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Int J Epidemiol Res. 2022;9(1): 4-11.
doi: 10.34172/ijer.2022.03
  Abstract View: 356
  PDF Download: 293

Original Article

Development and Psychometric Assessment of a Scale for Measuring Knowledge, Attitude, and Practice About COVID-19

Samaneh Torkian 1* ORCID logo, Ali Ahmadi 2 ORCID logo, Vahid Khosravi 3 ORCID logo, Narges Khanjani 4 ORCID logo, Zahra Jaafari 5 ORCID logo, Mohammad Ali Morowatisharifabad 6 ORCID logo, Neda Malek Mohammadi 5 ORCID logo

1 Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
2 Department of Epidemiology and Biostatistics, School of Health and Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
3 Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4 Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran
5 Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran
6 Aging Health Department, School of Public Health, Yazd Shahid Sadoughi University of Medical Sciences, Yazd, Iran
*Corresponding Author: *Corresponding Author: Samaneh Torkian, Ph.D. Student, Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. Tel: +98-9014211075, Email: , Email: Torkiansamane72@gmail.com

Abstract

Background and aims: Knowledge, attitude, and practice (KAP) toward coronavirus disease 2019 (COVID-19) are important factors for adherence to protection strategies. The aim of this study was to construct and validate a questionnaire about the KAP of Iranians regarding COVID-19.

Methods: Initially, a questionnaire about the KAP with regard to COVID-19 was constructed in this cross-sectional study. The initial questionnaire was prepared based on a review of the extensive research literature and global and national guidelines. This researcher-made questionnaire was developed using the COVID-19-KAP questionnaire, which was originally used in China in 2020, and the influenza epidemic KAP Questionnaire (2015), the MERS KAP Questionnaire (2015), the H1N1 flu KAP questionnaire (2017), and the WHO KAP questionnaire about COVID-19. The applied questionnaire consists of three parts including knowledge- (n=26), attitude- (n=8), and practice-related (n=11) questions, respectively. Then, the face, content, and construct validity and the reliability of the questionnaire was determined, and analyzes were performed using SPSS v. 26 and AMOS v. 24 software.

Results: In the face validity stage, 2 questions with an impact score of less than 1.5 were excluded from the questionnaire. In the content validity check, all questions had a content validity index (I-CVI) of more than 0.7. However, the content validity ratio (CVR) for 6 questions was less than 0.51, and these questions were removed accordingly. The compliance of the CVI with the chance agreement was close to one for all questions, indicating the lack of a chance agreement. In the exploratory factor analysis stage, the Kaiser-Meyer-Olkin (KMO) value of 0.90 was obtained, implying the adequacy of the sample size for factor analysis. The significance of the Bartlett test (chi-square: 5820.06, df: 630, P<0.001) indicated a strong correlation between the questions and the appropriateness of factor analysis. Finally, 34 items in 4 domains remained in the questionnaire.

Conclusion: The validity and reliability of this questionnaire were confirmed based on the findings. This Farsi KAP questionnaire can be used to assess the level of knowledge, attitude, and practice of people about COVID-19.

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Submitted: 11 Jul 2021
Accepted: 21 Sep 2021
ePublished: 12 Feb 2022
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