Development and validation of a new knowledge, attitude, belief and practice questionnaire on leptospirosis in Malaysia
Background: In Malaysia, leptospirosis is considered an endemic disease, with sporadic outbreaks following rainy or flood seasons. The objective of this study was to develop and validate a new knowledge, attitude, belief and practice (KABP) questionnaire on leptospirosis for use in urban and rural p...
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| Format: | Article |
| Language: | English |
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BioMed Central
2018
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| Online Access: | http://psasir.upm.edu.my/id/eprint/72241/ http://psasir.upm.edu.my/id/eprint/72241/1/Development%20and%20validation%20of%20a%20new.pdf |
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| author | Wan Mohammad, Wan Mohd Zahiruddin Wan Mansor, Wan Nor Arifin Mohd Nazri, Shafei Sukeri, Surianti Idris, Zawaha Abu Bakar, Rahman Awang Hamat, Rukman Osman, Malina Tengku Jamaluddin, Tengku Zetty Maztura Pathman, Arumugam Ab Rahman, Mas Harithulfadhli Agus Idris, Norazlin Samsudin, Suhailah Saudi, Siti Nor Sakinah Abdullah, Nurul Munirah Nozmi, Noramira Abdul Wahab, Zainuddin Daud, Aziah |
| author_facet | Wan Mohammad, Wan Mohd Zahiruddin Wan Mansor, Wan Nor Arifin Mohd Nazri, Shafei Sukeri, Surianti Idris, Zawaha Abu Bakar, Rahman Awang Hamat, Rukman Osman, Malina Tengku Jamaluddin, Tengku Zetty Maztura Pathman, Arumugam Ab Rahman, Mas Harithulfadhli Agus Idris, Norazlin Samsudin, Suhailah Saudi, Siti Nor Sakinah Abdullah, Nurul Munirah Nozmi, Noramira Abdul Wahab, Zainuddin Daud, Aziah |
| author_sort | Wan Mohammad, Wan Mohd Zahiruddin |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Background: In Malaysia, leptospirosis is considered an endemic disease, with sporadic outbreaks following rainy or flood seasons. The objective of this study was to develop and validate a new knowledge, attitude, belief and practice (KABP) questionnaire on leptospirosis for use in urban and rural populations in Malaysia.
Methods: The questionnaire comprised development and validation stages. The development phase encompassed a literature review, expert panel review, focus-group testing, and evaluation. The validation phase consisted of exploratory and confirmatory parts to verify the psychometric properties of the questionnaire. A total of 214 and 759 participants were recruited from two Malaysian states, Kelantan and Selangor respectively, for the validation phase. The participants comprised urban and rural communities with a high reported incidence of leptospirosis. The knowledge section of the validation phase utilized item response theory (IRT) analysis. The attitude and belief sections utilized exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Results: The development phase resulted in a questionnaire that included four main sections: knowledge, attitude, belief, and practice. In the exploratory phase, as shown by the IRT analysis of knowledge about leptospirosis, the difficulty and discrimination values of the items were acceptable, with the exception of two items. Based on the EFA, the psychometric properties of the attitude, belief, and practice sections were poor. Thus, these sections were revised, and no further factor analysis of the practice section was conducted. In the confirmatory stage, the difficulty and discrimination values of the items in the knowledge section remained within the acceptable range. The CFA of the attitude section resulted in a good-fitting two-factor model. The CFA of the belief section retained low number of items, although the analysis resulted in a good fit in the final three-factor model. Conclusions: Based on the IRT analysis and factor analytic evidence, the knowledge and attitude sections of the KABP questionnaire on leptospirosis were psychometrically valid. However, the psychometric properties of the belief section were unsatisfactory, despite being revised after the initial validation study. Further development of this section is warranted in future studies. |
| first_indexed | 2025-11-15T11:51:43Z |
| format | Article |
| id | upm-72241 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T11:51:43Z |
| publishDate | 2018 |
| publisher | BioMed Central |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-722412020-04-20T14:26:25Z http://psasir.upm.edu.my/id/eprint/72241/ Development and validation of a new knowledge, attitude, belief and practice questionnaire on leptospirosis in Malaysia Wan Mohammad, Wan Mohd Zahiruddin Wan Mansor, Wan Nor Arifin Mohd Nazri, Shafei Sukeri, Surianti Idris, Zawaha Abu Bakar, Rahman Awang Hamat, Rukman Osman, Malina Tengku Jamaluddin, Tengku Zetty Maztura Pathman, Arumugam Ab Rahman, Mas Harithulfadhli Agus Idris, Norazlin Samsudin, Suhailah Saudi, Siti Nor Sakinah Abdullah, Nurul Munirah Nozmi, Noramira Abdul Wahab, Zainuddin Daud, Aziah Background: In Malaysia, leptospirosis is considered an endemic disease, with sporadic outbreaks following rainy or flood seasons. The objective of this study was to develop and validate a new knowledge, attitude, belief and practice (KABP) questionnaire on leptospirosis for use in urban and rural populations in Malaysia. Methods: The questionnaire comprised development and validation stages. The development phase encompassed a literature review, expert panel review, focus-group testing, and evaluation. The validation phase consisted of exploratory and confirmatory parts to verify the psychometric properties of the questionnaire. A total of 214 and 759 participants were recruited from two Malaysian states, Kelantan and Selangor respectively, for the validation phase. The participants comprised urban and rural communities with a high reported incidence of leptospirosis. The knowledge section of the validation phase utilized item response theory (IRT) analysis. The attitude and belief sections utilized exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Results: The development phase resulted in a questionnaire that included four main sections: knowledge, attitude, belief, and practice. In the exploratory phase, as shown by the IRT analysis of knowledge about leptospirosis, the difficulty and discrimination values of the items were acceptable, with the exception of two items. Based on the EFA, the psychometric properties of the attitude, belief, and practice sections were poor. Thus, these sections were revised, and no further factor analysis of the practice section was conducted. In the confirmatory stage, the difficulty and discrimination values of the items in the knowledge section remained within the acceptable range. The CFA of the attitude section resulted in a good-fitting two-factor model. The CFA of the belief section retained low number of items, although the analysis resulted in a good fit in the final three-factor model. Conclusions: Based on the IRT analysis and factor analytic evidence, the knowledge and attitude sections of the KABP questionnaire on leptospirosis were psychometrically valid. However, the psychometric properties of the belief section were unsatisfactory, despite being revised after the initial validation study. Further development of this section is warranted in future studies. BioMed Central 2018 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/72241/1/Development%20and%20validation%20of%20a%20new.pdf Wan Mohammad, Wan Mohd Zahiruddin and Wan Mansor, Wan Nor Arifin and Mohd Nazri, Shafei and Sukeri, Surianti and Idris, Zawaha and Abu Bakar, Rahman and Awang Hamat, Rukman and Osman, Malina and Tengku Jamaluddin, Tengku Zetty Maztura and Pathman, Arumugam and Ab Rahman, Mas Harithulfadhli Agus and Idris, Norazlin and Samsudin, Suhailah and Saudi, Siti Nor Sakinah and Abdullah, Nurul Munirah and Nozmi, Noramira and Abdul Wahab, Zainuddin and Daud, Aziah (2018) Development and validation of a new knowledge, attitude, belief and practice questionnaire on leptospirosis in Malaysia. BMC Public Health, 18 (1). art. no. 331. pp. 1-12. ISSN 1471-2458 https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-018-5234-y 10.1186/s12889-018-5234-y |
| spellingShingle | Wan Mohammad, Wan Mohd Zahiruddin Wan Mansor, Wan Nor Arifin Mohd Nazri, Shafei Sukeri, Surianti Idris, Zawaha Abu Bakar, Rahman Awang Hamat, Rukman Osman, Malina Tengku Jamaluddin, Tengku Zetty Maztura Pathman, Arumugam Ab Rahman, Mas Harithulfadhli Agus Idris, Norazlin Samsudin, Suhailah Saudi, Siti Nor Sakinah Abdullah, Nurul Munirah Nozmi, Noramira Abdul Wahab, Zainuddin Daud, Aziah Development and validation of a new knowledge, attitude, belief and practice questionnaire on leptospirosis in Malaysia |
| title | Development and validation of a new knowledge, attitude, belief and practice questionnaire on leptospirosis in Malaysia |
| title_full | Development and validation of a new knowledge, attitude, belief and practice questionnaire on leptospirosis in Malaysia |
| title_fullStr | Development and validation of a new knowledge, attitude, belief and practice questionnaire on leptospirosis in Malaysia |
| title_full_unstemmed | Development and validation of a new knowledge, attitude, belief and practice questionnaire on leptospirosis in Malaysia |
| title_short | Development and validation of a new knowledge, attitude, belief and practice questionnaire on leptospirosis in Malaysia |
| title_sort | development and validation of a new knowledge, attitude, belief and practice questionnaire on leptospirosis in malaysia |
| url | http://psasir.upm.edu.my/id/eprint/72241/ http://psasir.upm.edu.my/id/eprint/72241/ http://psasir.upm.edu.my/id/eprint/72241/ http://psasir.upm.edu.my/id/eprint/72241/1/Development%20and%20validation%20of%20a%20new.pdf |