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Validating a tool to assess eye health knowledge, attitude and practice in Cambodia and Vietnam

International Journal of Ophthalmology(English edition) 2019年第11期12卷 1767-1774页

作者： Noela Prasad Gail M Ormsby Robert P Finger Institute for Health and Sport Victoria UniversityMelbourneVIC 3011Australia vaccho CollingwoodVIC 3066Australia Professional Studies Faculty of BusinessEducationLaw and ArtsUniversity of Southern QueenslandWest StreetToowoombaQLD 4350Australia Lifestyle Research Centre Avondale College of Higher EducationCooranbongNSW 2265Australia Department of Ophthalmology University of BonnRegina-Pacis-Weg 3Bonn 53113Germany

AIM: To develop an eye health knowledge, attitude and practice(EH-KAP) field-based assessment tool for use in implementing effective eye health care services.METHODS: An instrument development and validation study. A Vietnam EH-KAP dataset were used to identify and eliminate redundant questions to develop a standardized tool. Face validity was assessed by the KAP survey team. Internal validity(congruency/criterion) was assessed by comparing descriptive analysis of two datasets(n=531;n=38) collected from the same sampling frame at different time points. Weighted scores were calculated for each construct. Kappa values for test-retest and inter-observer agreement were calculated to check the reliability of responses. The modified version was assessed by analysing the raw and ungrouped data. Responses were weighted and agreement was tested by comparing construct scores.RESULTS: Totally 38 respondents were included in this validation process(mean age 58.5 y). Mean scores for knowledge were 9.15(old questionnaire n=531) and 5.05(modified version). For attitude, the scores were 2.23 and 2.42, and for practice the scores were 3.33 and 2.21. Testretest agreement was between 62% to 93%(Kappa 0.24 to 0.86) for the ungrouped raw data, and 55% to 72%(Kappa 0.42 to 0.65) for KAP domain. Inter-observer Kappa value for ungrouped data was 0.37 and 0.45 for the weighted scores.CONCLUSION: This standardized tool applied at critical time points can assess trends in KAP within the same population and for comparison across groups. If used alongside a Rapid Assessment of Avoidable Blindness(RAAB), this tool provides a comprehensive perspective on eye-health of a population.

关键词： validation knowledge attitude practice eye health knowledge,attitude and practice questionnaire

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