Development and validation of a structured survey questionnaire on knowledge, attitude, preventive practice, and treatment-seeking behaviour regarding dengue among the resident population of Sabah, Malaysia: an exploratory factor analysis

Rhanye Mac Guad and Ernest Mangantig and Wah Yun Low and Andrew W. Taylor‑Robinson and Meram Azzani and Shamala Devi Sekaran and Maw Shin Sim and Nornazirah Azizan (2021) Development and validation of a structured survey questionnaire on knowledge, attitude, preventive practice, and treatment-seeking behaviour regarding dengue among the resident population of Sabah, Malaysia: an exploratory factor analysis. BMC Infectious Diseases, 21. pp. 1-11. ISSN 1471-2334

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Abstract

Background: Several studies have reported a significant association of knowledge, attitude and preventive practice (KAP) regarding dengue infection among community’s resident in endemic areas. In this study we aimed to assess and develop a reliable and valid KAP survey on the subject of dengue that is suitable for the resident population of Sabah, Malaysia. Methods: A community-based cross-sectional study was conducted from October 2019 to February 2020 involving 468 respondents. Information on the socio-demographic characteristics of the participants (six items), their KAP (44, 15 and 18 items on knowledge, attitude and practice, respectively) and treatment-seeking behaviour (five items) towards dengue was collected using a structured questionnaire. Data analysis was performed using SPSS and R software in the R Studio environment. The knowledge section was analysed by two-parameter logistic item response theory (2-PL IRT) using ltm package. The construct validity and reliability of items for sections on attitude, practice and treatment-seeking behaviour were analysed using psy package. Results: For the knowledge section, only 70.5% (31/44) of items were within or close to the parameter acceptable range of −3 to+3 of difficulty. In terms of discrimination, 65.9% (29/44) of items were within or close to the accept‑ able range of 0.35 to 2.5, and 24 items (54.5%) failed to ft the 2-PL IRT model (P<0.05) after assessing by goodness of-fit analysis. Only eight items were reliable and retained in the attitude section with a Kaiser–Meyer–Olkin (KMO) test value of>0.7, while based on the communalities, 11 items in the attitude section were excluded due to very low h2, factor loading values and low correlation with the total (<0.5). The practice section was found suitable for factor analysis because the KMO value was>0.7. The communalities of the practice section showed that seven items had low h2 values (<0.3), which were therefore excluded from further analysis, and only 11 items were retained. Conclusions: The KAP items retained in the final version of the survey were reliable and valid to be use as a questionnaire reference when conducting future similar studies among the population of Sabah.

Item Type: Article
Keyword: Knowledge , Attitude , Practice , Dengue , Survey , Validation , Sabah Malaysia
Subjects: R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC109-216 Infectious and parasitic diseases
Department: FACULTY > Faculty of Medicine and Health Sciences
Depositing User: SITI AZIZAH BINTI IDRIS -
Date Deposited: 13 Dec 2021 14:50
Last Modified: 13 Dec 2021 14:50
URI: https://eprints.ums.edu.my/id/eprint/31379

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