Abstract
Stroke is a significant public health problem in Malaysia. The public needs to be educated and advocated for an early visit to the emergency department for treatment and rehabilitation to minimize the risk of disability and death. One way to increase the public’s awareness is by strengthening their knowledge of the recognition of stroke. The purpose of this study is to validate the content, face, and construct of the Stroke Knowledge Test Questionnaire (SKTQ-BM), a newly revised and improved stroke knowledge questionnaire in Bahasa Melayu aimed at the public in Malaysia. This study has two phases. Item adaptation and modification, content validity testing with expert panels, and face validity testing with 10 respondents comprised the first phase. The second phase, which included 201 responders, consisted of a psychometric test based on Item Response Theory (IRT). IRT revealed that the knowledge section consisted of 4 domains, with a total of 29 items being unidimensional, after removing items with high difficulty coefficients (outside the range of −3 to +3) and items with shallow discrimination values (0.35). The SKTQ-BM is a well-validated and dependable tool for evaluating the knowledge of early stroke recognition, which can be used to build future population stroke intervention programs that enhance effective knowledge conversion.
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