A H H Ahmad Nizar, A Aziz, B Abdullah, A K Azidah, W M Zahiruddin, N S Abd Mutalib
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引用次数: 0
Abstract
Introduction: Understanding a patient's knowledge and selfcare level regarding allergic rhinitis (AR) is essential these factors significantly influence treatment outcomes. Currently, there is a lack of validated measurement tools specifically designed to assess disease knowledge and selfcare among patients with AR. Therefore, this study aimed to develop and validate a new questionnaire - the Allergic Rhinitis Knowledge and Self-care (ARKSc) questionnairefor this purpose.
Material and methods: A questionnaire development and validation study was conducted in two phase. The first phase involved developing a self-administered questionnaire through literature review and consultations with an expert panel. Content validation was evaluated by a group of content experts using the content validity index (CVI), while face validity was assessed by AR patients using the Face Validity Index (FVI). In the second phase, construct validity of the final ARKSc questionnaire was examined at Hospital Sultan Abdul Halim, Kedah, Malaysia and Universiti Sains Malaysia Specialist Hospital (HPUSM), Kelantan, Malaysia involving 136 AR patients. Exploratory factor analysis (EFA) and reliability analysis were performed to assess the factorial structure and internal consistency of the questionnaire.
Results: The preliminary questionnaire included 16 questions (22 items) assessing AR knowledge and 11 questions on self-care. During content validation, three items with low item-CVI (I-CVI) score were removed. The average Scale-CVI (S-CVI/Ave) for both knowledge and selfcare domains was 0.83. The scale-level face validity index value (S-FVI/Ave) 0.95, indicating excellent clarity and comprehensibility. Following construct validation, the final version of questionnaire consisted of 11 items in the knowledge section and 4 items in self-care section. The Cronbach's alpha was 0.659 for the knowledge section, and 0.663 for the self-care section, reflecting acceptable internal consistency.
Conclusion: The newly developed and validated ARKSc questionnaire is a valid and reliable instrument for assessing disease knowledge and self-care among patients with allergic rhinitis. This study provides a foundation for future development of more refined tools and underscores the importance of evaluating these domains to enhance disease management and patient outcomes.
期刊介绍：
Published since 1890 this journal originated as the Journal of the Straits Medical Association. With the formation of the Malaysian Medical Association (MMA), the Journal became the official organ, supervised by an editorial board. Some of the early Hon. Editors were Mr. H.M. McGladdery (1960 - 1964), Dr. A.A. Sandosham (1965 - 1977), Prof. Paul C.Y. Chen (1977 - 1987). It is a scientific journal, published quarterly and can be found in medical libraries in many parts of the world. The Journal also enjoys the status of being listed in the Index Medicus, the internationally accepted reference index of medical journals. The editorial columns often reflect the Association''s views and attitudes towards medical problems in the country. The MJM aims to be a peer reviewed scientific journal of the highest quality. We want to ensure that whatever data is published is true and any opinion expressed important to medical science. We believe being Malaysian is our unique niche; our priority will be for scientific knowledge about diseases found in Malaysia and for the practice of medicine in Malaysia. The MJM will archive knowledge about the changing pattern of human diseases and our endeavours to overcome them. It will also document how medicine develops as a profession in the nation. We will communicate and co-operate with other scientific journals in Malaysia. We seek articles that are of educational value to doctors. We will consider all unsolicited articles submitted to the journal and will commission distinguished Malaysians to write relevant review articles. We want to help doctors make better decisions and be good at judging the value of scientific data. We want to help doctors write better, to be articulate and precise.
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