 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 re-administered 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 re-completed 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 >.80. The overall shortened
scale had a test-retest correlation of r = .80, p < 0.01,
acceptable convergent validity with the ORCA scale (r = .56, p <
.05), moderate convergence with the CARI (r = 39, p |
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DOI: | 10.5061/dryad.w6m905qqm |