DEVELOPMENT AND PSYCHOMETRIC TESTING OF KNOWLEDGE, ATTITUDE, AND PRACTICE ON COVID-19 OUTBREAK QUESTIONNAIRE (KAPCovQ) FOR GENERAL COMMUNITY

HIDAYAH KARUNIAWATI; TRI YULIANTI; LISTIANA MASYITA DEWI; WIDYANA ATMA MAULIDA; NUR LAELA; SEKAR MELATI KUSUMANING AYU

doi:10.22159/ijap.2021.v13s4.43826

Authors

HIDAYAH KARUNIAWATI Faculty of Pharmacy Universitas Muhammadiyah Surakarta, Indonesia
TRI YULIANTI Faculty of Pharmacy Universitas Muhammadiyah Surakarta, Indonesia
LISTIANA MASYITA DEWI Faculty of Medicine Universitas Muhammadiyah Surakarta, Indonesia
WIDYANA ATMA MAULIDA Faculty of Pharmacy Universitas Muhammadiyah Surakarta, Indonesia
NUR LAELA Faculty of Pharmacy Universitas Muhammadiyah Surakarta, Indonesia
SEKAR MELATI KUSUMANING AYU Faculty of Pharmacy Universitas Muhammadiyah Surakarta, Indonesia

DOI:

https://doi.org/10.22159/ijap.2021.v13s4.43826

Keywords:

Covid-19, Attitude, Practices, Validity, Psychometric properties, KAPCovQ, General community

Abstract

Objective: To develop a valid and reliable questionnaire about knowledge, attitudes, and practices towards Covid-19 (KAPCovQ) in the general community based on psychometric properties.

Methods: This study consisted of item development, scale development, and scale evaluation. Item development was based on literature review and content validity by experts. Scale development was conducted by pre-testing ten respondents. Scale evaluation was assessed using 375 respondents. Scale evaluation included construct validity with exploratory factor analysis (EFA) followed by confirmatory factor analysis (CFA) and reliability test with Cronbach’s α, composite reliability, and test-retest reliability.

Results: The final KAPCovQ consisted of 3 domains with 31 items. Twelve items of the knowledge domain met the acceptable range for item analysis. Three factors of attitude domain and one factor of practice domain showed that 59.13% and 57.97% of the total variance respectively were identified in EFA. The result of the CFA for both attitude and practices domain indicated acceptable fit indices for the proposed model. The CFA model fit indices of attitude domain were χ2/df 2.05, p-value 0.01, GFI 0.92, RMSEA 0.07, TLI 0.90, CFI 0.92, and PNFI 0.64 and practices domain were χ2/df 1.18, p-value 0.28, GFI 0.98, RMSEA 0.03, TLI 0.98, CFI 0.99, and PNFI 0.54. Knowledge and all factors in the attitude and practice domain had an acceptable range in internal consistency reliability and test-retest reliability.

Conclusion: The finding of this study demonstrated that KAPCovQ is valid and reliable for measuring the KAP on Covid-19 in the general community.

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References

WHO. Coronavirus disease 2019 (COVID-19) Situation [report]. Vol. 70 [internet]; 2020. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200330-sitrep-70-covid-19.pdf?sfvrsn=7e0fe3f8_4. [Last accessed on 07 Sep 2020]

Saqlain M, Munir MM, Rehman SU, Gulzar A, Naz S, Ahmed Z, Tahir AH, Mashhood M. Knowledge, attitude, practice and perceived barriers among healthcare workers regarding COVID-19: a cross-sectional survey from Pakistan. J Hosp Infect. 2020;105(3):419-23. doi: 10.1016/j.jhin.2020.05.007, PMID 32437822.

Harapan H, Rajamoorthy Y, Anwar S, Bustamam A, Radiansyah A, Angraini P, Fasli R, Salwiyadi S, Bastian RA, Oktiviyari A, Akmal I, Iqbalamin M, Adil J, Henrizal F, Darmayanti D, Pratama R, Setiawan AM, Mudatsir M, Hadisoemarto PF, Dhimal ML, Kuch U, Groneberg DA, Imrie A, Dhimal M, Muller R. Knowledge, attitude, and practice regarding dengue virus infection among inhabitants of Aceh, Indonesia: A cross-sectional study. BMC Infect Dis. 2018;18(1):96. doi: 10.1186/s12879-018-3006-z, PMID 29486714.

Al-Hanawi MK, Angawi K, Alshareef N, Qattan AMN, Helmy HZ, Abudawood Y, Alqurashi M, Kattan WM, Kadasah NA, Chirwa GC, Alsharqi O. Knowledge, attitude and practice toward COVID-19 among the public in the Kingdom of Saudi Arabia: A cross-sectional study. Front Public Health. 2020;8(May):217. doi: 10.3389/fpubh.2020.00217, PMID 32574300.

Abdelhafiz AS, Mohammed Z, Ibrahim ME, Ziady HH, Alorabi M, Ayyad M, Sultan EA. Knowledge, perceptions, and attitude of Egyptians towards the novel coronavirus disease (COVID-19). J Community Health. 2020 Apr 21;45(5):881-90. doi: 10.1007/s10900-020-00827-7, PMID 32318986.

Tamornpark R, Yeemard F, Upala P, Apidechkul T. Readiness in response the epidemic of coronavirus disease-2019 (COVID-19) among young adults in Chiang Rai Province. Thailand 2020 Apr 28;2(1):25-30.

Rahman A, Sathi NJ. Knowledge, attitude, and preventive practices toward COVID-19 among Bangladeshi internet users. Electron J Gen Med. 2020 Apr 30;17(5). doi: 10.29333/ejgm/8223.

Rugarabamu S, Byanaku A, Ibrahim M. Knowledge, attitudes, and practices (KAP) towards COVID-19: A quick online cross-sectional survey among Tanzanian residents. medRxiv; 2020.

Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, Li Y. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020 Mar 15;16(10):1745-52. doi: 10.7150/ijbs.45221, PMID 32226294.

Lawshe CH. A quantitative approach to content validity. Personnel Psychology; 1975.

Boateng GO, Neilands TB, Frongillo EA, Melgar-Quiñonez HR, Young SL. Best practices for developing and validating scales for health, social, and behavioral research: A primer. Front Public Health. 2018;6:149. doi: 10.3389/fpubh.2018.00149, PMID 29942800.

Miller LA, Lovler RL. Foundations of psychological testing: A practical approach. SAGE Publications; 2018. p. 593.

Stubbings S, Robb K, Waller J, Ramirez A, Austoker J, Macleod U, Hiom S, Wardle J. Development of a measurement tool to assess public awareness of cancer. Br J Cancer. 2009 Dec 3;101;Suppl 2:S13-7. doi: 10.1038/sj.bjc.6605385, PMID 19956157.

Alipour A, Ghadami A, Farsham A, Dorri N. A new self-reported assessment measure for COVID-19 anxiety scale (CDAS) in Iran: A web-based study. Iran J Public Health. 2020 Jun 30;49(7):1316-23. doi: 10.18502/ijph.v49i7.3585, PMID 33083298.

Gaskin CJ, Happell B. On exploratory factor analysis: a review of recent evidence, an assessment of current practice, and recommendations for future use. Int J Nurs Stud. 2014;51(3):511-21. doi: 10.1016/j.ijnurstu.2013.10.005, PMID 24183474.

Penyusunan Skala Psikologi AS. 2nd ed. Yogyakarta: Pustaka Pelajar; 2017.

Amir MT. Merancang kuesioner, konsep dan panduan untuk penelitian sikap, kepribadian, dan perilaku. 1st ed. Jakarta: Kencana. Rawamangun; 2015.

Field A. Discovering statistics using IBM SPSS. SAGE Publications; 2013.

Trochim WMK. Research methods knowledge base; 2006.

Ghozali I, Struktur Konsep MP. Aplikasi Dengan Program AMOS 19.0. 5th ed. Semarang, Indonesia: Badan penerbit. Semarang: Universitas Diponegoro; 2011.

Budiastuti D, Validitas BA, Penelitian R. Jakarta: Mitra Wacana Media; 2018. p. 1-232.

WHO. Program on Mental Health, WHOQOL User manual [Internet]. Available from: https://apps.int/iris/bitstream/handle/10665/77932. [Last accessed on 14 May 2020].

Swisher LL, Beckstead JW, Bebeau MJ. Factor analysis as a tool for survey analysis using a professional role orientation inventory as an example. Phys Ther. 2004 Sep;84(9):784-99. doi: 10.1093/ptj/84.9.784, PMID 15330692.

Fan Y, Zhang S, Li Y, Li Y, Zhang T, Liu W, Jiang H. Development and psychometric testing of the knowledge, attitudes and practices (KAP) questionnaire among student Tuberculosis (TB) Patients (STBP-KAPQ) in China. BMC Infect Dis. 2018 May 8;18(1):213. doi: 10.1186/s12879-018-3122-9, PMID 29739363.

Zahiruddin WM, Arifin WN, Mohd-Nazri S, Sukeri S, Zawaha I, Bakar RA, Hamat RA, Malina O, Jamaludin TZMT, Pathman A, Mas-Harithulfadhli-Agus AR, Norazlin I, Suhailah BS, Saudi SNS, Abdullah NM, Nozmi N, Zainuddin AW, Aziah D. Development and validation of a new knowledge, attitude, belief and practice questionnaire on leptospirosis in Malaysia. BMC Public Health. 2018 Mar 7;18(1):331. doi: 10.1186/s12889-018-5234-y, PMID 29514645.

Lopez Vazquez P, Vazquez Lago JM, Gonzalez Gonzalez C, Pineiro Lamas M, Lopez Duran A, Herdeiro MT, Figueiras A, GREPHEPI Group. Development and validation of the knowledge and attitudes regarding antibiotics and resistance (KAAR-11) questionnaire for primary care physicians. J Antimicrob Chemother. 2016 Oct 1;71(10):2972-9. doi: 10.1093/jac/dkw238, PMID 27353468.