scholarly journals Questionnaire Development and Identification of Factors Contributing to Non-Prescription Antibiotic Selling Behavior in Surabaya Community Setting

Author(s):  
Dewi Paskalia Andi Djawaria ◽  
Adji Prayitno Setiadi ◽  
Eko Setiawan

The selling practice of antibiotics without prescription is one of serious problems in the global health sector, especially in the developing countries. Nevertheless, the significant driver of such pratices had never been identified yet. The aim of this study was to identify the contributing factors of the selling practice of antibiotics without prescription in the drug stores (apotek). The identification was conducted using a new developed questionnaire. The contributing factors of such practices, found in the literature, were used to develop the questionnaire. The face and content validity were conducted using expert opinion, while the construct validity was conducted using the Spearman correlation test. The reliability of the questionnaire was identified using Cronbach’s Alpha test. The dominant factors of the selling practice of antibiotics without prescription was identified by using descriptive analysis and the factor analysis methods. The final questionnaire consisted of 40 questions and the value of the Cronbach’s Alpha and the calculated R were 0.955 and 0.368-0.867, consecutively. There were 91 workers of apotek in Surabaya who were involved in the contributing factors identification process. Findings of the factor analysis emphasized that the most dominant factor was the attitude of workers that allowed the selling practice of antibiotics without prescription (28.3%). The financial issue was found as the second most dominant factors causing the selling practice of antibiotics without prescription (8.66%). Owing to these identified factors, there is a need to make a regulation with a strict punishment in order to prevent the habit of selling and purchasing the antibiotics without prescription in the apotek in Surabaya.

Medwave ◽  
2021 ◽  
Vol 21 (07) ◽  
pp. e8434-e8434
Author(s):  
Jhony de la Cruz Vargas ◽  
Daniel Orejón ◽  
Luis Roldan ◽  
Lucy Correa-López ◽  
Alonso Soto

Introduction It is required to have validated instruments in health science students that identify unhealthy habits and assess the impact of educational interventions and programs aimed at promoting a healthy lifestyle. Objective To evaluate the validity and reliability of an instrument to measure medical students' lifestyles. Methods A lifestyle questionnaire was developed using the Delphi technique by a group of experts. The final questionnaire was applied to 332 students of the School of Medicine of the Ricardo Palma University in 2017. A preliminary examination was carried out to assess preconditions for construct validity—including the correlation matrix, the Kaiser Meyer Olkin statistic, and the Bartlett sphericity test. Factor analysis was used for construct validity, and the possible resulting factors were extracted through the principal component analysis. Cronbach's alpha coefficient was calculated to assess the instrument reliability. Results In this study, 41.6% of participants were men with a mean age of 20 years (standard deviation = 3). The preconditions for the factor analysis were a Kaiser Meyer Olkin coefficient = 0.773 and a significant Bartlett sphericity test. For the 47 items of the final questionnaire, the factor analysis showed an explained variance of 56.7% with eigenvalues greater than one. Cronbach's alpha was 0.78. The final questionnaire could assume values between -23 to 151 points. Based on a cut point of 71 points, the prevalence of students with an unhealthy lifestyle was 73.6%. Conclusion The developed instrument has acceptable validity and reliability to measure lifestyle in medical students. For external validation, studies in other university populations are suggested.


2020 ◽  
Author(s):  
Lidya Agusti

The purpose of this study are: 1. To explain the presence or absence of influence of leadership style, work motivation and work discipline on the performance of employees Public Works Department and Spatial Planning Padang City. 2. Measuring the magnitude of the influence of leadership style, organizational culture and organizational commitment to the performance of employees of Public Works and Spatial Planning Padang City. This research was conducted in August 2017 at Public Works Department and Spatial Planning of Padang City The samples used in this study were 83 respondents. The independent variable in this research is Leadership Style (X1), Work Motivation (X2) and Work Discipline (X3). The dependent variable is Employee Performance (Y) Data collection techniques are questionnaires. Data analysis techniques using Descriptive Analysis and Inferential Analysis. To know the influence of independent variable to dependent variable partially, used t test. While to know the influence of independent variable to dependent variable simultaneously, used F test. The assumption used in validity test is if R-count> R-table item declared valid. The R-arithmetic shown in the table above, from each item indicates that R-arithmetic> R-table so the item is declared valid. Leadership Style (X1), Work Motivation (X2), Work Discipline (X3) and Performance (Y) Valid. All of the research variables had Cronbach's alpha values above 0.70 and thus expressed reliably or reliably. The value of Cronbach's alpha variable Leadership Style (X1) is 0.857, Job Motivation (X2) is 0.813, Job Discipline (X3) is 0.736, and the performance variable (Y) is 0.844. In the hypothesis testing of the study found the result that the significance value of leadership style variable (X1) is with the value (sign β = 0,049, p <0,05), Work Motivation variable (X2) with value (sign β = 0.001 p <0.05) , and Work Discipline variable (Y) with value (sign β = 0,041 p <0,05). With the finding of sign β above mentioned, it is stated that Leadership Style (X1), Work Motivation (X2) and Work Discipline (X3) have a significant effect on performance (Y) of Public Works and Spatial Planning Official of Padang City. The magnitude of the influence of the three variables on the performance of employees of Public Works Department and Spatial Planning Padang City is 27.8% (R2 = 0.278).


2021 ◽  
Vol 11 (6) ◽  
pp. 583
Author(s):  
Riitta Suhonen ◽  
Katja Lahtinen ◽  
Minna Stolt ◽  
Miko Pasanen ◽  
Terhi Lemetti

Patient-centredness in care is a core healthcare value and an effective healthcare delivery design requiring specific nurse competences. The aim of this study was to assess (1) the reliability, validity, and sensitivity of the Finnish version of the Patient-centred Care Competency (PCC) scale and (2) Finnish nurses’ self-assessed level of patient-centred care competency. The PCC was translated to Finnish (PCC-Fin) before data collection and analyses: descriptive statistics; Cronbach’s alpha coefficients; item analysis; exploratory and confirmatory factor analyses; inter-scale correlational analysis; and sensitivity. Cronbach’s alpha coefficients were acceptable, high for the total scale, and satisfactory for the four sub-scales. Item analysis supported the internal homogeneity of the items-to-total and inter-items within the sub-scales. Explorative factor analysis suggested a three-factor solution, but the confirmatory factor analysis confirmed the four-factor structure (Tucker–Lewis index (TLI) 0.92, goodness-of-fit index (GFI) 0.99, root mean square error of approximation (RMSEA) 0.065, standardized root mean square residual (SRMR) 0.045) with 61.2% explained variance. Analysis of the secondary data detected no differences in nurses’ self-evaluations of contextual competence, so the inter-scale correlations were high. The PCC-Fin was found to be a reliable and valid instrument for the measurement of nurses’ patient-centred care competence. Rasch model analysis would provide some further information about the item level functioning within the instrument.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Rebecca Horn ◽  
Kanykey Jailobaeva ◽  
Stella Arakelyan ◽  
Alastair Ager

Abstract Background Studies of psychological distress in Sierra Leone have typically used measures which were developed for use in other contexts, and which often have not been adapted or validated for use in Sierra Leone. This has resulted in a lack of reliable information about the patterns of psychological distress within the population, which is a barrier to the development of effective and appropriate mental health services. The aim of the study was to develop a locally-appropriate measure of psychological distress for Sierra Leone. Methods The new measure consists of two instruments: the Sierra Leone Psychological Distress Scale (SLPDS) and a gendered measure of ability to carry out daily tasks—a Function scale—as an indication of the severity of distress. A three-phase mixed methods exploratory sequential study was conducted. Phase 1 was item generation and testing, leading to the development of a set of potential items for both instruments. Phase 2 was a small pilot study (N = 202) leading to the selection of the final set of items for both measures. Phase 3 was a validation phase where the SLPDS and the Function scale were administered with a larger sample of 904 respondents. Item analysis was used to assess the internal consistency of the scales, and Exploratory Factor Analysis to explore the properties of the SLPDS. Results Exploratory factor analysis using the principal axis factoring with an oblique rotation identified a three-factor structure for the 18-item SLPDS. Internal consistency for the SLPDS (Cronbach’s alpha = 0.89) and three subscales was good (Cronbach’s alpha > 0.73). The internal reliability of the male and female versions of the Function scale was also found to be acceptable (Cronbach’s alpha = 0.90 for the female scale and 0.79 for the male scale). Conclusions Together the SLPD and Function scales provide a locally-validated tool which will enable government bodies and local and international non-governmental organisations in Sierra Leone to assess mental health and psychosocial needs. This will support both effective service provision and the evaluation of initiatives designed to improve mental health and psychosocial wellbeing.


Author(s):  
Anita Obrycka ◽  
Jose-Luis Padilla ◽  
Artur Lorens ◽  
Piotr Henryk Skarzynski ◽  
Henryk Skarzynski

Abstract Purpose The purpose of the study was to validate the AQoL-8D questionnaire in the adult population of patients referred to an otolaryngology clinic. Methods AQoL-8D was translated into Polish. 463 patients (age18–80 years) with otolaryngological conditions were assessed with the AQoL-8D, SF-6D, and SWLS questionnaires. We investigated the item content-relevance, factor structure by means of Confirmatory Factor Analysis, corrected item-total correlations, Cronbach’s alpha, Pearson correlation of the AQoL-8D scores with results from SF-6D and from the SWLS questionnaires. Finally, ANOVA was used to test the AQoL-8D ability to group the HRQoL of patients in terms of their otolaryngological management type. Results The median score of item content-relevance was 5.0 for all AQoL-8D items. Confirmatory Factor Analysis revealed the following fit indices: Comparative Fit Index = 0.81; Tucker–Lewis Index = 0.80; and Root Mean Square Error of Approximation = 0.07. Cronbach's alpha for AQoL-8D dimensions ranged from 0.48 to 0.79. Mean item-total correlations over all dimensions, super dimensions, and the instrument overall were higher than 0.3. There was a significant Pearson correlation between the results obtained with AQoL-8D and SF-6D (r = 0.68), and with AQoL-8D and SWLS (r = 0.43). A one-way ANOVA showed a significant effect of management type on HRQoL as measured by AQoL-8D [F(4,458) = 6.12, p < 0.001] Conclusion AQoL-8D provides valid and reliable measures of HRQoL in patients undergoing otolaryngological treatment. Because it is a generic questionnaire, it is possible to make general comparisons of otolaryngology outcomes with those from other subspecialties.


Author(s):  
Merve Aliye Akyol ◽  
Seher Gönen Şentürk ◽  
Burcu Akpınar Söylemez ◽  
Özlem Küçükgüçlü

<b><i>Background:</i></b> The incidence of dementia is increasing dramatically worldwide. It is important to determine knowledge about the dementia for it’s prevention, early diagnosis, treatment, and care. The psychometric properties of the Turkish version of the Dementia Knowledge Assessment Scale (DKAS-T) were evaluated in this study. <b><i>Methods:</i></b> The psychometric study was conducted. A total of 1592 participants were recruited between November 2019 and March 2020. The data were collected using a sociodemographic form and DKAS-T. The language and content validity, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were used to assess the validity of the scale. The scale’s reliability was obtained using Cronbach’s alpha coefficient, a paired sample <i>t</i>-test, item-total score correlation, and Hotelling’s <i>T</i>-squared test. <b><i>Results:</i></b> The mean age of the sample was 29.38 (±11.50) years; 66.8% (<i>n</i> = 1064) were female, and 54.1% (<i>n</i> = 861) reported their income status as income equal to expenditure. The DKAS-T demonstrated content validity and adequate sensitivity (Kendall <i>W</i> = 0.155, <i>p</i> = 0.093). The scale consisted of seventeen items and was unidimensional, which explained 28.705% of the variance. All the factor loadings were found to be &#x3e;0.30 in factor analysis. In CFA, all of the fit indexes were &#x3e;0.95 and root mean square error of approximation (RMSEA) was 0.033. A Cronbach’s alpha value of 0.836 was obtained for the entire scale. It was determined that the scale has invariance according to time (<i>t</i> = −1.362, <i>p</i> = 0.181). Homogeneity of the scale was 3.26%, and there was no absence of reaction bias (Hotelling’s <i>T</i>-squared = 2573.681, <i>p</i> &#x3c; 0.001). <b><i>Conclusion:</i></b> The results demonstrated that the instrument is reliable and generates valid data for the Turkish sample. This scale can be used to determine knowledge about dementia and planning educational interventions in the issue.


2021 ◽  
pp. 105477382198980
Author(s):  
Marta Nunes Lira ◽  
Clemente Neves Sousa ◽  
Maria Carolina Medeiros Wanderley ◽  
Natália Ramos Costa Pessoa ◽  
Kelly Cristiane Rocha Lemos ◽  
...  

The purpose of this study was to evaluate the psychometric properties of the Brazilian Scale for the Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis. Cross-sectional validation study, followed the recommendation provided by Sousa and Rojjanasrirat. Content validity, explanatory and confirmatory factor analyses used to check validity and Cronbach’s alpha was the reliability measure. Three hundred hemodialysis patients with arteriovenous fistula were included in the study. The expert committee assessed the content validity. Exploratory factor analysis confirmed the same two-factor structure found for the original scale, explaining 60.10% of the variance. Such solution was checked by confirmatory factor analysis with Cronbach’s alpha equal to 0.920, 0.810, and 0.884 for the overall scale, the self-care in management of signs and symptoms and the self-care in prevention of complications subscales respectively. The scale has good psychometric properties to assess self-care behaviors and can be used with Brazilian patients on hemodialysis with arteriovenous fistula.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mirjam Peters ◽  
Petra Kolip ◽  
Rainhild Schäfers

Abstract Background Home postpartum care is a major part of midwifery care in Germany. The user perspective plays an increasingly important role in the evaluation of health services, but there is a lack of valid and theoretically based measuring instruments, especially in midwifery care. The aim of this study was to develop and validate an instrument for measuring quality of midwifery care in the postpartum period from the perspective of women. Methods The following steps were taken to achieve this: (1) definition of the goals of midwifery work; (2) literature-based item development; (3) item selection based on a pre-test (n = 16); (4) item reduction and investigation of factor structure by means of explorative factor analysis (EFA; n = 133);(5) second EFA (n = 741) and confirmatory factor analysis (CFA; n = 744) based on a split representative sample survey; (6) hypothesis-based testing of correlations to sociodemographic characteristics of women and to characteristics of care. Results Measurement of Midwifery quality postpartum (MMAYpostpartum) consists of three scales with a total of 17 items which were found to have acceptable internal consistency: Personal Control (Cronbach’s alpha = .80), Trusting Relationship (Cronbach’s alpha = .87) and Orientation and Security (Cronbach’s alpha = .78). CFA verified and confirmed three factors: CFI = .928, TLI = .914, RMSEA = 0.073. Conclusion MMAYpostpartum is a predominantly valid, reliable short tool for evaluating the quality of midwifery care postpartum. It can be used to evaluate midwifery care, to compare different care models and in intervention research. It thus supports the orientation of midwives’ work towards the needs of women and their families.


Author(s):  
Gabriela Alejandra Grover-Baltazar ◽  
Gabriela Macedo-Ojeda ◽  
Ana Sandoval-Rodríguez ◽  
Marianne Martínez-Vizmanos ◽  
Lucrecia Carrera-Quintanar ◽  
...  

Positive attitudes towards breastfeeding in health professionals/students have been associated with increasing their confidence to provide support and accompaniment to mothers. In Mexico, there is no valid/reliable tool to assess attitudes towards breastfeeding in this population. The Australian Breastfeeding Attitudes (and Knowledge) Questionnaire (ABAQ) measures attitudes in the Australian population. We aimed to adapt and validate the ABAQ in Mexican health students. We included 264 health students (nursing, nutrition, and medicine) from the University of Guadalajara. Bilingual translators carried out the Spanish adaptation with a reverse translation into English. Experts evaluated the content validity. Reliability was evaluated through an internal consistency analysis (Cronbach’s alpha) and construct validity through convergent–divergent validation, item–total correlation, exploratory factor analysis (by principal components), and confirmatory factor analysis. According to the exploratory factor analysis, only one component was identified. Seven items were removed (low correlation between items ≤0.2 and low factor load ≤0.3). The Cronbach’s alpha was 0.78. According to the confirmatory factor analysis, the one-factor solution of the ABAQ-13Mx showed a good model fit (X2 = 98.41, G = 62, p = 0.02, CFI = 0.940, and RMSEA = 0.048). The ABAQ-13Mx is a reliable and valid instrument for evaluating attitudes towards breastfeeding in Mexican health degree students.


2021 ◽  
Author(s):  
Παναγιώτης Ιωακειμίδης

Η παρούσα διδακτορική διατριβή αποσκοπεί στο να καταγράψει την ικανοποίηση των επισκεπτών από τις παρεχόμενες υπηρεσίες στα θεματικά μουσεία της Ελλάδας, την πρόθεση συμπεριφοράς των επισκεπτών και κατά πόσο τεχνικές του τουριστικού μάρκετινγκ λαμβάνουν χώρα στα θεματικά μουσεία. Έγινε μία προσπάθεια να καταγραφούν οι απόψεις των ανθρώπων των θεματικών μουσείων και η αντίληψή τους σχετικά με το τουριστικό μάρκετινγκ, οι αντιλήψεις των επισκεπτών σχετικά με την εμπειρία που βιώνουν σε ένα θεματικό μουσείο, ο βαθμός ικανοποίησης τους, η υφιστάμενη κατάσταση που επικρατεί στα θεματικά μουσεία της χώρας και οι ενδεχόμενες αλλαγές που μπορούν να προκύψουν με απώτερο σκοπό την αύξηση της επισκεψιμότητας. Ένα αξιοσημείωτο της παρούσας έρευνας, είναι ένας σημαντικός αριθμός προσωπικών συνεντεύξεων με κατοίκους περιμετρικά των μουσείων που ερευνήθηκαν και η προσπάθεια καταγραφής των απόψεων και αντιλήψεων τους για τα μουσεία αυτά.Διενεργήθηκε επίσης μία ποσοτική έρευνα σε επισκέπτες θεματικών μουσείων της χώρας μας αλλά και στο ανθρώπινο δυναμικό που εργάζεται σε πολιτιστικούς οργανισμούς, καθώς και εκπαιδευτικούς. Διακρίνοντας τα μουσεία σε δημόσια και ιδιωτικά, σημαντική ήταν η καταγραφή απόψεων ότι στα περισσότερα δημόσια θεματικά μουσεία τα οποία λειτουργούν κάτω από την επίβλεψη του δημόσιου φορέα, δεν υπάρχουν συχνά δυνατότητες για καινοτομία και πρωτοτυπία. Τα πορίσματα της παρούσας διδακτορικής διατριβής είναι αρκετά σημαντικά λόγω της έλλειψης προηγούμενης έρευνας επάνω στα θεματικά μουσεία της Ελλάδας, από την οπτική του μάρκετινγκ και την αναγκαιότητα αυτού. Η πλειονότητα των ανθρώπων των θεματικών μουσείων με τους οποίους ήρθα σε επαφή, εντοπίζουν την ανάγκη για τεχνικές τουριστικού μάρκετινγκ στα μουσεία καθώς όλοι αντιλαμβάνονται ότι οι επισκέπτες αναζητούν ποιοτικότερες ψυχαγωγικές επιλογές, έχουν περισσότερες απαιτήσεις επισκεπτόμενοι ένα θεματικό μουσείο και ευελπιστούν σε μία βιωματική και διαδραστική εμπειρία που θα τους μείνει αξέχαστη. Σε αυτό το εγχείρημα, συνεργός είναι τα ποικίλα οπτικοακουστικά μέσα των νέων τεχνολογιών που ενισχύουν το βιωματικό χαρακτήρα της επίσκεψης και ερευνώνται στη διατριβή. Η παρούσα διατριβή αποτελεί μία πρώτη προσπάθεια χαρτογράφησης των τεχνικών τουριστικού μάρκετινγκ που χρησιμοποιούν τα θεματικά μουσεία της χώρας , τις σημαντικές ιδιαιτερότητες του τουρισμού που έχουν άμεση επίδραση στην επισκεψιμότητα των θεματικών μουσείων και τέλος προτάσσει ενέργειες και τεχνικές μάρκετινγκ για να δημιουργηθεί ένας ενάρετος κύκλος πολιτισμού - ψυχαγωγίας - οικονομίας. Για την επεξεργασία των δεδομένων της ποσοτικής έρευνας χρησιμοποιήθηκε το στατιστικό εργαλείο SPSS, αναλύθηκαν τα ευρήματα της Διερευνητικής Ανάλυσης Παραγόντων (Exploratory Factor Analysis) και των τεστ αξιοπιστίας με τον δείκτη Cronbach’s Alpha, εφαρμόζοντας και την μέθοδο Μοντελοποίησης Δομικών Εξισώσεων (Structural Equation Modeling, SEM) για τον έλεγχο των ερευνητικών υποθέσεων. Οι ερευνητικές υποθέσεις δημιουργήθηκαν έπειτα από ενδελεχή έρευνα μοντέλων που εφαρμόστηκαν σε προηγμένες μουσειολογικά χώρες, όπως η Ισπανία, η Ιταλία, η Ολλανδία κ.α. και μπορούν να ληφθούν σοβαρά υπόψιν στο κοινωνικό-οικονομικό περιβάλλον της Ελλάδας. Απώτερος στόχος του ερευνητικού μοντέλου είναι εάν ο επισκέπτης θα οδηγηθεί σε μελλοντική επίσκεψη (revisit ) ή θα αποτελέσει ο ίδιος κινητή διαφήμιση word-of-mouth του μουσείου που επισκέφθηκε.Η έρευνα αποτελεί οδηγό για μελλοντικές έρευνες που θα πλαισιώσουν ή θα συμπεριλάβουν τα θεματικά μουσεία για νέες μελέτες, όπως για παράδειγμα πολιτιστικές διαδρομές και είναι ένα χρήσιμο εργαλείο που έρχεται να καλύψει το ερευνητικό κενό που υπάρχει γύρω από το είδος των μουσείων αυτών.


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