Li Lusha, Zhang Junlu, Qiao Qiaohua, Wu Lihong, Chen Liying
Department of General Practice, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China.
Evid Based Complement Alternat Med. 2020 Oct 21;2020:8527320. doi: 10.1155/2020/8527320. eCollection 2020.
To develop a "knowledge-attitude-practice" questionnaire as an evaluating tool of foreigners' cognition on TCM treatment, so as to promote the internationalization of TCM.
The questionnaire was based on the "knowledge-attitude-practice" model and adjusted by expert consultation using the Delphi method. After conducting a survey among foreigners, Cronbach's and exploratory factor analysis were used to test the internal consistency reliability and structural validity of the questionnaire, respectively.
A total of 10 experts participated in two rounds of expert consultation. The recovery rates of two rounds of expert consultation form were 100.0%. The coefficient authority in two rounds of expert consultation was 0.87 and 0.88, respectively. The concentration of expert opinions in the knowledge, attitude, and practice dimensions was 3.80 to 4.70 points, 3.70 to 4.50 points, and 3.60 to 4.40 points, respectively, in the first round and 4.30 to 4.80 points, 4.10 to 4.60 points, and 4.00 to 4.50 points, respectively, in the second round. The coefficient of variation in the knowledge, attitude, and practice dimensions was 0.10-0.32, 0.16-0.29, and 0.19-0.35, respectively, in the first round and 0.09-0.19, 0.15-0.25, and 0.16-0.31, respectively, in the second round. The value and significance test in the first round were 0.657 and 218.620 while those in the second round were 0.671 and 181.181( < 0.001). 8 items were deleted and 1 item was added, and other reserved items were modified according to the statistical analysis results of evaluation items and expert suggestions after the first round and there were no changes after the second round. The revised questionnaire includes three dimensions of knowledge, attitude, and practice, with a total of 30 items. After translating the questionnaire into English, it was conducted in 176 foreigners. Cronbach's coefficient of the total questionnaire, knowledge dimension, attitude dimension, and practice dimension was 0.908, 0.781, 0.823, and 0.918, respectively. Exploratory factor analysis extracted 3 factors with a cumulative contribution of 54.090%. After testing reliability and validity, 1 item was deleted, leaving 29 items.
After two rounds of expert consultation based on the Delphi method, the results of expert authority, expert coordination, and expert opinions' concentration were promising, and the expert consultation results were reliable. The "knowledge-attitude-practice" questionnaire of foreigners on TCM treatment in English had good reliability and validity and can evaluate foreigners' cognition on TCM treatment.
编制一份“知信行”问卷作为评估外国人对中医治疗认知的工具，以推动中医国际化。
该问卷基于“知信行”模式，采用德尔菲法经专家咨询进行调整。在对外国人进行调查后，分别采用克朗巴哈系数和探索性因子分析来检验问卷的内部一致性信度和结构效度。
共有10名专家参与两轮专家咨询。两轮专家咨询表回收率均为100.0%。两轮专家咨询的权威系数分别为0.87和0.88。第一轮专家意见在知识、态度和行为维度的集中程度分别为3.80～4.70分、3.70～4.50分、3.60～4.40分，第二轮分别为4.30～4.80分、4.10～4.60分、4.00～4.50分。第一轮知识、态度和行为维度的变异系数分别为0.10～0.32、0.16～0.29、0.19～0.35，第二轮分别为0.09～0.19、0.15～0.25、0.16～0.31。第一轮的 值和显著性检验 值分别为0.657和218.620，第二轮分别为0.671和181.181（<0.001）。第一轮根据评估项目的统计分析结果和专家建议删除8项、增加1项，其他保留项目进行修改，第二轮无变化。修订后的问卷包括知识、态度和行为三个维度，共30项。将问卷翻译成英文后对176名外国人进行调查。问卷总量表、知识维度、态度维度和行为维度的克朗巴哈系数分别为0.908、0.781、0.823和0.918。探索性因子分析提取出3个因子，累积贡献率为54.090%。经信效度检验后删除1项，保留29项。
基于德尔菲法进行两轮专家咨询，专家权威、专家协调及专家意见集中程度结果良好，专家咨询结果可靠。英文版外国人中医治疗“知信行”问卷具有良好的信效度，可用于评估外国人对中医治疗的认知。
