Reliability and construct validity of knowledge, attitude, and practice of medical doctors on smoking cessation guidelines

Introduction: Islam forbids any forms of tobacco smoking. Prevalence of active smokers in Malaysia is increasing despite availability of stop-smoking clinics. Thus, the practice of healthcare professionals involved in providing smoking cessation intervention needs to be assessed using validated asse...

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Main Authors: Shalihin, Mohd Shaiful Ehsan, Md Aris, Mohd Aznan, Mohd Rus, Razman, Nik Mohamed, Mohamad Haniki Bin Mohamed, Jamani, Nurjasmine Aida
Format: Article
Language:English
Published: Kulliyyah of Medicine, IIUM 2017
Subjects:
Online Access:http://irep.iium.edu.my/60581/
http://irep.iium.edu.my/60581/
http://irep.iium.edu.my/60581/1/60581-Reliability%20and%20construct%20validity%20of%20knowledge.pdf
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spelling iium-605812018-08-06T08:10:53Z http://irep.iium.edu.my/60581/ Reliability and construct validity of knowledge, attitude, and practice of medical doctors on smoking cessation guidelines Shalihin, Mohd Shaiful Ehsan Md Aris, Mohd Aznan Mohd Rus, Razman Nik Mohamed, Mohamad Haniki Bin Mohamed Jamani, Nurjasmine Aida R Medicine (General) RB Pathology Introduction: Islam forbids any forms of tobacco smoking. Prevalence of active smokers in Malaysia is increasing despite availability of stop-smoking clinics. Thus, the practice of healthcare professionals involved in providing smoking cessation intervention needs to be assessed using validated assessment tool. Objective: This study aimed to develop and validate a questionnaire that assesses the knowledge, attitude, and practice of medical doctors based on the national smoking cessation guideline. In addition, we aimed to evaluate factors that contribute to the score. Methods: The 26 items consists of mixture of true/false choice questions and Likert scaling response based on domain of 5A’s (ask, assess, advice, assist, arrange) and 5R’s (relevant, risks, rewards, roadblocks, repetitions) of the national stop-smoking guideline. The questionnaire was distributed to 141 medical doctors. Reliability was determined using Cronbach’s alpha for internal consistency while construct validity was assessed using factor analysis. Results: A high degree of internal consistency was observed for this 26 items (Cronbach’s alpha= 0.824) and for practice subscale (Cronbach’s alpha 0.83). Subsequently, three items were removed due to poor inter item correlation. Factor analysis extracted seven meaningful components from this remaining 23 items, in which three components with least items were deleted due to overlapping subscale with other components, leaving four meaningful components which consist of (1) practice of ask, advice and assess components and practice of 5R’s (total of 10 items); (2) practice of assist components for those willing to quit (two items); (3) knowledge (two items) and (4) attitude (three items).These final 17 items still demonstrate high internal consistency with Cronbach’s alpha of 0.832. Conclusion: This study indicates that this questionnaire is a reliable and valid tool to assess the knowledge, attitude, and practice of healthcare professionals on stop smoking guidelines. Kulliyyah of Medicine, IIUM 2017-08-04 Article PeerReviewed application/pdf en http://irep.iium.edu.my/60581/1/60581-Reliability%20and%20construct%20validity%20of%20knowledge.pdf Shalihin, Mohd Shaiful Ehsan and Md Aris, Mohd Aznan and Mohd Rus, Razman and Nik Mohamed, Mohamad Haniki Bin Mohamed and Jamani, Nurjasmine Aida (2017) Reliability and construct validity of knowledge, attitude, and practice of medical doctors on smoking cessation guidelines. The International Medical Journal of Malaysia, 17 (special issue 1). pp. 199-206. ISSN 1823-4631 http://iiumedic.net/imjm/v1/
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic R Medicine (General)
RB Pathology
spellingShingle R Medicine (General)
RB Pathology
Shalihin, Mohd Shaiful Ehsan
Md Aris, Mohd Aznan
Mohd Rus, Razman
Nik Mohamed, Mohamad Haniki Bin Mohamed
Jamani, Nurjasmine Aida
Reliability and construct validity of knowledge, attitude, and practice of medical doctors on smoking cessation guidelines
description Introduction: Islam forbids any forms of tobacco smoking. Prevalence of active smokers in Malaysia is increasing despite availability of stop-smoking clinics. Thus, the practice of healthcare professionals involved in providing smoking cessation intervention needs to be assessed using validated assessment tool. Objective: This study aimed to develop and validate a questionnaire that assesses the knowledge, attitude, and practice of medical doctors based on the national smoking cessation guideline. In addition, we aimed to evaluate factors that contribute to the score. Methods: The 26 items consists of mixture of true/false choice questions and Likert scaling response based on domain of 5A’s (ask, assess, advice, assist, arrange) and 5R’s (relevant, risks, rewards, roadblocks, repetitions) of the national stop-smoking guideline. The questionnaire was distributed to 141 medical doctors. Reliability was determined using Cronbach’s alpha for internal consistency while construct validity was assessed using factor analysis. Results: A high degree of internal consistency was observed for this 26 items (Cronbach’s alpha= 0.824) and for practice subscale (Cronbach’s alpha 0.83). Subsequently, three items were removed due to poor inter item correlation. Factor analysis extracted seven meaningful components from this remaining 23 items, in which three components with least items were deleted due to overlapping subscale with other components, leaving four meaningful components which consist of (1) practice of ask, advice and assess components and practice of 5R’s (total of 10 items); (2) practice of assist components for those willing to quit (two items); (3) knowledge (two items) and (4) attitude (three items).These final 17 items still demonstrate high internal consistency with Cronbach’s alpha of 0.832. Conclusion: This study indicates that this questionnaire is a reliable and valid tool to assess the knowledge, attitude, and practice of healthcare professionals on stop smoking guidelines.
format Article
author Shalihin, Mohd Shaiful Ehsan
Md Aris, Mohd Aznan
Mohd Rus, Razman
Nik Mohamed, Mohamad Haniki Bin Mohamed
Jamani, Nurjasmine Aida
author_facet Shalihin, Mohd Shaiful Ehsan
Md Aris, Mohd Aznan
Mohd Rus, Razman
Nik Mohamed, Mohamad Haniki Bin Mohamed
Jamani, Nurjasmine Aida
author_sort Shalihin, Mohd Shaiful Ehsan
title Reliability and construct validity of knowledge, attitude, and practice of medical doctors on smoking cessation guidelines
title_short Reliability and construct validity of knowledge, attitude, and practice of medical doctors on smoking cessation guidelines
title_full Reliability and construct validity of knowledge, attitude, and practice of medical doctors on smoking cessation guidelines
title_fullStr Reliability and construct validity of knowledge, attitude, and practice of medical doctors on smoking cessation guidelines
title_full_unstemmed Reliability and construct validity of knowledge, attitude, and practice of medical doctors on smoking cessation guidelines
title_sort reliability and construct validity of knowledge, attitude, and practice of medical doctors on smoking cessation guidelines
publisher Kulliyyah of Medicine, IIUM
publishDate 2017
url http://irep.iium.edu.my/60581/
http://irep.iium.edu.my/60581/
http://irep.iium.edu.my/60581/1/60581-Reliability%20and%20construct%20validity%20of%20knowledge.pdf
first_indexed 2023-09-18T21:25:53Z
last_indexed 2023-09-18T21:25:53Z
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