Validity and reliability of the Chinese version of the Normalization MeAsure Development(NoMAD)

Abstract Background The Normalization MeAsure Development (NoMAD) is a brief quantitative tool based on the Normalization Process Theory (NPT), which can measure the implementation process of new technologies and complex interventions. The aim of our study was to translate and culturally adapt the N...

Full description

Bibliographic Details
Main Authors: Mengyao Jiang, Qing Wang, Tracy Finch, Dongli She, Yujun Zhou, Yuet Foon Chung, Jie Chen, Lin Han
Format: Article
Language:English
Published: BMC 2022-11-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-022-08737-1
_version_ 1828129656764628992
author Mengyao Jiang
Qing Wang
Tracy Finch
Dongli She
Yujun Zhou
Yuet Foon Chung
Jie Chen
Lin Han
author_facet Mengyao Jiang
Qing Wang
Tracy Finch
Dongli She
Yujun Zhou
Yuet Foon Chung
Jie Chen
Lin Han
author_sort Mengyao Jiang
collection DOAJ
description Abstract Background The Normalization MeAsure Development (NoMAD) is a brief quantitative tool based on the Normalization Process Theory (NPT), which can measure the implementation process of new technologies and complex interventions. The aim of our study was to translate and culturally adapt the NoMAD into Chinese, and to evaluate the psychometric properties of the Chinese version of NoMAD. Methods According to the NoMAD translation guideline, we undertook forward translation, backward translation, and compared these translations to get a satisfactory result, then we performed cognitive interviews to achieve cross-culture adaptation. And the psychometric properties of the final version were evaluated among clinical nurses who used the pressure injuries management system via WeChat mini-program at a tertiary hospital in northwestern China. Results A total of 258 nurses were enrolled in our study, and the response rate was 92.1%. The Cronbach’s alpha of four dimensions were as follow: Coherence (0.768), Cognitive Participation (0.904), Collective Action (0.820), and Reflexive Monitoring (0.808). The overall internal consistency was 0.941. The confirmatory factor analysis results showed a good fit for its theoretical structure (CFI = 0.924, TLI = 0.910, RMSEA = 0.0079, SRMSR = 0.046, χ2/df = 2.61). The item-level content validity index ranged from 0.857 to 1, and the scale-level content validity index was 0.95. There were positive correlations between four constructs scores and three general normalization scores. Conclusions The Chinese version of NoMAD is a reliable and valid tool to evaluate the implementation process of innovations.
first_indexed 2024-04-11T16:23:09Z
format Article
id doaj.art-605a1c4ee04149fa8620ebaa0893dba9
institution Directory Open Access Journal
issn 1472-6963
language English
last_indexed 2024-04-11T16:23:09Z
publishDate 2022-11-01
publisher BMC
record_format Article
series BMC Health Services Research
spelling doaj.art-605a1c4ee04149fa8620ebaa0893dba92022-12-22T04:14:15ZengBMCBMC Health Services Research1472-69632022-11-0122111010.1186/s12913-022-08737-1Validity and reliability of the Chinese version of the Normalization MeAsure Development(NoMAD)Mengyao Jiang0Qing Wang1Tracy Finch2Dongli She3Yujun Zhou4Yuet Foon Chung5Jie Chen6Lin Han7Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Chengguan DistrictEvidence-Based Nursing Center, School of Nursing, Lanzhou University, Chengguan DistrictDepartment of Nursing, Midwifery and Health, Northumbria UniversityDepartment of Nursing, Gansu Provincial HospitalEvidence-Based Nursing Center, School of Nursing, Lanzhou University, Chengguan DistrictEvidence-Based Nursing Center, School of Nursing, Lanzhou University, Chengguan DistrictSchool of Nursing, University of ConnecticutEvidence-Based Nursing Center, School of Nursing, Lanzhou University, Chengguan DistrictAbstract Background The Normalization MeAsure Development (NoMAD) is a brief quantitative tool based on the Normalization Process Theory (NPT), which can measure the implementation process of new technologies and complex interventions. The aim of our study was to translate and culturally adapt the NoMAD into Chinese, and to evaluate the psychometric properties of the Chinese version of NoMAD. Methods According to the NoMAD translation guideline, we undertook forward translation, backward translation, and compared these translations to get a satisfactory result, then we performed cognitive interviews to achieve cross-culture adaptation. And the psychometric properties of the final version were evaluated among clinical nurses who used the pressure injuries management system via WeChat mini-program at a tertiary hospital in northwestern China. Results A total of 258 nurses were enrolled in our study, and the response rate was 92.1%. The Cronbach’s alpha of four dimensions were as follow: Coherence (0.768), Cognitive Participation (0.904), Collective Action (0.820), and Reflexive Monitoring (0.808). The overall internal consistency was 0.941. The confirmatory factor analysis results showed a good fit for its theoretical structure (CFI = 0.924, TLI = 0.910, RMSEA = 0.0079, SRMSR = 0.046, χ2/df = 2.61). The item-level content validity index ranged from 0.857 to 1, and the scale-level content validity index was 0.95. There were positive correlations between four constructs scores and three general normalization scores. Conclusions The Chinese version of NoMAD is a reliable and valid tool to evaluate the implementation process of innovations.https://doi.org/10.1186/s12913-022-08737-1Normalization process theoryNPTImplementationPsychometric propertiesPressure injuryNurse
spellingShingle Mengyao Jiang
Qing Wang
Tracy Finch
Dongli She
Yujun Zhou
Yuet Foon Chung
Jie Chen
Lin Han
Validity and reliability of the Chinese version of the Normalization MeAsure Development(NoMAD)
BMC Health Services Research
Normalization process theory
NPT
Implementation
Psychometric properties
Pressure injury
Nurse
title Validity and reliability of the Chinese version of the Normalization MeAsure Development(NoMAD)
title_full Validity and reliability of the Chinese version of the Normalization MeAsure Development(NoMAD)
title_fullStr Validity and reliability of the Chinese version of the Normalization MeAsure Development(NoMAD)
title_full_unstemmed Validity and reliability of the Chinese version of the Normalization MeAsure Development(NoMAD)
title_short Validity and reliability of the Chinese version of the Normalization MeAsure Development(NoMAD)
title_sort validity and reliability of the chinese version of the normalization measure development nomad
topic Normalization process theory
NPT
Implementation
Psychometric properties
Pressure injury
Nurse
url https://doi.org/10.1186/s12913-022-08737-1
work_keys_str_mv AT mengyaojiang validityandreliabilityofthechineseversionofthenormalizationmeasuredevelopmentnomad
AT qingwang validityandreliabilityofthechineseversionofthenormalizationmeasuredevelopmentnomad
AT tracyfinch validityandreliabilityofthechineseversionofthenormalizationmeasuredevelopmentnomad
AT donglishe validityandreliabilityofthechineseversionofthenormalizationmeasuredevelopmentnomad
AT yujunzhou validityandreliabilityofthechineseversionofthenormalizationmeasuredevelopmentnomad
AT yuetfoonchung validityandreliabilityofthechineseversionofthenormalizationmeasuredevelopmentnomad
AT jiechen validityandreliabilityofthechineseversionofthenormalizationmeasuredevelopmentnomad
AT linhan validityandreliabilityofthechineseversionofthenormalizationmeasuredevelopmentnomad