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-income and middle-income countries (LMIC). This study assessed its psychometric properties in a South Afri...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
| Language: | English |
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BMJ PUBLISHING GROUP
2021
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| Online Access: | http://hdl.handle.net/20.500.11937/89765 |
| _version_ | 1848765281788231680 |
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| author | Brooke-Sumner, C. Petersen-Williams, P. Wagener, E. Sorsdahl, K. Aarons, G.A. Myers-Franchi, Bronwyn |
| author_facet | Brooke-Sumner, C. Petersen-Williams, P. Wagener, E. Sorsdahl, K. Aarons, G.A. Myers-Franchi, Bronwyn |
| author_sort | Brooke-Sumner, C. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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-income 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 healthcare 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 readministered 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 recompleted 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 >0.80. The overall shortened scale had a test-retest correlation of r=0.80, p<0.01, acceptable convergent validity with the ORCA scale (r=0.56, p<0.05), moderate convergence with the CARI (r=39, p<0.05) and strong correlation with the original scale (r=0.79, p<0.05). Conclusions This study presents the first psychometric data on the TCU-ORC from an LMIC. The proposed shortened tool may be more feasible for use in LMICs. Trial registration number Results stage. Project MIND trial. Pan-African Clinical Trials Registry. PACTR201610001825405. |
| first_indexed | 2025-11-14T11:32:46Z |
| format | Journal Article |
| id | curtin-20.500.11937-89765 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:32:46Z |
| publishDate | 2021 |
| publisher | BMJ PUBLISHING GROUP |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-897652023-01-31T01:35:45Z Adaptation of the Texas Christian University Organisational Readiness for Change Short Form (TCU-ORC-SF) for use in primary health facilities in South Africa Brooke-Sumner, C. Petersen-Williams, P. Wagener, E. Sorsdahl, K. Aarons, G.A. Myers-Franchi, Bronwyn Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine primary care organisational development change management EXPLORATORY FACTOR-ANALYSIS GLOBAL MENTAL-HEALTH MIDDLE-INCOME CARE TRUST INSTRUMENTS VALIDATION DISORDERS ATTITUDES ADOPTION 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-income 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 healthcare 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 readministered 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 recompleted 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 >0.80. The overall shortened scale had a test-retest correlation of r=0.80, p<0.01, acceptable convergent validity with the ORCA scale (r=0.56, p<0.05), moderate convergence with the CARI (r=39, p<0.05) and strong correlation with the original scale (r=0.79, p<0.05). Conclusions This study presents the first psychometric data on the TCU-ORC from an LMIC. The proposed shortened tool may be more feasible for use in LMICs. Trial registration number Results stage. Project MIND trial. Pan-African Clinical Trials Registry. PACTR201610001825405. 2021 Journal Article http://hdl.handle.net/20.500.11937/89765 10.1136/bmjopen-2020-047320 English http://creativecommons.org/licenses/by/4.0/ BMJ PUBLISHING GROUP fulltext |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine primary care organisational development change management EXPLORATORY FACTOR-ANALYSIS GLOBAL MENTAL-HEALTH MIDDLE-INCOME CARE TRUST INSTRUMENTS VALIDATION DISORDERS ATTITUDES ADOPTION Brooke-Sumner, C. Petersen-Williams, P. Wagener, E. Sorsdahl, K. Aarons, G.A. Myers-Franchi, Bronwyn Adaptation of the Texas Christian University Organisational Readiness for Change Short Form (TCU-ORC-SF) for use in primary health facilities in South Africa |
| title | Adaptation of the Texas Christian University Organisational Readiness for Change Short Form (TCU-ORC-SF) for use in primary health facilities in South Africa |
| title_full | Adaptation of the Texas Christian University Organisational Readiness for Change Short Form (TCU-ORC-SF) for use in primary health facilities in South Africa |
| title_fullStr | Adaptation of the Texas Christian University Organisational Readiness for Change Short Form (TCU-ORC-SF) for use in primary health facilities in South Africa |
| title_full_unstemmed | Adaptation of the Texas Christian University Organisational Readiness for Change Short Form (TCU-ORC-SF) for use in primary health facilities in South Africa |
| title_short | Adaptation of the Texas Christian University Organisational Readiness for Change Short Form (TCU-ORC-SF) for use in primary health facilities in South Africa |
| title_sort | adaptation of the texas christian university organisational readiness for change short form (tcu-orc-sf) for use in primary health facilities in south africa |
| topic | Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine primary care organisational development change management EXPLORATORY FACTOR-ANALYSIS GLOBAL MENTAL-HEALTH MIDDLE-INCOME CARE TRUST INSTRUMENTS VALIDATION DISORDERS ATTITUDES ADOPTION |
| url | http://hdl.handle.net/20.500.11937/89765 |