Final Questionnaire Research Articles

Development and validation of health belief model questionnaire on attitude toward the prevention of cancers in Bengali language: A cross-sectional study in urban field practice area of a tertiary care hospital, Kolkata

Abstract Background: Promoting preventive measures of cancer among people should be based on a psychosocial model and be tailored to attitude which is a difficult variable to measure. Objectives: The objective of this study was to develop and validate a questionnaire to evaluate the attitude of urban adults toward the prevention of cancer. Methods: This observational study with cross-sectional design was done in the field practice area of a tertiary care hospital, Kolkata. Four hundred and fifteen respondents were interviewed. The content validity, construct validity, and reliability were performed, followed by exploratory and confirmatory factor analysis to identify the factors. Results: Items were generated by literature review. Kaiser–Meyer–Olkin (KMO) value suggests that the model was reasonably fit (KMO > 0.8). The final attitude questionnaire contained 19 items. The factorial analysis revealed four domains such as perceived severity, perceived susceptibility, perceived barrier, and perceived benefit that explain the 58% estimated variance. Overall reliability was measured by Cronbach’s alpha (0.716) and McDonald’s omega (0.709). Conclusion: The results show that the questionnaire is relatively valid and reliable to assess the attitude of urban adults toward cancer prevention. Understanding the attitude of people with respect to cancer prevention will help develop more effective cancer-preventive programs.

Psychometric Properties of the Strength-based Parenting Questionnaire Parent-version in Malaysia

This study aims to translate the Strength-Based Parenting Questionnaire Parent-Version (SBP-Q-PV) into Malay and describe its validation process among Malaysian parents. In Phase 1, the forward-backward translation process of the SBP-Q-PV into Malay was described. In Phase 2, the Malay SBP-Q-PV validation process was conducted (n1 = 180), and the hypothesized factor structure was verified (n2 = 100). The principal component analysis derived a 14-item two-factor model. The confirmatory factor analysis revealed that the model demonstrated acceptable goodness-of-fit indices (χ2/df = 1.75; CFI = 0.95, NFI = 0.88, TLI = 0.93, PNFI = 0.74) and accounted for 63.87% of the total variance explained. All items were loaded into the same domain as the original questionnaire. The final questionnaire recorded excellent internal consistency estimates of 0.92 and 0.95 in Study 1 and Study 2, respectively. Both the strengths-knowledge subconstruct and the strengths-use subconstruct of the Malay SBP-Q-PV also scored good Cronbach’s α estimates (α ≥ 0.80) in Study 1 and Study 2. The convergent validity evaluated via the Parenting Authority Questionnaire and discriminant validity evaluated via the Satisfaction with Life Scale demonstrated moderately positive correlations (r > 0.30). This initial study shows that the 14-item Malay SBP-Q-PV yielded two factors and demonstrated acceptable reliability values among Malay-speaking parents. However, additional research is required to validate the questionnaire further.

Feasibility study to improve oral health in older adult patients using visiting nursing services: A pilot study.

Among older adults in Japan, those requiring long-term care who use visiting nursing services have particularly poor oral health. Given the importance of oral health, this study aims to evaluate the feasibility of oral health improvement interventions for such older adult patients using visiting nursing services. This study was a single-arm pilot study. The participants were those who provide oral care to older adults who use visiting nursing services, whether the patients themselves or their family members. Participants implemented oral care appropriate to the patient's oral environment at least once a day for four weeks. Feasibility assessment consisted of the recruitment, completion, and compliance rates. Changes in the oral environment were measured using the Oral Health Assessment Tool-Japanese (OHAT-J), and changes in scores were assessed over the study period. The study was conducted across three visiting nursing stations, with 52 participants (a recruitment rate of 73.2%). Of these, 42 participants completed the final questionnaire (a completion rate of 80.8%). The compliance rate was 64.3%. The mean OHAT-J score was 4.5 (SD 2.3) pre-intervention, 3.7 (SD 2.0) at one week post-intervention, and 3.6 (SD 2.2) at four weeks post-intervention (p < 0.001), indicating a significant positive trend. The feasibility of this intervention was generally satisfactory, and the results showed that the oral environment was improved. Future studies with a larger scale and higher level of evidence should be conducted to evaluate the effectiveness of the intervention.

Development of a questionnaire to measure patient-relevant needs and benefits in the treatment of epilepsy (PBI-Epilepsy)

ObjectiveTherapeutic goals in epilepsy treatment may be highly individual. The aim of the present study was to develop a questionnaire assessing patients’ needs and benefits of epilepsy treatment, the Patient Benefit Index on Epilepsy (PBI-Epilepsy). MethodsWe recruited adult patients during their stay at a university based epilepsy centre. Patients completed a survey asking about their burden and treatment goals. Data were categorised using qualitative content analysis. The final category system was discussed in an expert panel. The questionnaire was pre-tested using cognitive debriefing and adapted until no changes were required anymore. ResultsIn the open survey, 25 people with epilepsy participated (60.0 % female, 33.2 years, 1–55 years epilepsy). The final category system included nine main categories (namely psyche, working life, seizures, therapy, leisure activities, social relationships, mobility, body, everyday life activities). From this, the expert panel developed a first draft of the PBI-Epilepsy. The questionnaire went through five rounds of cognitive debriefing with 29 patients (51.7 % female, 34.6 years, 2–37 years epilepsy). We decided to develop two versions of the questionnaire depending on the patient’s treatment (medical or surgical). A bipolar response scale was used in the part asking about treatment benefits, as epilepsy treatment can lead to both improvement and deterioration. The final questionnaire consists of two parts (patient needs and treatment benefits) each encompassing 21 items. ConclusionWe aimed to reflect the wide range of issues that are relevant for people with epilepsy while developing a questionnaire that is short and easy for patients to understand.

Developing and validating a knowledge, attitude, and practice questionnaire regarding dengue among secondary schoolchildren in Malaysia

IntroductionDengue is a viral disease borne by mosquitoes that infects humans that is a significant public health concern and socio-economic burden globally, especially in countries in the tropics and subtropics. Health education and community participation are the most powerful prevention strategies. Assessing local community knowledge, attitude, and practice (KAP) on dengue is essential for targeted interventions, as enhancing KAP helps communities recognize risks, adopt preventive attitudes, and implement effective measures to reduce dengue transmission. This study developed and validated a questionnaire on dengue KAP among secondary schoolchildren. Questionnaires serve as essential tools in research, allowing for standardized measurement of knowledge, attitudes, and practices, which supports accurate data collection and meaningful analysis.MethodsThe development and evaluation process (structure and content) involved consultations with eight experts including public health medicine specialists, medical officers, behavioural insights officer, academician, and entomologist, to ensure the relevance and comprehensiveness of the questionnaires. A QDengue-KAP questionnaire was administered to 30 secondary schoolchildren in Kuala Lumpur, Malaysia. The online questionnaire was self-administered, closed-ended, distributed anonymously, and participation was voluntary.ResultsThe final questionnaire comprised four sections and 50 items after the initial version had undergone a rigorous evaluation to ensure its reliability and validity. The content validity index (CVI) and content validity ratio (CVR) values exceeded the minimum requirement and indicated that all items met the minimum standards for content validity. Compared to the initial version, the final version of the questionnaire had improved Cronbach alpha values for each dengue KAP domain: knowledge [Cronbach’s alpha: 0.765 (items: 15)], attitude [0.894 (15)], practice Part A [0.735 (15)], and practice Part B [0.876 (5)]. Thus, each statement in the Knowledge (K), Attitude (A), and Practice (P) domains was deemed valid through validity and reliability evaluation, ensuring their relevance and accuracy in assessing dengue-related factors.ConclusionThe validation process demonstrated that each statement in the KAP domains was relevant, accurate, and aligned with the study's objectives, supported by expert validation and representation of the target population. This rigorous approach strengthens the validity and reliability of the questionnaire, making it a valid tool for assessing and improving dengue-related behaviours within the target population.

Measuring Technology-Facilitated Sexual Violence and Abuse in the Chinese Context: Development Study and Content Validity Analysis.

Technology-facilitated sexual violence and abuse (TFSVA) encompasses a range of behaviors where digital technologies are used to enable both virtual and in-person sexual violence. Given that TFSVA is an emerging and continually evolving form of sexual abuse, it has been challenging to establish a universally accepted definition or to develop standardized measures for its assessment. This study aimed to address the significant gap in research on TFSVA within the Chinese context. Specifically, it sought to develop a TFSVA measurement tool with robust content validity, tailored for use in subsequent epidemiological studies within the Chinese context. The first step in developing the measurement approach for TFSVA victimization and perpetration was to conduct a thorough literature review of existing empirical research on TFSVA and relevant measurement tools. After the initial generation of items, all the items were reviewed by an expert panel to assess the face validity. The measurement items were further reviewed by potential research participants, who were recruited through snowball sampling via online platforms. The assessment results were quantified by computing the content validity index (CVI). The participants were asked to rate each scale item in terms of its relevance, appropriateness, and clarity regarding the topic. The questionnaire was reviewed by 24 lay experts, with a mean age of 27.96 years. They represented different genders and sexual orientations. The final questionnaire contained a total of 89 items. Three key domains were identified to construct the questionnaire, which included image-based sexual abuse, nonimage-based TFSVA, and online-initiated physical sexual violence. The overall scale CVI values of relevance, appropriateness, and clarity for the scale were 0.90, 0.96, and 0.97, respectively, which indicated high content validity for all the instrument items. To ensure the measurement accurately reflects the experiences of diverse demographic groups, the content validity was further analyzed by gender and sexual orientation. This analysis revealed variations in item validity among participants from different genders and sexual orientations. For instance, heterosexual male respondents showed a particularly low CVI for relevance of 0.20 in the items related to nudity, including "male's chest/nipples are visible" and "the person is sexually suggestive." This underscored the importance of an inclusive approach when developing a measurement for TFSVA. This study greatly advances the assessment of TFSVA by examining the content validity of our newly developed measurement. The findings revealed that our measurement tool demonstrated adequate content validity, thereby providing a strong foundation for assessing TFSVA within the Chinese context. Implementing this tool is anticipated to enhance our understanding of TFSVA and aid in the development of effective interventions to combat this form of abuse.

Assessment of the public perception of the hospital pharmacist and their satisfaction level with the pharmacy services provided in a developing country: a cross-sectional survey in Malaysia.

To assess the public perception of the role of hospital pharmacists, their satisfaction with the pharmacy service provided, and the factors associated with their perception and satisfaction. A cross-sectional, questionnaire survey was conducted on adults older than 18 years who utilized public pharmacy services. A self-developed, validated questionnaire consisting of three parts was used, i.e., demographic data, perception, and satisfaction. The questionnaire was tested in a pilot study of 50 study participants and demonstrated good reliability results of 0.900 for the perception section and 0.836 for the satisfaction section. Therefore, all items were used in the final questionnaire. Four hundred and seventy-nine completed questionnaires were collected with a response rate of 91.6%. The Cronbach's α for perception and satisfaction scores were 0.938 and 0.841, respectively. The median total score for public perception was 83 (interquartile range [IQR]: 15), whereas the median total score for public satisfaction was 38 (IQR: 33). The level of public perception was significantly associated with the age groups (P = .009), ethnic groups (P < .001), respondents' locality groups (P < .001), the level of education achieved group (P = .017), and the income groups (P = .006). Satisfaction was not significantly associated with any sociodemographic factors. This study has found that the general public had a favorable perception of the role of hospital pharmacists, and they were generally satisfied with the pharmacy service provided.

Examining preventive occupational health and safety management in the Swedish welfare sector-questionnaire development, its validity and reliability, and initial findings on employers' knowledge.

A preventive approach to occupational health and safety management (OHSM) can improve working conditions, but more knowledge is needed on how this should be organised in practice. Here, we describe the development, validity and reliability of a questionnaire used to examine employers' preventive OHSM within the Swedish welfare sector. Furthermore, employers' knowledge of preventive OHSM was explored using the survey data. A questionnaire was developed based on interviews with key actors (n = 7), experts (n = 6) and intended respondents (n = 5). Using the final questionnaire, 197 responses were collected from employer (n = 126) and employee representatives (n = 71) and used to assess the validity and reliability of the questionnaire. Qualitative and quantitative analyses of open-ended and multi-choice items were used to assess the response distribution, content validity and interrater reliability (i.e. employer-employee correspondence from 32 matched pairs from the same workplace). Quantitative and qualitative analyses of survey responses from employer representatives were performed to assess their knowledge of preventive OHSM. The final questionnaire included 91 items covering employers' working routines, resources and work environment economics. Qualitative analyses indicated a high content validity in the questionnaire, with a satisfactory response distribution and very small proportion of missing data on individual survey items. Overall, the interrater reliability was high (>60%), but the employer representatives generally gave more examples within different areas of the OHSM compared to the employee representatives. Most of the employer representatives (74%, n = 90) assessed that their organisation had sufficient knowledge regarding preventive OHSM but that the knowledge of work environment economics was lower. By combining work environment research with questionnaire design research, high validity and reliability was achieved for this questionnaire. Furthermore, the employers generally perceived that they have high knowledge of preventive OHSM but that more knowledge is needed on work environment economics.

Measurement of disease-related knowledge of patients with axial spondyloarthritis-Development and application of the G-ASKQ7 questionnaire

Patient education is an integral component of the treatment of axial spondyloarthritis (axSpA). However, the validated tools currently available for assessing disease-related knowledge are outdated and, in the case of axSpA, only available in English. The aims of this work were therefore (1) to develop a German-language tool for assessing disease-specific knowledge among axSpA patients and (2) to assess this tool in a pilot study. Available axSpA-specific tools were assessed by a panel of experts and a draft of the current G‑ASKQ7 questionnaire was agreed upon. After evaluation of face validity and subsequent adaptation, consecutive adult axSpA patients of a university hospital (Universitätsklinikum Erlangen) outpatient rheumatology department were asked to complete the questionnaire. Correlation between the patients' overall scores and other collected parameters (age, sex, and disease duration) were investigated. Patients rated the developed G‑ASKQ7 questionnaire comprising seven questions as easy to understand and completed it within an average of 6.3 ± 2.0 min. The final questionnaire was completed by 65 axSpA patients (36 women; mean age 45.3 ± 12.4 years; mean disease duration 8.6 ± 7.3 years). The average G‑AKSQ7 score was 17.8/25, with significantly higher scores among women (19.0/25) than men (16.3/25; p ≤ 0.05). The question most often answered correctly (79.3 %) was question 7 concerning disease self-management, whereas question 4 on measurement of disease activity received the most incorrect answers (55.8 %). No significant correlation between disease duration (p = 0.57; Pearson's correlation coefficient, r = 0.07) or age (p = 0.67; r = -0.05) and disease-specific knowledge was found. The G‑ASKQ7 represents the first German-language instrument for measuring disease-specific knowledge among axSpA patients. Routine application of this questionnaire would enable low-threshold assessment of an individual patient's knowledge requirements and thus provision of appropriate educational information. Continuous updates and further evaluation studies are required.

Translation and cultural adaptation of the Long Coronavirus Disease (COVID) Symptom and Impact Tools for the Chilean population.

The Long Coronavirus Disease (COVID) Symptom and Impact Tools (ST and IT) were published in English in 2022 to monitor the symptoms and impact of persistent COVID-19. ST includes 53 symptoms selected by the patient. IT includes six aspects of life that the patient must rate from 1 to 10 points. We aim to report the results of the cultural adaptation of both instruments for the Chilean population, together with the content validity of the adapted instrument. The cultural adaptation was carried out in five steps: 1) translation from English to Spanish, 2) synthesis, 3) back-translation, 4) review by the editorial board, and 5) testing the questionnaire with ten patients; they answered both questionnaires and seven questions assessing their understanding of the TI and their opinion on whether the instrument reflected the impact of prolonged COVID-19 on their lives. The content validity of the final version of the IT was assessed by 14 experts. The main outcome is the two final questionnaires adapted for use in Chile. Most patients responded with the best concept or approval for all items. Content validity showed acceptable results, with an average content validity index of 0.9 and Aiken's V for the relevance of the questionnaire in general of 0.83 (95% CI 0.69 to 0.92). For one item, Aiken's V was less than 0.7 (95% CI 0.5 to 0.8). This study provides Chilean health authorities and health providers with an instrument for assessing the impact of prolonged COVID-19 on core aspects of people's lives.

Design and psychometrics of a tool for measuring social cognitive factors related to the preventive behaviors toward Covid-19 in the society

With the emergence of new strains of Covid-19, the adoption of preventive behaviors is still considered a requirement to control this disease. Therefore, considering the importance of social cognitive factors in adopting various types of preventive behaviors, the present study was conducted to design and psychometrically measure the social cognitive factors related to Covid-19 preventive behaviors. A cross-sectional study was conducted on 526 people ages 18 and over with multi-stage stratified, cluster and random sampling in Isfahan, Iran in 2022. The questionnaire was validated and formulated in three stages: designing, creating and reducing items. After collecting information and creating a bank of items, qualitative and quantitative methods were used to calculate the tool’s validity. Data analysis was done in SPSS23 software at a significance level of less than 0.05. In the present study, the average age score of the participants was 39.16 ± 11.48. The results related to the construct validity in the exploratory part show that the five factors (Outcome expectations, self-efficacy, social support, self-regulation and barrier self-efficacy) obtained have a specific value higher than one and range from 1.376 to 9.343. Correlation between factors shows that all factors have a relatively high relationship with each other (P < 0.05). According to the exploratory factor analysis, the final questionnaire contains 29 items and 5 constructs from socio-cognitive theory. The results showed that the thematically and technically designed tool has been prepared in an appropriate way for each of the structures and can accurately measure the structures of outcome expectations, self-efficacy, social support, self-regulation and barrier self-efficacy to explain the preventive behaviors of Covid-19 to evaluate.

Snake phobia among the general population of Tamil Nadu, India.

A specific phobia is an anxiety disorder that is characterised by persistent and excessive fear in the presence of the object of the phobia. Animal phobias are the most prevalent forms of specific phobia among humans. Fear of snakes (snake phobia) is present in non-human primates which suggests its evolutionary origins as the ability to detect the threat of snakes was critical for survival. Snake phobia is a critical factor in protecting snakes and mitigating snakebite burden. To date, only one standardised psychometric test [the Snake Questionnaire (SNAQ) developed in 1974] has been used to quantify snake phobia although this was not performed in snakebite-endemic countries. In this study, we aimed to determine snake phobia in India, where snakebites and resulting deaths, disabilities and socioeconomic impacts are high. A modified version of the SNAQ (i.e. SNAQ12), which has previously demonstrated internal consistency, excellent reliability, and good discrimination between phobics and non-phobics in Europe was used in this study. SNAQ12 was developed both in English and Tamil and validated by testing on several individuals. Then, the final questionnaire was disseminated to members of the public through various methods including social media and in person through academic and clinical organisations. We received a total of 2032 responses, comprising 1086 [53.4%] males and 946 [46.6%] females, and these data were analysed to determine various aspects of snake phobia in the study population. The results demonstrated good internal consistency in using SNAQ12 to determine the phobia amongst the tested population. The data suggests that males are more snake-phobic in all age groups than females in India, in contrast to previous research that suggested that females are usually more snake-phobic. No other critical factors contribute to snake phobia in this study population. The use of the SNAQ12 allowed us to easily discriminate between individuals with phobia and non-clinical controls. This tool can be used as part of the One Health approach to better understand the relationships between snake phobia and snakebites and their impact on the mental health and well-being of vulnerable populations.

Development and validation of a Knowledge, Attitudes and Practices (KAP) questionnaire for healthcare professionals on environmental sustainability in healthcare in Southern Africa

Background Global environmental degradation is increasingly driving poor health outcomes worldwide. Healthcare systems and services are often not environmentally sustainable and compound the problem, while healthcare professionals are also recognised as key leaders in advancing sustainable healthcare. To adopt this leadership position, healthcare professionals’ knowledge, attitudes, and practices regarding environmental sustainability in healthcare must be established. This article reports the development and validation of a new instrument for this purpose that corresponds to the specificities of the Southern African context. Methods Questionnaire development followed a seven-stage process. Information was obtained from a 2021 study titled ‘South African Healthcare Professionals’ Knowledge, Attitudes, and Practices Regarding Environmental Sustainability in Healthcare: A Mixed-Methods Study’ to develop the instrument. Information was also sourced from the literature regarding environmental sustainability and healthcare to generate the first questionnaire with 29 items. The following stages included two rounds of expert input, separated by a pilot study with the target population to receive feedback regarding the instrument’s structure, relevance, and length. Content validity was determined through statistical analysis. Results Feedback was received from nine experts in stage two and 13 pilot-study participants in stage four and incorporated to improve the questionnaire. In stage six, the questionnaire was rated by seven experts. The content validity index of the questionnaire was calculated at two different stages, after which the indices were compared. Following a final edit, the questionnaire has 24 questionnaire items. The closing analysis calculated the scale content validity index average (S-CVI/Ave) of 0,922; this indicates that the final questionnaire has excellent content validity. Conclusion A questionnaire that assesses the knowledge, attitudes and practices of healthcare professionals regarding environmental sustainability in Southern Africa has been developed and validated. This questionnaire can now be used for further studies in Southern Africa.

Development of a new patient-reported outcome measure for patients with multiple sclerosis: the Multiple Sclerosis Autonomy Scale (MSAS)

BackgroundIn multiple sclerosis (MS), the measure of the loss of autonomy appears to be particularly relevant to provide adapted and personalized responses to improve the quality of care in routine clinical practice. In this context, this research aimed to develop a new patient-reported outcome measure (PROM) evaluating MS patients’ autonomy, in order to provide an easy-to-use tool in the context of the relations between healthcare professionals and patients with MS, and to be used in future clinical trials for treatment assessment. MethodsThis research was conducted in two consecutive stages. First, a preliminary questionnaire was generated using an innovative sociological approach for MS (after literature review, patient interviews, experts’ opinion, and patient focus groups). This questionnaire was then completed by patients with MS, before the reduction of the scale while maintaining relevant information, using a principal component analysis. The internal consistency reliability was assessed using the Cronbach's alpha coefficient. The external validity was evaluated using an analysis of variance to estimate the relation between the reduced questionnaire dimension scores and disease severity classes assessed by the SymptoMScreen questionnaire. ResultsThe first qualitative step of the research led to provide a definition of disease-related autonomy as perceived by patients (to be able to carry out the roles the patient thinks the most important whether or not he/she receives assistance) as well as an associated taxonomy. On this basis, a preliminary questionnaire of 131 items grouped into 13 social dimensions was generated (seven dimensions with 63 questions concerning all the patients, and six dimensions with 68 questions concerning specific patients). This questionnaire was completed on a web platform by 653 analyzable patients with MS. Their main characteristics were as follows: female patients: 83.6 %, mean age at MS diagnosis: 34.8 ± 10.5 years, age ≥40 years at data collection: 68.1 %, MS duration ≥5 years: 68.4 %, severe MS (SymptoMScreen score ≥30): 36.8 %. On the basis on completed 131-item questionnaires, it was reduced in a 36-item short form of 10 social dimensions (five dimensions with 19 questions concerning all the patients, and five dimensions with 17 questions concerning specific patients). The internal consistency of the final questionnaire was good for all the dimensions, as the Cronbach's alpha coefficient ranged from 0.77 to 0.85 depending on dimensions. The construct validity of the questionnaire was also confirmed. ConclusionOur research allowed to build the first PROM designed to evaluate the autonomy of patients suffering from MS: the Multiple Sclerosis Autonomy Scale (MSAS). A confirmatory study, conducted in patients with MS using this validated questionnaire, is currently conducted.

Validity and Reliability of the Persian Translation of the World Health Organization (WHO) Oral Health Self-assessment Questionnaire for Children and Adolescents

Background: Regularly assessing the oral health of children and adolescents is crucial. Researchers seek valid and reliable questionnaires to obtain comparable global data, enabling oral health evaluation in large populations, remote regions, or even during an epidemic like COVID-19, while saving time and money. Objectives: The present study was conducted to translate and validate the Persian version of the World Health Organization (WHO) Oral Health Self-assessment Questionnaire for Children and Adolescents. Methods: In 2022, a cross-sectional study was conducted in Kerman, Iran. The Persian questionnaire was tested on 20 individuals to assess the fluency and clarity of the Persian translation. The questionnaire was then filled out by 40 individuals, and reliability was evaluated using the test-retest method. The final questionnaire was completed by 878 randomly selected participants aged 7 - 18 years online. To establish concurrent validity, the researchers added three questions related to the presence of toothache without dental visits, filled teeth, and teeth with endodontic treatment. Internal consistency was checked by calculating Cronbach's alpha coefficient. Results: A total of 290 students aged 7 to 12 and 588 students aged 13 to 18 participated in the study. Cronbach’s alpha for the entire questionnaire was 0.656 for students under 12 years old and 0.643 for those over 12 years old. The intra-cluster correlation coefficient for both age groups was between 0.81 and 0.87. Examining the concurrent validity of this questionnaire showed that the three additional questions added by the researchers have a significant relationship with the questions describing the health of teeth and gums (oral health), the number of times participants felt toothache in the last 12 months, and the problem of biting and chewing. However, they had no significant relationship with the risk factor related to nutrition. Moreover, the questionnaire is multifactorial. Conclusions: The Persian version of the WHO Oral Health Self-assessment Questionnaire for Children and Adolescents is reliable over time. If the questionnaire is repeated and the responses of people in the same population are collected, it yields similar results. It has internal consistency, but it is a multi-factor questionnaire.

Extracorporeal Shockwave Therapy Is Associated With Similar Functional Outcomes for Male and Female Runners With Patellar or Quadriceps Tendinopathy: A Pilot Investigation

PurposeThe purpose of this study is to characterize functional outcomes in runners with patellar tendinopathy (PT) and quadriceps tendinopathy (QT) following extracorporeal shockwave therapy (ESWT) and explore differences in response by tendinopathy (PT or QT) and by sex (female or male). MethodThis is a retrospective cohort study of runners with PT or QT treated with ESWT (radial or combined) at a single sports medicine clinic during a 5-year period. Individuals were included if they had a primary diagnosis of PT or QT, self-identified as a runner, and had complete baseline and final functional outcome questionnaires for ESWT with treatment duration defined by response based on best practices. Functional outcome at baseline and following treatment were assessed using the Victorian Institute of Sport – Patellar Tendon (VISA-P) questionnaires. Treatment success was defined as meeting minimal clinically important difference (MCID) of ≥13 points. ResultsOf the 19 runners included, 26% identified as female and 74% as male; all runners identified as cisgendered. There were 12 runners with PT (17% female, 83% male) and 7 with QT (43% female, 57% male). Median follow-up was 3.0 months (range: 1.0-23.0, IQR: 3.0, 6.0). Of all runners, 67% with PT and 71% with QT achieved MCID with no significant difference between tendinopathy groups (p= 0.90). There was also no difference in the percentage that achieved MCID between sexes, with 80% females and 64% males meeting MCID (p=0.72). ConclusionsSimilar functional outcomes were observed in female and male runners with QT or PT following radial and combined ESWT, with the majority achieving MCID. This study suggests that ESWT, in combination with physical therapy, may be an effective treatment for runners with PT or QT and that ESWT could be considered for PT or QT refractory to physical therapy. Level of EvidenceLevel IV, retrospective case series.

Evaluating both usability and accessibility: the case of access@tour by action – a digital solution for accessible tourism

Aim: Information systems can help improve accessible tourism conditions. During the development of accessible technology, a crucial phase is testing. Notwithstanding, usability testing methodologies often dismiss accessibility. To overcome this gap, this work contributes with an innovative mixed-method testing methodology that integrates accessibility and usability components in technology evaluation. The capabilities of this methodological process are demonstrated through testing the prototype of a mobile solution for accessible tourism – access@tour by action. Methods: Nine experts evaluated the platform and helped correct accessibility failures. Afterward, 78 end-users tested the prototype. The procedure includes a set of tasks to be performed in the prototype and a final questionnaire. This questionnaire was specifically created for accessibility markets and is itself a significant contribution. Results: Testing with experts helped improve the prototype’s accessibility before it reached end-users. The results with end-users are provided in two distinct ways. First, the task performance measures are presented, which showed overall good completion rates. Second, the results obtained from the questionnaires are disclosed. Overall, the platform was considered relevant, accessible, and easy to use. Still, some minor flaws were identified regarding interface connectivity, symbology, and reading sequence. Thus, improvements are suggested based on obtained feedback. Conclusion: The testing procedure was essential to gather input from a user point of view, ensuring the final version of the access@tour by action is accessible and, therefore, “usable”. This allowed for validating the methodological method, significantly contributing to future research on evaluating technology accessibility.

Assessment of Health Science Students' Knowledge of Ocular Chemical Injuries and Proper Immediate Action: A Cross-Sectional Study at King Khalid University.

Introduction Chemical injuries are considered to be one of the true ocular emergencies that require years of visual rehabilitation in addition to immediate medical intervention to maintain eyesight. Thus, it is imperative that medical professionals and the general public are both aware of the damage and how to treat it. Objective The current study's objectives were to determine what influences students' understanding of ocular first aid in trauma scenarios and to evaluate the degree of knowledge among health university students at King Khalid University. Methodology Between April 25, 2024, and June 25, 2024, King Khalid University of Saudi Arabia hosted a descriptive cross-sectional study aimed at medical students. Following a thorough examination of the literature and consultation with an expert, the study researchers created an online questionnaire to gather the data. Students' academic and demographic information, their source of information, and their understanding of ocular chemical damage were all included in the final questionnaire. Using social media sites, the completed questionnaire was posted online until no further responses could be found. Results A total of 358 health science students completed the study survey; their ages ranged from 18 to 30 years, with a mean age of 23.5±2.4 years. A total of 55 (15.4%) students were in their pre-clinical years, 199 (55.6%) were in their clinical years, and 104 (29.1%) were medical interns. A total of 152 (42.5%) students had an overall good knowledge of ocular chemical injuries, while most of them (57.5%; 206) had an overall poor knowledge level. As for students' sources of information, the most reported were their study curricula (46.9%), internet (22.4%), doctors (11.8%), family (9.8%), and friends (8.7%), while 1.2% had no specific source. Males and being in the clinical years were significantly associated with high knowledge (p<0.05). Conclusion According to the study, male students in clinical study years had the greatest level of understanding regarding eye chemical injury and related first aid, while health science students had the least amount of information overall.

Development and validation of a knowledge, attitude, and practice questionnaire regarding exercise and exergames for obese patients with gout

The Knowledge-Attitude-Practice (KAP) Questionnaire could help investigate whether there are misconceptions, positive attitudes, and adequate practice in people with gout about exercise and exergames. The study aims to develop and validate the KAP questionnaire regarding exercise and exergames for obese patients with gout to understand gout ‘patients’ awareness level of exercise and perception of exergames. The development and validation of the questionnaire involved two phases: (1) development of the instrument and (2) judgment of the instrument through calculating the content validity by the expert panel and using SPSS version 28 to examine the test-retest reliability, internal consistency, and structural validity of the instrument. After the first phase of instrument development, an initial questionnaire consisting of six parts with 35 items was identified. After the content validation of the second phase, 11 items with a content validity ratio (CVR) value below 0.99 were eliminated, 3 items were rephrased, 2 items that mixed two statements were divided, and 15 items were added based on the original instrument. In addition, in the factor analysis, five items within the knowledge domain with factor loadings below 0.4 were removed. The final questionnaire was examined and demonstrated acceptable content validity, test-retest reliability, internal consistency, and construct validity.

Dietary counseling plus omega-3 supplementation in the treatment of generalized anxiety disorder: results of a randomized wait-list controlled pilot trial (the ‘EASe-GAD Trial’)

ABSTRACT Objectives Clinical evidence suggests that nutrition interventions can significantly improve symptoms of major depressive disorder; however, the effect on clinical anxiety symptoms in individuals with anxiety disorders has not been studied. The primary objective of the present study was to assess the feasibility and acceptability of a nutrition intervention. The secondary objectives included assessing changes in anxiety symptom severity, diet quality, self-efficacy, mindful eating, quality of life, and biomarkers. Methods This study was a randomized, wait-list controlled pilot trial delivering a 12-week, biweekly dietary counseling intervention and omega-3 supplementation to 50 adult women with generalized anxiety disorder. Questionnaires and blood work were completed at baseline, after the waiting period, and after the intervention. Results 443 individuals expressed interest within eight months; 50 met the criteria for enrollment. The mean number of sessions attended was 6.4. Final questionnaires were completed by 46 participants. Eighty-four percent of participants strongly agreed with the statement ‘My experience during this study was positive’. The mean anxiety symptom severity score in the intervention group was 26.2 (95% CI 22.94–29.48) at baseline and 11.0 (95% CI 8.05–13.87) at week 12. The mean diet quality score was 7.2 (95% CI 6.32–8.10) and 10.5 (95% CI 9.55–11.49) at baseline and week 12, respectively. Among the waitlist participants, the mean baseline anxiety score was 29.3 (95% CI 24.73–33.91) and 26.8 (95% CI 22.09–31.56) at week 12. Discussion This study was feasible and acceptable. Participation in the intervention was associated with a decrease in anxiety symptoms. These findings lay the foundation for large-scale studies. Trial registration: ClinicalTrials.gov NCT05573672.