Development and psychometric evaluation of knowledge, attitude, and behavior questionnaire on fall risk-increasing drugs (KABQ-FRID).

IF 2.8 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Laksmi Maharani, Adi Yugatama, Dedik Sulistiawan, Shu-Chun Lee
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引用次数: 0

Abstract

Background: Fall risk-increasing drugs (FRIDs) increase the risks of falls, injuries, and fractures among older adults. However, limited evidence exists on how older adults perceive and manage FRID use, particularly in Indonesia.

Objective: This study developed and psychometrically evaluated a questionnaire for assessing knowledge, attitudes, and behaviors (KABs) related to FRID use (hereafter KABQ-FRID) among older adults.

Methods: KABQ-FRID was developed through a three-stage process. The first stage involved defining a conceptual framework and generating items based on a literature review, team discussions, and expert meeting. The second stage included an expert panel review and assessment of face validity. The third stage involved psychometric testing with 100 older adults receiving medications from a public health center in Surakarta City, Indonesia. Data analysis included Mokken scale analysis, confirmatory factor analysis (CFA), construct validity assessment, and reliability testing.

Results: The final KABQ-FRID comprised 21 items across 3 dimensions: knowledge (7 items), attitude (5 items), and behavior (9 items). Psychometric evaluation demonstrated acceptable scalability for all items (Loevinger's H ≥ 0.30) and strong reliability (Cronbach's α > 0.7; intraclass correlation coefficient >0.9). CFA results revealed a χ2/df of 2.0, suggesting a reasonable model fit; all dimensions exhibited satisfactory loadings. Construct validity testing demonstrated strong convergent validity; 90.5 % of the items had a correlation coefficient of >0.4, and 100 % of the items had stronger correlations within their dimensions than with other constructs.

Conclusion: KABQ-FRID is a reliable and valid instrument for assessing KAB related to FRID use among community-dwelling older adults.

增加跌倒风险药物知识、态度和行为问卷(KABQ-FRID)的编制及心理测量学评价。
背景:增加跌倒风险的药物(frid)会增加老年人跌倒、受伤和骨折的风险。然而,关于老年人如何看待和管理FRID使用的证据有限,特别是在印度尼西亚。目的:本研究编制了一份问卷,用于评估老年人与FRID使用(以下简称KABQ-FRID)相关的知识、态度和行为(kab),并对其进行心理测量学评估。方法:KABQ-FRID的研制分为三个阶段。第一阶段包括定义一个概念框架,并根据文献回顾、团队讨论和专家会议生成项目。第二阶段包括专家小组评审和人脸效度评估。第三阶段涉及对100名老年人进行心理测试,这些老年人从印度尼西亚苏拉arta市的一家公共卫生中心接受药物治疗。数据分析包括Mokken量表分析、验证性因子分析(CFA)、构念效度评估和信度检验。结果:最终的KABQ-FRID包括知识(7项)、态度(5项)和行为(9项)3个维度的21个项目。心理测量评估显示,所有项目的可扩展性均可接受(Loevinger's H≥0.30),可靠性强(Cronbach's α > 0.7;类内相关系数>0.9)。CFA结果显示χ2/df为2.0,表明模型拟合合理;所有尺寸均表现出令人满意的载荷。构念效度检验显示出较强的收敛效度;90.5%的题项的相关系数为bb0.5, 100%的题项在其维度内的相关系数高于与其他构念的相关系数。结论:KABQ-FRID是评估社区老年人与FRID使用相关的KAB的可靠和有效的工具。
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来源期刊
Research in Social & Administrative Pharmacy
Research in Social & Administrative Pharmacy PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.20
自引率
10.30%
发文量
225
审稿时长
47 days
期刊介绍: Research in Social and Administrative Pharmacy (RSAP) is a quarterly publication featuring original scientific reports and comprehensive review articles in the social and administrative pharmaceutical sciences. Topics of interest include outcomes evaluation of products, programs, or services; pharmacoepidemiology; medication adherence; direct-to-consumer advertising of prescription medications; disease state management; health systems reform; drug marketing; medication distribution systems such as e-prescribing; web-based pharmaceutical/medical services; drug commerce and re-importation; and health professions workforce issues.
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