Development and Validation of Questionnaire to Measure Parents’ Knowledge, Attitude, and Practice on Self-Medication of Children with Antibiotics in Bandung, Indonesia

Purpose: This study aimed to develop and validate a questionnaire to measure the knowledge, attitude, and practice of parents regarding antibiotic use in Indonesian children using structural equation modeling (SEM) analysis. Methods: The instrument development process was conducted from January 5 to...

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Bibliographic Details
Published in:Infection and drug resistance 2023-09, Vol.16, p.6111-6120
Main Authors: Pitaloka, Dian Ayu Eka, Kusuma, Ikhwan Yuda, Insyirah, Ariani, Oktariani, Anisa Nabilah, Pratiwi, Hening, Alfarafisa, Nayla Majida
Format: Article
Language:English
Subjects:
Analysis
Antibiotics
children
drug resistance
Drug resistance in microorganisms
Original Research
parents
reliability
structural equation modeling
Surveys
validity
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Summary:Purpose: This study aimed to develop and validate a questionnaire to measure the knowledge, attitude, and practice of parents regarding antibiotic use in Indonesian children using structural equation modeling (SEM) analysis. Methods: The instrument development process was conducted from January 5 to 19, 2023, using the following steps: 1) literature review and item development, 2) internal review and refinement, 3) structural model analysis, and 4) measurement models' reliability and validity. A convenience sample was used to recruit parents as participants from Arcamanik District, Bandung, Indonesia. A total of 83 respondents completed the on-site interview questionnaire. Furthermore, statistical analyses were performed using SPSS Version 21.0 and Analysis of Moment Structures (AMOS) Version 26.0. Results: The content validity for the scales was over 50%, and the reliabilities for the 38 items of the questionnaire were above 0.6, respectively. The suitability of the model was assessed, and the findings showed parameters for indicators: chi- square = 0.0004, CFI = 0.977, RMSEA = 0.044, CMIN/DF = 1.162, AGFI = 0.651, TLI = 0.973, and NFI = 0.860. The GFI parameter did not fit with the output value of 0.718, while the convergent and divergent validity of scores provided evidence in the expected direction. Conclusion: This psychometric development study provides preliminary evidence that the 38-item scales were reliable and valid for assessing knowledge, attitude, and practice toward parents in the self- medication of antibiotics in children. Keywords: drug resistance, children, parents, validity, reliability, structural equation modeling
ISSN:1178-6973
1178-6973
DOI:10.2147/IDR.S426313