scholarly journals A unique double tango: Construct validation and reliability analysis of risk perception, attitude and practice (RPAP) questionnaire on dengue infection

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256636
Author(s):  
Mohd ‘Ammar Ihsan Ahmad Zamzuri ◽  
Mohd Nazrin Jamhari ◽  
Hasanain Faisal Ghazi ◽  
Muhamad Hazizi Muhamad Hasani ◽  
Noor Khalili Mohd Ali ◽  
...  

Introduction/background Dengue fever remains a public health threat despite being preventable. A solution to the constant problem of dengue infection will require active intervention and a paradigm shift. Assessing perceived risk and correlating it with the attitude and practice of the community will help in designing appropriate measures. However, possible instruments for these assessments come with limitations. Objective The aim is to develop and validate a new scoring-based questionnaire, using dual statistical approaches to measure risk perception, attitude, and practices (RPAP) related to dengue in the community. Methods The RPAP questionnaire was developed bilingually using the International Society for Pharmacoeconomics and Outcome Research (ISPOR) guidelines. Content analysis was reviewed scrupulously by four expert panels. The initial 35-item scale was tested among 253 Malaysian respondents recruited non-probabilistically via multiple online platforms. Two statistical methods were employed to measure the construct validity: Exploratory Factor Analysis (EFA) as part of the Classical Test Theory (CTT) measurement, while Rasch Measurement Analysis (Rasch) was performed for the Item Response Theory (IRT) measurement. All results were cross-validated with their counterpart to ensure stability. Confirmatory Factor Analysis (CFA) was used to obtain a model fit index. Results 29 questions were retained after the final analysis. Both EFA and Rasch analysis detect multidimensionality. Nine latent factors were extracted from EFA, while only eight factors remained in the final model following CFA: 1) perceived susceptibility; 2) perceived severity; 3) perceived barrier; 4) perceived benefit; 5) cues to action; 6) self-efficacy; 7) attitude; and 8) practice. All items had adequate factor loadings and showed good internal consistency. The final model after CFA achieved a good fit with an RMSEA value of 0.061, SRMR of 0.068, PNFI of 0.649, and GFI of 0.996. Conclusion The RPAP questionnaire contains 29 items and is a reliable and accurate psychometric instrument for measuring the risk perception of dengue fever, attitude, and practice of the community in dengue prevention. The Rasch measurement provides additional rigour to complement the CTT analysis. This RPAP questionnaire is suitable for use in studies related to dengue prevention in the community.

2009 ◽  
pp. 145-162
Author(s):  
Anna Rosa Donizzetti

- If compared to other periods of life, adolescence is characterized by a tendency to implement more likely behaviours that can be harmful to health. The implementation of such behaviours stems from a complex system of assessments, in which the perception of risk is an important, though not exclusive (Petrillo, 2008), factor. To measure adolescence risk perception a question have been used to detect self-reported perceptions and another question for hetero-reported ones. In order to get less general and more suitable measures for this type of target five scales were constructed, referring to different spheres of behaviour (diet, exercise, consumption of alcohol and cigarettes, sexuality), through which subjects were asked to evaluate six possible negative outcomes for themselves and their friends, derived from each behaviour. The scales were administered to 1.107 students of Naples, almost equally distributed by gender (male 40.6% and 59.4% females) and with an average age of 15.7 years. The exploratory and confirmative factor analysis, conducted on each scale of perceived risk, self and hetero reported, showed monodimensional structures, with satisfactory psychometric properties.Key words: personal risk perception, risk perception of peers, adolescents, healthy behaviour, unrealistic optimism, detection scalesParole chiave: percezione del rischio personale, percezione del rischio dei coetanei, adolescenza, comportamenti salutari, ottimismo irrealistico, strumenti di rilevazione


Author(s):  
Nur Shafikah Hamfadi ◽  
Nur Syahmina Rasudin ◽  
Noraini Abdul Ghafar

Background: Dengue fever is the most important mosquito-borne disease that has rapidly spread in tropical regions of the world in recent years. Due to absence of vaccine, the only method available is to prevent and control dengue is by preventing transmission of the disease. However, the control needs support, cooperation and participation from community. The objective of this study is to assess the current level of knowledge, attitude and practice toward dengue fever among the community living in rural area, beside to ascertain the association between those three domains, and to evaluate the effect of sociodemographic factors toward them.Methods: A cross sectional survey was performed among 202 respondents dwelling in rural area, whom were selected through stratified random sampling. Knowledge, attitude, and practice toward dengue fever were assessed through a set of self-administered validated questionnaire.Results: The community had moderate level of knowledge (64.4%), positive attitude (79.7%), and good level of practices (65.3%) on dengue fever. Television was the main source of information on dengue fever (76.2%). From the result, there were significant association between level of education with practice on dengue fever (p=0.001). The result also shown that there was significant association between knowledge and practice in the community (p=0.008).Conclusions: More health education programmes should be organized to increase knowledge and help the translation of knowledge into practice of prevention.


2021 ◽  
Vol 3 (1) ◽  
pp. 289-300

Introduction: Dengue fever is an acute febrile illness with a significant public health concern in tropical and subtropical countries. Population knowledge and practice play an essential role in the transmission and prevention of the disease. This study aims to evaluate the level of knowledge, attitudes, and practice regarding dengue fever among Malaysian university students. Methods: A cross-sectional descriptive study was conducted in twenty-five randomly selected universities across Malaysia. A total of 1520 respondents were approached by simple random sampling method. A previously validated and published questionnaire was used with little modification. The associations between the level of knowledge, Attitudes, and practice with different risk factors were calculated statistically and the significant association was considered with a p-value <0.05. Results: The data were analysed and showed that most of the students (56.3%, 46.2%, and 43.3%) has a moderate level of knowledge, attitude, and practice respectively toward dengue infection among the respondents. The result shows a significant association between the level of practice and knowledge (p-value <0.001) as well as between the level of practice and attitudes (p-value <0.001). Conclusion: The significant association between the practice and knowledge along with attitudes indicates the more knowledge and attitudes lead to better practice. This study highlighted the important role of university students in dengue prevention-based programs. They should be exposed more to improve and transfer their knowledge and attitude to other community population to reduce the incidence of dengue not only in Malaysia but globally.


Motricidade ◽  
2018 ◽  
Vol 14 (2-3) ◽  
pp. 20-31
Author(s):  
António Brandão ◽  
Diogo Monteiro ◽  
Joel Pereira ◽  
Eduarda Coelho ◽  
Luís Quaresma

The aim of this study was to develop and validate a questionnaire related to the risk perception in canyoning. Cross-validation and transcultural invariance, across Portugal and Spain, were also analysed. A total of 707 canyoners (81.3% males, 18.7% females) from Portugal (47.5%) and Spain (52.5%) participated in this study, with ages between 18 and 57 years old (M = 36.13; SD = 7.71). The initial version of questionnaire had 49 items. With the Temporal Reliability Analysis, the items that showed no correlation between the two moments of the administration of the questionnaire, p>.05, were removed and only 46 items remained. The Exploratory Factor Analysis was developed by choosing the 25 items with higher factorial weight. Six dimensions were found which we managed to identify and characterise with the help of literature. With the Confirmatory Factor Analysis and based on the analysis of the modification indices, 4 items were eliminated, as they presented very high residual values, which contributed to an inadequacy of the model. In this manner, a questionnaire with 21 items was achieved. The final version of the questionnaire showed acceptable values related to reliability and construct validation. Therefore, this allows it to be used in the risk perception in canyoning, with 21 items, distributed among 6 dimensions.


2020 ◽  
Vol 2 (1) ◽  
pp. 77-83
Author(s):  
Heppy Santhi ◽  
Irnawati Marsaulina ◽  
Nurmaini

The best program to control the spread of dengue infection is a dengue prevention program. Indonesia has a dengue prevention program known as 3M Plus. Medan City is one of the endemic areas of dengue fever in Indonesia. This study aims to evaluate the income, knowledge, attitude and implementation of the dengue prevention program in Medan. Information on sociodemography, knowledge, attitudes, and implementation of dengue prevention was collected using a semistructured questionnaire that had been tested previously. This cross-sectional survey was conducted with face-to-face interviews with 100 randomly selected heads of households. Bivariate analysis using chi-square test. The results showed that overall participants had low family income, poor dengue knowledge, moderate attitude and moderate prevention implementation. There was a significant positive relationship between family income and implementation of dengue prevention (p = 0.001), knowledge and implementation of dengue prevention (p = 0.012), and attitudes and implementation of dengue prevention (p <0.001). In conclusion, dengue prevention programs require increased knowledge, attitudes and implementation of dengue prevention. Households with an income below the city minimum wage must be the main target of the dengue prevention campaign. Knowledge-based campaigns and arousing positive attitudes will increase the application of dengue prevention.


Author(s):  
Y. Arockia Suganthi ◽  
Chitra K. ◽  
J. Magelin Mary

Dengue fever is a painful mosquito-borne infection caused by different types of virus in various localities of the world. There is no particular medicine or vaccine to treat person suffering from dengue fever. Dengue viruses are transmitted by the bite of female Aedes (Ae) mosquitoes. Dengue fever viruses are mainly transmitted by Aedes which can be active in tropical or subtropical climates. Aedes Aegypti is the key step to avoid infection transmission to save millions of people in all over the world. This paper provides a standard guideline in the planning of dengue prevention and control measures. At the same time gives the priorities including clinical management and hospitalized dengue patients have to address essentially.


2007 ◽  
Vol 2 (4) ◽  
Author(s):  
A. Hurlimann

This paper reports results from a study comparing perceived risk associated with various recycled water uses in two Australian locations, both in the state of Victoria: the capital city Melbourne, and Bendigo a regional urban centre. Both locations are experiencing ‘drought’, but Bendigo is experiencing this in a more acute manner. A case study is used in each location. Both case studies involve future use of recycled water in new commercial buildings. An on-line survey was used to measure attitudes to recycled water of the future occupants of both buildings. The study found perceived risk associated with 11 uses of recycled water increased as the use became increasingly personal. Interestingly, no difference in perceived risk associated with 11 uses of recycled water was found between locations. Prior experience (use) of recycled water was found to be a significant and positive factor in reducing risk perception. Various attitudinal variables were found to be significant influences on perceived risk. Results indicate that reducing perceived risk of recycled water use may increase satisfaction with its use.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Sivaneswari Selvarajoo ◽  
Jonathan Wee Kent Liew ◽  
Wing Tan ◽  
Xin Ying Lim ◽  
Wardha F. Refai ◽  
...  

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S710-S711
Author(s):  
Dolores E Freire ◽  
Jeniffer D Olaya ◽  
Michael Hawkes

Abstract Background Dengue fever (DF) is a mosquito-borne illness that causes significant morbidity and mortality in tropical climates. This study compared the clinical features of fatal DF cases to severe non-fatal, and non-severe controls in Ecuador. Methods Retrospective case-control study of children (1 month to 15 years) hospitalized with serologically-confirmed DF in Guayaquil, Ecuador from 2013 to 2017. Cases of severe, fatal (SF) DF were compared to two control groups: (1) severe DF survivors (SS); and (2) patients with dengue with warning signs (DWS), matched 3:1 to cases for age, sex, and admission date. Observational trial profile Results 1051 patients were admitted with suspected DF and 552 were IgM-positive. Patients were classified as SF (n=11), SS (n=30), or DWS (n=511) (Figure1). Among SF cases, median age was 9.6 years (IQR 5.5-11), 7 (64%) were male, and median time to death was 1.5 days (IQR 0.8-4.0). (Table 1) SF cases had a median of 3 (Range 0-5) encounters with healthcare providers prior to presentation, compared to 2 (Range 0-5, p=0.02) for SS and 2 (Range 0-3, p=0.02) for DWS. Physical findings more common in SF cases than controls included: higher weight, tachycardia, tachypnea, delayed capillary refill, and hepatomegaly (p&lt; 0.05 for all comparisons). Neurological manifestations were more prevalent in the SF group: 9/11 (82%) patients compared to 15/30 (50%, p=0.09) in SS and 7/33 (21%, p&lt; 0.01) in DWS. Total leukocyte count (7.8x103/µL versus 4.5x103/µL, p=0.03) and absolute neutrophil count (5.1x103/µL versus 2.1x103/µL, p=0.03) were higher in SF cases than DWS controls. Fewer SF patients received intravenous dextrose than SS controls (27% versus 70%, p=0.03) (Table 2). Admission characteristics of children with dengue fever Management and outcome Conclusion Delayed recognition by healthcare workers, higher weight, vital sign abnormalities, hepatomegaly, neurological symptoms, leukocytosis, neutrophilia, and lack of dextrose in intravenous solutions were associated with mortality in children with DF. These findings have implications for optimizing the diagnosis and management of severe pediatric dengue infection. Disclosures All Authors: No reported disclosures


Author(s):  
Jifei Wu ◽  
Xiangyun Zhang ◽  
Yimin Zhu ◽  
Grace Fang Yu-Buck

The purpose of this study was to examine the effect of the COVID-19 pandemic on customer–robot engagement in the Chinese hospitality industry. Analysis of a sample of 589 customers using service robots demonstrated that the perceived risk of COVID-19 has a positive influence on customer–robot engagement. The positive effect is mediated by social distancing and moderated by attitudes towards risk. Specifically, the mediating effect of social distancing between the perceived risk of COVID-19 and customer–robot engagement is stronger for risk-avoiding (vs. risk-seeking) customers. Our results provide insights for hotels when they employ service robots to cope with the shock of COVID-19 pandemic.


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