马来西亚未使用药物问卷（ReDiUM）的开发与验证
Development and Validation of the Return and Disposal of Unused Medications Questionnaire (ReDiUM) in Malaysia.
作者信息
Sim Si Mui, Lai Pauline Siew Mei, Tan Kit Mun, Lee Hong Gee, Sulaiman Che Zuraini
机构信息
1 Department of Pharmacology, University of Malaya, Kuala Lumpur, Malaysia.
2 Department of Primary Care Medicine, University of Malaya Primary Care Research Group, University of Malaya, Kuala Lumpur, Malaysia.
出版信息
Asia Pac J Public Health. 2018 Nov;30(8):737-749. doi: 10.1177/1010539518811161. Epub 2018 Nov 28.
The aim of our study was to develop and validate the return and disposal of unused medications (ReDiUM), as there are currently no validated tools available (worldwide) to assess this. The ReDiUM was developed by an expert panel. It was then administered to community-dwelling adults, who could understand English, at baseline and 2 weeks later. A total of 338/354 participants agreed to participate (response rate = 95.4%). Flesch reading ease was 60. The overall Cronbach's α was 0.703 (range = 0.609-0.762). At test-retest, κ values ranged from 0.244 to 0.523. Median total knowledge score was 60% (interquartile range = 40% to 70%). The majority of participants (94.4%) knew that improper drug disposal has harmful effects on the environment. However, their knowledge was low (11.2%) regarding the disposal of pressurized metered-dose inhalers in the garbage. The ReDiUM was found to be a valid and reliable instrument to assess the knowledge, attitude, and practice on the ReDiUM in Malaysia.
我们研究的目的是开发并验证未使用药物的回收与处置（ReDiUM）工具，因为目前（全球范围内）尚无经过验证的工具可用于评估这方面情况。ReDiUM由一个专家小组开发。随后，该工具被应用于能理解英语的社区居住成年人，在基线期和两周后分别进行测试。共有338/354名参与者同意参与（应答率 = 95.4%）。弗莱什易读性为60。总体克朗巴哈系数α为0.703（范围 = 0.609 - 0.762）。在重测时，κ值范围为0.244至0.523。知识总分中位数为60%（四分位间距 = 40%至70%）。大多数参与者（94.4%）知道不当的药物处置会对环境产生有害影响。然而，他们对于将压力定量吸入器丢弃在垃圾中的相关知识水平较低（11.2%）。结果发现，ReDiUM是一种有效且可靠的工具，可用于评估马来西亚民众在ReDiUM方面的知识、态度和行为。
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