Development of a Brazilian Portuguese instrument to assess knowledge, attitudes, and practices of pregnant women with diabetes at a Brazilian center.

IF 1.4
Caroline Vitoria Alves Amorim, Laura Sousa Coelho de Sá, Ênio Luis Damaso, Rafaela Alkmin da Costa, Tatiana Assunção Zaccara, Patrícia Moretti Rehder, Belmiro Gonçalves Pereira, José Paulo de Siqueira Guida
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Abstract

Objective: To develop and test an instrument in Brazilian Portuguese to evaluate KAP regarding GDM.

Methods: We developed an instrument with 22 items (10 items for practice, 4 for knowledge and 8 for attitude), which was tested in a population of pregnant women (24 - 28 weeks) with GDM. We performed an Exploratory Factor Analysis to evaluate the items included in the instrument, the covariance among the domains evaluated by the instrument, and the robustness of the instrument.

Results: One hundred seventy-five participants were included in this study (mean gestational age: 25.4±7.1 weeks). The majority of them did not present adequate KAP regarding diabetes. The average knowledge score was 0.84±1.02 points; the attitude score was 32.46±2.94; and the practice score was 4.65±1.65. The model with the best robustness to evaluate KAP was composed of 3 items for knowledge, 6 for attitude, and 5 for practice.

Conclusion: The levels of KAP regarding diabetes among Brazilian pregnant women are low. The moderate association between knowledge and practice underscores the need for targeted educational interventions within prenatal care. Implementing a specific Brazilian Portuguese instrument to evaluate KAP among this population can bring evidence regarding the dimension of the problem in the country.

开发一种巴西葡萄牙语工具来评估巴西中心妊娠糖尿病妇女的知识、态度和行为。
目的:研制并测试巴西葡萄牙语GDM的KAP评价仪器。方法:设计了一套包含22个项目(10个练习项目,4个知识项目,8个态度项目)的问卷,对24 ~ 28周妊娠期GDM患者进行问卷调查。我们进行了探索性因子分析,以评估仪器中包含的项目,仪器评估的领域之间的协方差,以及仪器的稳健性。结果:175名参与者纳入本研究(平均胎龄:25.4±7.1周)。他们中的大多数人对糖尿病没有足够的KAP。平均知识得分为0.84±1.02分;态度得分为32.46±2.94分;练习得分为4.65±1.65。知识项3个,态度项6个,实践项5个,稳健性最好。结论:巴西孕妇糖尿病相关KAP水平较低。知识和实践之间的适度关联强调了产前护理中有针对性的教育干预的必要性。在这一人口中实施一项具体的巴西葡萄牙语工具来评估KAP,可以为该国问题的严重程度提供证据。
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