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Following feasibility assessment, an index version (76 items) of the ACT covering eight dimensions of organizational context was developed.
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The three questions addressed: 1) ease in responding to the ACT items, 2) relevance of the ACT items, and 3) clarity of the ACT items.
A checking procedure cannot provide us with good evidence about the status of unattended items since the act of checking is itself an act that involves a shift in attention to the things checked.
The Promoting Action on Research Implementation in Health Services (PARiHS) framework and related literature were used to guide selection of items in the ACT.
The ACT is intended to permit unit and/or organizational level assessments of context via aggregation of individual-level responses to the items comprising the ACT.
Fig. 2 Proportion of positive responses for each item of the Migraine-ACT questionnaire, according to the subgroups of high (≥200 mg/day), low (<200 mg/day), and no consumption of caffeinated agents.
However, clarity of the ACT items was equivocal with over half (52%) of the nurses suggesting the translated ACT items were 'neither clear nor unclear' (see Table 2).
Item distribution of the 56 ACT items showed acceptable variance and middle range mean scores.
Although the overall pattern of the data was consistent with the structure hypothesized in the development of the ACT, some items loaded onto their respective factors less strongly than others.
The ACT-score is calculated by adding the scores of all items; the ACT-score ranges from 0 to 27.
(Under Item 2 of the Food Sanitation Act, it was not possible to prohibit fishing while the cause was undetermined).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com