scholarly journals Portuguese European spoken cross-cultural adaptation and validation of the patient perception of patient-centredness (PPPC)

2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
Luiz Miguel Santiago ◽  
Beatriz Coelho
Keyword(s):  
Internal Consistency ◽  
Educational Level ◽  
Person Perception ◽  
English Language ◽  
Patient Perception ◽  
High Educational Level ◽  
Cronbach’S Alpha ◽  
Patient Centeredness ◽  
Cross Sectional ◽  
Cronbach's Alpha

Abstract Background There is growing evidence supporting the relevance of practicing Person-Centered Medicine (PCM). An English language tools exists to evaluate it from the person’s perspective. The aim of this study was to culturally adapt and validate for the European spoken Portuguese the Patient Perception of Patient-Centeredness (PPPC), a 9-item questionnaire 4 grade answering, created by Moira Stewart with an internal consistency of 0.80, Cronbach's alpha. Methods PPPC translation to Portuguese (PPPC-Pt), medical experts analisys, back-translation and degree of readability measurement were performed. Cross-sectional multicentric observational studies in convenience samples of persons having attended medical appointments and applying the PPPC-Pt and gender, age and academic training epidemiologic questioning were performed. Internal consistence by Cronbach’s alpha and descriptive and inferential statistical analysis were made for P < 0.01 level for difference. Results PPPC-Pt internal consistency of Cronbach’s alpha = 0.724, range 0.691 to 0.720, item-total correlations between 0.324–0.652, F-test of F = 32 343.086, P < 0.001, reliability of ρ = 0.960; P < 0.001, and Flesh Index of ‘easy’ were found. In n = 570, 36.8% women, 17.0% under 35 and 36.3% above 65 years, 48.9% at 6th level and 16.3% high educational level, a mean ± SD of 32.7 ± 3.7, median 33, minimum 13 maximum 36 points no differences were found for gender P = 0.732, age P = 0.572 and educational level P = 0.436 for the mean score of the PPPC-Pt. Conclusions The PPPC-Pt was cross-culturally adapted and is reliable and a valid measure of the measure of person perception of a PCM for the Portuguese population, even though with slight internal consistency (0.724 Pt and 0.800 Eng)

scholarly journals Gestión de seguridad y salud ocupacional y riesgos laborales en una empresa constructora del Perú

2021 ◽  
Vol 2 (4) ◽  
pp. 5195-5205
Author(s):  
Jossimar Ortega Aliaga ◽  
Rubén Moisés Mauricio Avalos ◽  
Jimmy Edison Macedo Bedoya ◽  
César Orlando Yumpo Chuquilin
Keyword(s):  
Knowledge Management ◽  
Internal Consistency ◽  
High Reliability ◽  
P Value ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Knowledge Application ◽  
Cronbach's Alpha ◽  
Cross Sectional Design ◽  
San Martín

El estudio de investigación tuvo como objetivo determinar la relación entre la gestión del conocimiento en la productividad de la empresa CONSTRUCTORA PBG E.I.R.L. San Martín de Porres, 2020. El tipo de investigación fue de tipo básica, diseño correlacional, transversal. La muestra estuvo conformada por 70 colaboradores, con una población censal de 70 trabajadores, con instrumentos validados por expertos y una alta fiabilidad. La escala de percepción de la gestión del conocimiento, para el presente estudio presentó confiabilidad con Alfa de Cronbach de 0.788 indicando una fuerte consistencia interna, y la Escala de productividad, para la investigación presentó validez de confiabilidad con Alfa de Cronbach de 0.891 indicando una fuerte consistencia interna. Los resultados  descriptivos de la  variable gestión del conocimiento  según los trabajadores el 35.7% lo considera deficiente, el 42.9% los considera regular y el 21.4% es considerado como eficiente; en la dimensión Creación del conocimiento, el 28.6% lo considera deficiente, el 50.0% los considera regular y el 21.4% es considerado como eficiente; en la dimensión Transferencia del conocimiento el 25.7% lo considera deficiente, el 45.7% los considera regular y el 28.6% es considerado como eficiente; en la dimensión Aplicación del conocimiento el 28.6% lo considera deficiente, el 42.9% los considera regular y el 28.6% es considerado como eficiente. Los resultados nos indicaron la gestión del conocimiento se relaciona con la productividad se relacionan moderadamente con un (Rho 0,622 y p-valor 0,000)   The research study aimed to determine the relationship between knowledge management on the productivity of the company CONSTRUCTORA PBG E.I.R.L. San Martín de Porres, 2020. The type of research was basic, correlational, cross-sectional design. The sample consisted of 70 collaborators, with a census population of 70 workers, with instruments validated by experts and high reliability. The knowledge management perception scale for the present study presented reliability with Cronbach’s Alpha of 0.788 indicating strong internal consistency, and the Productivity Scale, for the investigation, presented reliability validity with Cronbach’s Alpha of 0.891 indicating strong internal consistency. The descriptive results of the knowledge management variable according to the workers, 35.7% consider it deficient, 42.9% consider it regular and 21.4% consider it efficient; in the Knowledge creation dimension, 28.6% consider it deficient, 50.0% consider it regular and 21.4% consider it efficient; In the knowledge transfer dimension, 25.7% consider it deficient, 45.7% consider it regular and 28.6% consider it efficient; In the Knowledge Application dimension, 28.6% consider it deficient, 42.9% consider it regular and 28.6% consider it efficient. The results indicated that knowledge management is related to productivity and is moderately related to a (Rho 0.622 and p-value 0.000)

scholarly journals Divergent Patterns of Confrontation With Death Using the Anticipated Farewell to Existence Questionnaire (AFEQT): Cross-Sectional Comparative Study of Four Samples With Increasing Proximity to Death.

2021 ◽  
Author(s):  
Juan Valdés-Stauber ◽  
Ursula Stabenow ◽  
Jakob Böttinger ◽  
Sarah Kramer ◽  
Reinhold Kilian
Keyword(s):  
End Of Life ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Eastern Cooperative Oncology Group ◽  
Assessment Tools ◽  
Human Beings ◽  
Middle Aged ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Cronbach's Alpha

Abstract Background: Based on the concept of “Daseinsverabschiedung”, an anthropological theory of “Anticipated Farewell to Existence” (AFE) was suggested on the basis of six grounding dimensions (“derived in AFE”): selfhood (“expiration of the time of existence”), interpersonality (“altruistic preoccupation”), temporality (“struggle for acceptance”), corporeality (“wounded physical integrity”), worldliness (“reconciliation with own existence”), and transcendence (“self-transcendence”). The purpose of the study is to investigate the extent to which the relevance of these anthropological dimensions differs between people in different stages of life, especially those facing their own death.Methods: The sample (N=485) consists of dying individuals in palliative wards and hospices (n=121); old people living in nursing homes not suffering from a mortal disease (n=62); young adults (n=152), and middle-aged adults (n=150). The relevance of anticipated farewell to existence was measured by means of the “Anticipated Farewell to Existence Questionnaire” (AFEQT). Further assessment tools: Big Five Inventory (BFI-10), Life Attitude Profile (LAP-R), Eastern Cooperative Oncology Group (ECOG), and Basic Documentation for Psycho-Oncology (PO-Bado). The internal consistency of the AFEQT was assessed using Cronbach’s alpha and convergent validity by means of dimensions of LAP-R. Differences in the relevance of the AFEQT dimensions among stages of life were estimated by means of multiple regression models.Results: According to Cronbach’s alpha, the internal consistency of the AFEQT subscales was sufficient for the whole sample. Convergent validity with dimensions of LAP-R was found for young and middle-aged participants. Dying people scored significantly higher for most of the dimensions than young and middle-aged as well as elderly people. Personality traits of “oenness” and “agreeableness” are positively associated with the extent of assessed dimensions of AFEQT.Conclusions: Anthropological reflections on the structure of human beings, which is activated or actualized in a special way in the face of death, can provide a framework for practice facing a humanization of medicine at the end of life, considering real experiences, possible needs, and underlying human conditions when facing end of life. The dimensions proposed can be taken into account in a sensitive way by supporting dialogues with dying people and their relatives.Trial registration: observational study.

scholarly journals Validity and reliability testing of the Indonesian version of the eHealth Literacy Scale during the COVID-19 pandemic

2021 ◽  
Vol 27 (1) ◽  
pp. 146045822097546
Author(s):  
Maria Cellina Wijaya ◽  
Yudhistira Pradnyan Kloping
Keyword(s):  
Internal Consistency ◽  
Pearson Correlation ◽  
Intraclass Correlation ◽  
Correlation Method ◽  
Validity And Reliability ◽  
Cronbach’S Alpha ◽  
Acceptable Result ◽  
Cross Sectional ◽  
Ehealth Literacy ◽  
Cronbach's Alpha

Nowadays, it is common for people to look for health care information on the internet. The eHealth Literacy Scale (eHEALS) is commonly used to measure eHealth literacy. As of the publication of this study, the Indonesian version for eHEALS has not been published even though eHealth literacy is necessary, especially in the current COVID-19 pandemic. We aimed to evaluate the validity and reliability of the Indonesian version of eHEALS (I-eHEALS). A total of 100 respondents in East Java were involved in this cross-sectional study. Pearson-product moment correlation method and construct validity were used to validate the results. The reliability was determined based on the Cronbach’s alpha internal consistency measurement and intraclass correlation coefficient (ICC). The Pearson correlation analysis results are significantly higher ( r > 0.254, p < 0.01) compared to the critical value table. Single factors accounting for 57.66% variance in the scales exhibit a unidimensional latent structure. The internal consistency between items is excellent as shown by the Cronbach’s alpha coefficient (0.91). The ICC analysis shows an acceptable result (0.552, p < 0.01). The I-eHEALS is valid and reliable to be used for evaluating the eHealth literacy of the Indonesian population.

scholarly journals Revisiting the internal consistency and factorial validity of the 8-item Morisky Medication Adherence Scale

2016 ◽  
Vol 4 ◽  
pp. 205031211667485 ◽  
Author(s):  
Arsène Zongo ◽  
Line Guénette ◽  
Jocelyne Moisan ◽  
Laurence Guillaumie ◽  
Sophie Lauzier ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Drug Treatment ◽  
Internal Consistency ◽  
Factorial Validity ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Cronbach's Alpha ◽  
Morisky Medication Adherence Scale ◽  
Adherence Scale ◽  
Scale 8

Objective: To assess the internal consistency and factorial validity of the adapted French 8-item Morisky Medication Adherence Scale in assessing adherence to noninsulin antidiabetic drug treatment. Study Design and Setting: In a cross-sectional web survey of individuals with type 2 diabetes of the Canadian province of Quebec, self-reported adherence to the antidiabetes drug treatment was measured using the Morisky Medication Adherence Scale-8. We assessed the internal consistency of the Morisky Medication Adherence Scale-8 with Cronbach’s alpha, and factorial validity was assessed by identifying the underlying factors using exploratory factor analyses. Results: A total of 901 individuals completed the survey. Cronbach’s alpha was 0.60. Two factors were identified. One factor comprised five items: stopping medication when diabetes is under control, stopping when feeling worse, feeling hassled about sticking to the prescription, reasons other than forgetting and a cross-loading item (i.e. taking drugs the day before). The second factor comprised three other items that were all related to forgetfulness in addition to the cross-loading item. Conclusion: Cronbach’s alpha of the adapted French Morisky Medication Adherence Scale-8 was below the acceptable value of 0.70. This observed low internal consistency of the scale is probably related to the causal nature of the items of the scale but not necessarily a lack of reliability. The results suggest that the adapted French Morisky Medication Adherence Scale-8 is a two-factor scale assessing intentional (first factor) and unintentional (second factor) non-adherence to the noninsulin antidiabetes drug treatment. The scale could be used to separately identify these outcomes using scores obtained on each of the sub-scales.

scholarly journals Translation and validation of caring behaviors inventory among nurses in Iran

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254317
Author(s):  
Raziyeh Ghafouri ◽  
Malihe Nasiri ◽  
Foroozan Atashzadeh-Shoorideh ◽  
Faraz Tayyar-Iravanlou ◽  
Zahra Rahmaty
Keyword(s):  
Factor Analysis ◽  
Construct Validity ◽  
Internal Consistency ◽  
Face Validity ◽  
Validity And Reliability ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Caring Behaviors ◽  
Cronbach's Alpha ◽  
Two Factors

Background and objectives Nurses’ caring behaviors, professional activities, and behaviors for the benefit of patients, influence patients’ perception of care and satisfaction with the quality of care provided. Caring behaviors of nurses are contextual and various factors such as patients’ social structure, lifestyle, culture, and interests, as well as their biographical, social, and physiological characteristics, can influence perceptions of caring behaviors of nurses, as caring behaviors are an interactive and mental process between patients and nurses. This study was conducted to provide a transcultural translation and psychometric analysis of Caring Behaviors Inventory (CBI) among nurses in Iran. Methodology Transcultural translation of the 16-item CBI was performed. Then, face validity (qualitative), content validity (quantitative and qualitative), and construct validity were examined in a cross-sectional study of 509 patients. A demographic questionnaire and the 16-item CBI were sent to enrolled patients via online questionnaires. The reliability of the instrument was assessed by internal consistency using Cronbach’s alpha. Then, construct validity of the single factor CBI was assessed using Confirmatory Factor Analysis (CFA). Since one factor CBI was not confirmed, construct validity was examined using Exploratory Factor Analysis (EFA). The final number of factors was confirmed using CFA. Results The internal consistency of the instrument was good with Cronbach’s alpha 0.89. Based on EFA, the CBI were loaded on two factors, eigenvalues >1, no item was removed. The emergent factors were named "Communicating respectfully" and "Professional knowledge and skill". These two factors explained 50.197% of the total variance. Then, CFA showed an acceptable fit for the two factors CBI. Conclusion The results showed that the Persian version of the 16-item CBI had adequate validity and reliability. Accordingly, this instrument can be used to study nurses’ caring behaviors.

scholarly journals Reliability and Validity of the Malay Version of Edinburgh Postpartum Depression Scale (EPDS) When Administered to Postpartum Mothers at Two Points in Time

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Nursazila Asikin MA ◽  
Siti Norhani S ◽  
Nur Arzuar AR ◽  
Eshaifol Azam O
Keyword(s):  
Postpartum Depression ◽  
Internal Consistency ◽  
Postpartum Period ◽  
Depression Scale ◽  
Reliability And Validity ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Cronbach's Alpha ◽  
Spearman's Rho ◽  
Spearman’S Rho

Introduction: Edinburgh Postpartum Depression Scale (EPDS) is a tool used to assess the risk of postpartum depression (PPD). In this study we determined the reliability and validity of the Malay version of EPDS when administered at two different time points in the postpartum period. Materials and Methods: This cross-sectional study design was carried out between May and September 2017 at three government primary healthcare clinics located in Batang Padang district, a suburban area of Perak state in Peninsular Malaysia. We recruited a total of 89 women; 41 women were in the early postpartum period (1-30 days) and 48 women were in the late postpartum period (31-120 days). Cronbach's alpha coefficient, inter-item correlation, and corrected item-total correlation were used to assess the internal consistency. The concurrent validity was assessed using Spearman’s correlation. The data were analyzed using SPSS version 20 and R 3.4.2. Results: The Cronbach’s alpha for the first and second group was 0.78 and 0.62, respectively, which indicated satisfactory reliability. At both time periods, removing Item 2 from the scale resulted in a significant increase in Cronbach’s alpha (to 0.847 and 0.709, respectively). As expected, the EPDS scores correlated moderately with the BDI-II scores (1−30 days: Spearman's rho = 0.65, p < 0.01; 31−120 days: Spearman's rho = 0.73, p < 0.01). Conclusion: The Malay version of the EPDS is a reliable screening instrument for detecting postpartum depression. It showed reasonability and feasibility and can be used in postpartum clinical settings or for assessing intervention effects in research studies. Furthermore, as our results indicated, removing Item 2 from the Malay version would increase the internal consistency of the EPDS.

scholarly journals Translating and validating a Japanese version of the Patient Care Ownership Scale: a multicenter cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hirohisa Fujikawa ◽  
Daisuke Son ◽  
Kayo Kondo ◽  
Mia Djulbegovic ◽  
Yousuke Takemura ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Patient Care ◽  
Internal Consistency ◽  
Japanese Version ◽  
Internal Consistency Reliability ◽  
Validity And Reliability ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Cronbach's Alpha ◽  
Confirmatory Factor

Abstract Background Patient care ownership (PCO) is an essential component in medical professionalism and is crucial for delivering high-quality care. The 15-item PCO Scale (PCOS) is a validated questionnaire for quantifying PCO in residents; however, no corresponding tool for assessing PCO in Japan exists. This study aimed to develop a Japanese version of the PCOS (J-PCOS) and validate it among Japanese medical trainees. Methods We performed a multicenter cross-sectional survey to test the validity and reliability of the J-PCOS. The study sample was trainees of postgraduate years 1–5 in Japan. The participants completed the J-PCOS questionnaire. Construct validity was assessed through exploratory and confirmatory factor analyses. Internal consistency reliability was examined by calculating Cronbach’s alpha coefficients and inter-item correlations. Results During the survey period, 437 trainees at 48 hospitals completed the questionnaire. Exploratory factor analysis of the J-PCOS extracted four factors: assertiveness, sense of ownership, diligence, and being the “go-to” person. The second factor had not been identified in the original PCOS, which may be related to a unique cultural feature of Japan, namely, a historical code of personal conduct. Confirmatory factor analysis supported this four-factor model, revealing good model fit indices. The analysis results of Cronbach’s alpha coefficients and inter-item correlations indicated adequate internal consistency reliability. Conclusions We developed the J-PCOS and examined its validity and reliability. This tool can be used in studies on postgraduate medical education. Further studies should confirm its robustness and usefulness for improving PCO.

scholarly journals A patients’ view of OA: the Global Osteoarthritis Patient Perception Survey (GOAPPS), a pilot study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Marianna Vitaloni ◽  
Angie Botto-van Bemden ◽  
Rosa Sciortino ◽  
Xavier Carné ◽  
Maritza Quintero ◽  
...  
Keyword(s):  
Value Chain ◽  
Online Survey ◽  
Task Force ◽  
Patient Perception ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Data Set ◽  
Cronbach's Alpha ◽  
Surgical Treatments ◽  
Perception Survey

Abstract Background Globally, osteoarthritis (OA) is the third condition associated with disability. There is still poor treatment in OA but science holds the key to finding better treatments and a cure. It is essential to learn what’s important to patients from them to implement the most effective OA management. The OA Patients Task Force, conducted the Global OA Patient Perception Survey (GOAPPS)-the first global survey made by patients to analize the quality of life (QoL) & patient perceptions of care. The goal was to collect data on OA patients’ perception of OA to understand patients’ needs and expectations to improve OA management. Methods Observational, cross-sectional study by online survey data collection from six countries, translated into three languages. The questionnaire was comprised of 3 sections: patient demographics and clinical symptomology characteristics; relationship with physicians: perception of attention, treatment, and information provided; and OA impact on daily activity and QoL. The results of the survey were evaluated using the Limited Data Set. The survey results were analyzed using descriptive statistics to characterize the patients’ answers. Additionally, Cronbach’s alpha was calculated to determine internal consistency validity. Results A total of 1512 surveys were completed in 6 countries. 84.2% of respondents reported pain/tenderness and 91.1% experienced limitations to physical activities. 42.3% of patients were not satisfied with their current OA treatment. 86% had comorbidities, especially hypertension, and obesity. 51.3 and 78% would like access to additional drug or additional non-drug/non-surgical treatments respectively. 48.2% of patients perceived their QoL to be affected by OA. The Cronbach’s alpha was 0.61. Conclusions OA has a significant impact on patients’ daily activities and their desire to play an active role in managing this disease. Patients are seeking additional treatments, especially no pharmacological/no surgical treatments stressing the need for investing in clinical research, implementing OA preventive measures, and managing interventions to improve the healthcare value chain in OA.

scholarly journals Validation of Responsiveness of Physicians Scale (ROP-Scale) for Hospitalized COVID-19 Patients in Bangladesh

2021 ◽  
Author(s):  
Taufique Joarder ◽  
Mohammad Aminul Islam ◽  
Md Shariful Islam ◽  
Shabnam Mostari ◽  
Md. Tanvir Hasan
Keyword(s):  
Patient Satisfaction ◽  
Internal Consistency ◽  
Concurrent Validity ◽  
Internal Consistency Reliability ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Health Service Provision ◽  
Cronbach's Alpha ◽  
Total Correlation ◽  
The Government

Abstract BackgroundResponsiveness of Physicians (ROP) is defined as the social actions by physicians aimed at meeting the legitimate expectations of healthcare users. Even though patients’ expectations regarding ROP have increased during the COVID-19 pandemic, the psychometrically-validated ROP-Scale is difficult to apply in hospital settings. The goal of this study is to validate the existing ROP-Scale to measure the responsiveness of hospital physicians during the ongoing COVID-19 pandemic in Bangladesh.MethodsWe conducted a cross-sectional phone survey involving 213 COVID-19 hospital patients, randomly selected from the government database. We applied the Delphi method for content validity, exploratory factor analysis for construct validity, Cronbach's alpha and corrected item-total correlation for internal consistency reliability, and Pearson's correlation between the scale and overall patient satisfaction for concurrent validity.ResultsAfter removing survey items based on data sufficiency, collinearity, factor loading, and internal consistency, the final version of the COVID-19 ROP-Scale consisted of 12 items, grouped under Courteousness, Informativeness, Financial Sensitivity, and Treatment Provision Sensitivity domains. The scale was internally consistent, with a Cronbach's alpha coefficient of 0.83. The corrected item-total correlation ranged between 0.37 and 0.72. Concurrent validity was ascertained by the high correlation (0.78) between patient satisfaction and the COVID-19 ROP-Scale. Based on the median domain score, the highest- and the lowest-scoring responsiveness domain was 'Courteousness' (7.45) and 'Financial sensitivity' (1.85), respectively, whereas the highest- and the lowest-scoring item was 'Respect during the consultation' (8.16), and 'Providing treatment cost estimate before starting treatment' (1.78).ConclusionsThe 12-item COVID-19 ROP-Scale was demonstrated to be feasible, valid, and internally consistent. Therefore, at a time when many countries, including Bangladesh, have started experiencing new pandemic waves, its application can help amend past mistakes in health service provision and improve care for the hospitalised COVID-19 patients or other patients suffering from similar conditions. This study can contribute to the national decision-making regarding hospital care, open up further avenues in the health policy and system research, and eventually improve the quality of care provided to Bangladeshi patients seeking hospital services. Moreover, findings yielded by this study can be incorporated into doctors' medical education and in-service training.

scholarly journals Validation of a questionnaire for the assessment of knowledge, attitude, and practices in patients with irritable bowel syndrome

2020 ◽  
Vol 7 (9) ◽  
pp. 1347
Author(s):  
Sanjeev Khanna ◽  
Abdul Khaliq ◽  
Jaiprakash Kewlani ◽  
Sachin Gupta ◽  
Sanjay Kumar
Keyword(s):  
Irritable Bowel Syndrome ◽  
Internal Consistency ◽  
Ordinal Scale ◽  
Cronbach’S Alpha ◽  
Cross Sectional Survey ◽  
Knowledge Domain ◽  
Cross Sectional ◽  
Cronbach's Alpha ◽  
Validated Questionnaire ◽  
Irritable Bowel

Background: Irritable bowel syndrome (IBS) is a common disorder with a significant impact on the patients’ quality of life. The objective if this study was to develop and validate knowledge, attitude, and practices (KAP) questionnaire in patients with IBS.Methods: The questionnaire was developed by medical experts by a consultative process using available literature on KAP for patients with IBS. Contents of the questionnaire were validated based on content clarity and relevance using a 4-point ordinal scale. A cross-sectional survey of 100 individuals with IBS was carried out to establish internal consistency, followed by the establishment of the construct validity of the questionnaire.Results: The original KAP questionnaire included 32 items categorized under the 3 domains of knowledge (22 items), attitude (6 items), and practices (8 items). During expert validation, 4 items from knowledge domain and 1 item from attitude domain were revised. For the original questionnaire, for the individual KAP domains and the overall questionnaire, the Cronbach's alpha raw values were 0.384, 0.215, 0.548, and ‑0.028, and standardized values were 0.395, 0.368, 0.490, and 0.119, respectively. Six items from knowledge domain and 1 item from attitude domain were deleted to strengthen the internal consistency without jeopardizing the purpose of study. For the questionnaire with 29 items, Cronbach's alpha values improved to 0.603, 0.314, 0.548, and 0.483 (raw values) and 0.586, 0.350, 0.490, and 0.414 (standardized values), respectively.Conclusions: The validated questionnaire with 29 items had improved homogeneity as compared with the initial questionnaire with 36 items.

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