scholarly journals Revised Version of Knowledge, Attitude and Practice of Medical Doctors on Smoking Cessation Guidelines Questionnaire

2020 ◽  
Vol 5 (1) ◽  
pp. 95-104
Author(s):  
Mohd Shaiful Ehsan Shalihin ◽  
Mohd Aznan Md Aris ◽  
Mohamad Haniki Nik Mohamed

Number of active smokers in Malaysia is increasing despite availability of stop smoking clinics and smoking cessation medications. Thus, the practice of the healthcare professionals involved in providing smoking cessation intervention using evidence-based guidelines needs to be assessed using validated assessment tool. Newly invented reliable and valid questionnaire locally is needed. This study aimed to develop and validate a newly modified questionnaire to assess the knowledge, attitude and practice of medical doctors based on national smoking cessation guidelines and factors contributing to the score. The 22 items consists of mixture of true/false choice questions and Likert scaling response based on domain of 5A’s (ask, assess, advice, assist, arrange) and 5R’s (relevant, risks, rewards, roadblocks, repetitions) of the national stop-smoking guideline. The questionnaires were distributed to 131 primary care doctors. Reliability was determined using Cronbach’s alpha for internal consistency while construct validity was assessed using factor analysis. A high degree of internal consistency was observed for this 22 items (Cronbach’s alpha = 0.87), with good knowledge subscale (0.72), attitude subscale (0.58) and practice subscale (0.92). Factor analysis showed five meaningful components which represent the smoking cessation framework. This study indicates that this questionnaire is reliable and valid tool to assess the knowledge, attitude and practice on stop smoking guidelines compared to previous questionnaire.

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Mohd Shaiful Ehsan Bin Shalihin ◽  
Mohd Aznan Md Aris ◽  
Mohamad Haniki Nik Mohamed ◽  
Razman Mohd Rus ◽  
NurJasmine Aida Jamani

Introduction: Islam forbids any forms of tobacco smoking. Prevalence of active smokers in Malaysia is increasing despite availability of stop-smoking clinics. Thus, the practice of healthcare professionals involved in providing smoking cessation intervention needs to be assessed using validated assessment tool. Objective: This study aimed to develop and validate a questionnaire that assesses the knowledge, attitude, and practice of medical doctors based on the national smoking cessation guideline. In addition, we aimed to evaluate factors that contribute to the score. Methods: The 26 items consists of mixture of true/false choice questions and Likert scaling response based on domain of 5A’s (ask, assess, advice, assist, arrange) and 5R’s (relevant, risks, rewards, roadblocks, repetitions) of the national stop-smoking guideline. The questionnaire was distributed to 141 medical doctors. Reliability was determined using Cronbach’s alpha for internal consistency while construct validity was assessed using factor analysis. Results: A high degree of internal consistency was observed for this 26 items (Cronbach’s alpha= 0.824) and for practice subscale (Cronbach’s alpha 0.83). Subsequently, three items were removed due to poor inter item correlation. Factor analysis extracted seven meaningful components from this remaining 23 items, in which three components with least items were deleted due to overlapping subscale with other components, leaving four meaningful components which consist of (1) practice of ask, advice and assess components and practice of 5R’s (total of 10 items); (2) practice of assist components for those willing to quit (two items); (3) knowledge (two items) and (4) attitude (three items).These final 17 items still demonstrate high internal consistency with Cronbach’s alpha of 0.832. Conclusion: This study indicates that this questionnaire is a reliable and valid tool to assess the knowledge, attitude, and practice of healthcare professionals on stop smoking guidelines.


2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Mohd Aznan Md Aris ◽  
Mohamad Haniki Nik Mohamed ◽  
Razman Mohd Rus ◽  
Nurjasmine Aida Jamani ◽  
Mohd Shaiful Ehsan Shalihin

Introduction: Prevalence of active smokers in Malaysia is increasing despite availability of stop smoking clinics. Thus, practice of the healthcare professionals in providing smoking cessation intervention needs to be assessed. This study aimed to develop and validate a questionnaire to assess the knowledge, attitude and practice of medical doctors on national smoking cessation guidelines  and factors contributing to the score. Methods: The 26 items consists of mixture of                        true/false questions; strongly-agree/agree/don’tknow/disagree/strongly-disagree response; and always/frequent/seldom/never response were created based on domain of 5A’s (ask, assess, advice, assist, arrange) and 5R’s (relevant, risks, rewards, roadblocks, repetitions). The questionnaires were distributed to 141 medical doctors. Reliability was determined using Cronbach’s alpha for internal consistency while construct validity was assessed using factor analysis. Results: A high degree of internal consistency was observed for this 26 items (Cronbach’s alpha= 0.824). Subsequently, 2 items with poor inter-item correlations were removed. Factor analysis extracted 7 meaningful components from this remaining 24 items, in which 3 components with least items were deleted due to overlapping subscale with other components, leaving 4 meaningful components of (1st) practice ask, advice, assess and practice 5R’s, (2nd) practice of assist and arrange for those willing to quit, (3rd) knowledge and (4th) attitude. These final 17 items still demonstrate high internal consistency with Cronbach’s alpha of 0.832. Conclusions: This study indicates that this questionnaire is a reliable and valid tool to assess the knowledge, attitude and practice on stop smoking guidelines. Improvement can be made for attitude items in the future.


Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 8
Author(s):  
Senthilraj Retinasekharan ◽  
Norasnieda Md Shukri ◽  
Ahmad Filza Ismail ◽  
Baharudin Abdullah

Objectives: The knowledge gap and attitude of allergic rhinitis (AR) patients using intranasal corticosteroid (INCS) led to the poor outcome of their disease. We aimed to develop and validate a new questionnaire to assess the knowledge, attitude, and practice (KAP) of AR patients that can be used to assess and understand the factors affecting compliance of INCS. Methods: The questionnaire comprised development and validation stages. A self-administered questionnaire was developed after a comprehensive literature review. It was subjected to content and face validity before a revised final version was drafted. Exploratory factor analysis was used to assess the validity of the questionnaire. Cronbach’s alpha was used to verify internal consistency. Results: The development phase resulted in a questionnaire consisting of 14 items. Explanatory factor analysis revealed four factors associated with KAP. The four factors were extracted, and 12 items were kept. The factors were attitude domain with four items (factor 1), practice domain with four items (factor 2), and knowledge domain with four items (factor 3 has two items, and factor 4 has two items). The Cronbach’s alpha of the four factors ranged from 0.614 to 0.809. The final questionnaire consists of 3 domains with 12 items (the knowledge domain with four questions; the attitude domain with four questions; the practice domain with four questions) and was valid and reliable. Conclusions: The newly developed questionnaire has adequate validity and reliability. It is a useful tool to improve the treatment of AR patients by understanding the factors affecting their compliance.


2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Mohd Shaiful Ehsan Bin Shalihin ◽  
Mohd Aznan Md Aris ◽  
Mohamad Haniki Nik Mohamed ◽  
Razman Bin Mohd Rus ◽  
Nurjasmine Aida Bt Jamani

Introduction:  Prevalence of active smokers in Malaysia remains high despite the availability of stop-smoking services. Rather than focussing on patients’ demotivating factors, possible poor performance from providers should be evaluated. Thus, knowledge, attitude and practice of the healthcare professional on smoking cessation intervention needs to be assessed, especially among primary care doctors.  Materials and Methods:  A cross-sectional study was conducted among primary care medical doctors attending the 19th Family Medicine Scientific Conference 2016 held at the Grand Dorsett, Subang on the 10th to the 13th August 2016. Validated questionnaire of Knowledge, Attitude and Practice (KAP) of Medical Doctors on Smoking Cessation Guidelines consisting 17 questions were used to determine the KAP score. The difference between the median KAP scores between age, gender, ethnicity, religion, profession, location of clinic, availability of specialist in clinic, numbers of smokers seen and presence of smoking cessation training were assessed using Mann-Whitney U Test and Kruskal Wallis H Test. Results:  A total of 145 primary care doctors involved in the study. Majority were female (84.1%), Malay (73.1%) and haven’t undergone any kind of smoking cessation training (47.6%). The KAP score were statistically associated with presence of specialist, type of profession, history of attending training program, ethnicity and religion (p<0.05). Conclusion: Majority of the involved primary care doctors had low KAP score. Being a family medicine specialist, in charge of stop smoking clinic and having attended smoking cessation training program were significantly associated with high KAP score. Therefore, more smoking cessation training should be provided to the primary care doctors.


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.


2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Anggi Setyowati ◽  
Min-Huey Chung ◽  
Ah. Yusuf ◽  
Setya Haksama

Background: Curiosity is a personality characteristic, which fits with wellbeing and positive functioning. The objective of this study was to assess the construct validity of the Curiosity and Exploration Inventory II (CEI-II) in Indonesia.Design and Methods: The study included 256 undergraduate students who lived in Indonesia, mean age 19.8 years old. The CEI-II measures stretching and embracing using 11 items. The English version of CEI-II was translated into Bahasa. The Cronbach’s alpha coefficient and intraclass correlation coefficient (ICC) were addressed to examine internal consistency reliability and the test-retest reliability. To evaluate construct validity, exploratory factor analysis (EFA) was used to assess factor structure and confirmatory factor analysis (CFA) was used to evaluate the structural model fit of the CEI-II Indonesia version.Results: The study showed Cronbach’s alpha for the internal consistency of the overall CEI-II Indonesia version was 0.77. The ICC for the test-retest reliability ranged between 0.753-0.829. EFA showed adequate with the Kaiser-Meyer-Olkin value of 0.86 and the Bartlett’s test of sphericity was statistically significant. CFA tested the second-order model with two-order factors and showed a model fit.Conclusions: The CEI-II Indonesia version indicated acceptable construct validity to evaluate curiosity in Indonesia.


Author(s):  
Christiany Suwartono ◽  
Junianawaty Suhendra ◽  
Sylvia Soeherman ◽  
Aileen P. Mamahit

Abstract – The formation of faith in adolescents and young people is rooted in their interaction with parents, both father, and mother, as well as friends. Adolescence and young adulthood are periods of seeking faith in various aspects of life. However, there has not been a measurement of the extent to which adolescents and young people regard parents and friends as role models of their faith. This study was aimed to the Perceived Faith Support - Parents and Friends Scale to be the Scale of Faith Support. The study was conducted through convenience sampling, involving 1,390 participants from three major islands in Indonesia. The results of this adaptation proved to be reliable with internal consistency methods, especially Cronbach's Alpha and to be valid with factor analysis methods. Validation with age criteria is proven by the support of faith from the father and mother, but not with friends. The Faith Support Scale is argued to be fit for both theoretical and practical purposes. The development and application of this scale are further discussed. Abstrak — Pembentukan iman pada remaja dan kaum muda merupakan hasil interaksi mereka dengan orang tua, baik ayah maupun ibu, juga teman. Masa remaja dan kaum muda merupakan masa pencarian keyakinan (iman) di berbagai aspek kehidupan. Namun, belum ada pengukuran mengenai sejauh mana remaja dan kaum muda menganggap orang tua dan teman sebagai teladan iman dirinya. Studi ini bertujuan untuk mengadaptasi skala Perceived Faith Support – Parents and Friends menjadi Skala Dukungan Iman. Penelitian dilakukan dengan teknik convenience sampling dan melibatkan 1,390 partisipan dari tiga pulau besar di Indonesia. Hasil adaptasi ini terbukti reliabel dengan metode konsistensi internal, khususnya Cronbach’s Alpha dan valid dengan metode faktor analisis. Validasi dengan kriteria usia terbukti pada dukungan iman dari ayah dan ibu, namun tidak dengan teman. Skala Dukungan Iman ini siap digunakan dalam konteks penelitian maupun praktis. Pengembangan dan aplikasi skala ini dibahas lebih lanjut. 


2020 ◽  
pp. JNM-D-18-00090
Author(s):  
Martina Debiasi ◽  
Alessandra Zenere ◽  
Marianna Baggia ◽  
Maria Elisabetta Zanolin ◽  
Anna Brugnolli

Background:The Person-centered Care Assessment Tool (P-CAT) was developed as a self-reporting assessment scale for the healthcare staff ratings of the person-centeredness of their nursing practice.Aim:This study investigates the psychometric proprieties of P-CAT tool in a sample of staff working in residential units for older people, in the North of Italy.Methods:Internal consistency and reliability were examined using the Cronbach’s alpha coefficient. Exploratory factor analysis was used to evaluate construct validity, homogeneity analysis performed to evaluate internal homogeneity of the items and equidistance of item options, test–retest reliability examined by the Pearson correlation coefficient and the intraclass correlation (ICC) coefficient. The P-CAT score was standardized to a 100-point scale, the score differences among groups were compared with one-way ANOVA.Results:The exploratory factor analysis supported the construct validity of a two-factor solution. The mean standardized score of P-CAT was 67.3 (SD 12.8) and Cronbach’s alpha was .79 for subscale 1 and .75 for subscale 2. The ICC coefficient was .87.Conclusion:Reliability and homogeneity were satisfactory for the whole P-CAT tool (Cronbach’s alpha ≥ .70). Test–retest reliability showed temporal stability of the scale (r Pearson .86, ICC .86). The Italian version of the P-CAT was found to be valid, reliable, and applicable for further research. Two subscales are recommended for the Italian version.


Author(s):  
Nuha Mohammed Malibari ◽  
Michael Connolly ◽  
Abdulaziz S. Aljohani

Background: The provision of palliative care (PC) for individuals with a life-threatening condition is fundamental to the role of the physician, in order to improve quality of life; however, little research has assessed the competence of the physicians in PC in Saudi Arabia. Aim: To conduct a baseline assessment of self-assessed palliative care competences among medical physicians in Saudi Arabia. Design: A survey-based cross-sectional study was employed using a specifically designed questionnaire. Setting: The participants in the study were selected from 6 specialist medical departments (Family medicine, cardiology, internal medicine, pulmonary medicine, neurology and oncology) in 4 Saudi Arabian Hospitals, based on inclusion criteria. Results: The study was conducted using a validated questionnaire used in Ireland to evaluate the competence skills of physicians for the provision of palliative care. All categories showed internal reliability and normal distribution of the data. However, the score of the knowledge, attitude and practice among the physicians was higher than the expected. The clinical specialty of the physicians demonstrated greater influence on knowledge, attitude and practice related to the palliative care compared to medical education. This highlighted the importance of training in palliative care to the medical doctors working in a range of specialist area. Conclusion: The study provides baseline data on the level of competence of palliative care of physicians in Saudi Arabia. This study can be used as an assessment tool to further evaluate the effectiveness of palliative care in other areas as primary and secondary care settings


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 815.1-815
Author(s):  
S. Bulut ◽  
E. Ünal ◽  
J. Karakaya ◽  
U. Kalyoncu

Background:In the literature, there is a lack of questionnaires, which is evaluate patients with psoriatic arthritis (PsA) from a biopsychosocial perspective.Objectives:This study was planned to examine the reliability and validity of the BETY- Biopsychosocial Questionnaire (BQ) in individuals diagnosed with PsA.Methods:Test-retest method was used to examine the reliability of the BETY-BQ. In comparing the reliability of test-retest results, intraclass coefficient (ICC) was checked. For the internal consistency analysis of the BETY-BQ, the total score of the responses given to the first filled scale was calculated and the Cronbach’s Alpha coefficient was found. Psoriatic Arthritis Quality of Life Questionnaire (PsAQoL), Health Assessment Questionnaire (HAQ), Hospital Anxiety and Depression Scale (HADS) and Short Form-36 (SF-36) were used in the validity study of 150 individuals with PsA included in the study.Results:Test-retest method and intraclass coefficient were examined for reliability analysis (for 30 patients). The correlation (r = 0.844, p <0.001) of the answers given to the BETY-BQ by individuals with 30 PsA after one week interval was very high. While the ICC coefficient (0.915, p <0.001) showed excellent reliability. The Cronbach’s Alpha coefficient (0.940) was examined for internal consistency and the internal consistency of the scale was also found to be excellent. As a result of statistical analysis, the correlation between the scales used and the BETY-BQ was found between r = -0.432 and 0.807 (p <0.001).Conclusion:With this study, it was concluded that the BETY-BQ is a reliable and valid assessment tool in individuals diagnosed with PsA, and is also a biopsychosocial tool that can be used to evaluate individuals with PsA.References:[1]Unal E, Arin G, Karaca Nb, Kiraz S, Akdoğan A, Kalyoncu U, et al. Romatizmali hastalar için bir yaşam kalitesi ölceginin gelistirilmesi: madde havuzunun olussturulmasi. Journal of Exercise Theraphy and Rehabilitation. 2017;4(2):67-75.[2]Husni ME, Merola JF, Davin S. The psychosocial burden of psoriatic arthritis. Semin Arthritis Rheum. 2017;47(3):351-60Disclosure of Interests:None declared.


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