Development and validation of a questionnaire on the knowledge, attitude and practice (KAP) regarding tuberculosis among nurses working in tuberculosis centers in Libya

Abstract

Background and aim: A high level of awareness on tuberculosis (TB) is crucial for the success of the prevention and treatment among the high risk populations. Having a good knowledge, positive attitude and excellent level of practice towards tuberculosis may increase the acceptance of the control measures and decreasing the risk of contracting the disease. Aim of this study was to develop and validate a questionnaire about knowledge, attitude and practice (KAP) among the nurses working in TB centres in Libya. Methodology: A Cross-sectional study was conducted among 384 randomly selected nurses working in tuberculosis centers in Libya. This study used a self-administrated questionnaire that takes approximately 15 minutes to complete and was generally well received by the respondent’s. The validation involved content validity and internal consistency for reliability. Results: A total of 384 nurses in tuberculosis centers comprising of 84 (21.9%) were male nurses and 300 (78.1%) were female nurse. The ICC was in the range of 0.63–0.961, P<0.001, while for the attitude component items it was in the range of 0.682–8.99, p<0.001 and for the practice component items it ranged from 0.659–0.981, p<0.001.Cronbach’s alpha coefficient, used to assess internal consistency for knowledge, attitude and practice was.0.702, 0.776 and 0.752; respectively. Conclusions: The questionnaire on TB knowledge, attitude, and practice was valid and reliable with good items that enable its use for assessing TB –KAP survey among the TB nurses.