Department of Preventive Medicine, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain.
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBER-ESP), 28029 Madrid, Spain.
Int J Environ Res Public Health. 2021 Oct 23;18(21):11144. doi: 10.3390/ijerph182111144.
Tranquilizer misuse is an emerging international public health concern. The psychosocial determinants of this misuse remain understudied. Instruments to measure the Knowledge, Attitudes and Practices (KAP) of tranquilizer misuse are unavailable, except for a recently published questionnaire validated in the Spanish language. We translated the KAP questionnaire into Arabic and French, adapted it and undertook a complete validation procedure in the general adult population in Lebanon. The content validity indicators were good: item content validity index ranged between 0.89 and 1.00, the content validity index scale average was ≥0.95 and the modified Kappa statistic for each of the KAP items was equal to I-CVI. The intra-class correlation coefficient values ( = 100) were ≥0.62 for all Knowledge and Attitudes items, demonstrating the item reliability. Confirmatory factorial analysis ( = 1450) showed that the selected model of Knowledge and Attitude constructs has adequate fit indicators and encompassed three factors that showed acceptable internal reliability: Knowledge (Cronbach's alpha = 0.72), personal Attitudes towards tranquilizers (Cronbach's alpha = 0.79) and Attitudes towards healthcare providers (Cronbach's alpha = 0.65). The Arabic/French questionnaire was highly accepted, with a response rate of 95.72% and item non-response rate ≤3.6%. The availability of a cross-cultural adapted and multilingual validated questionnaire would stimulate research on tranquilizer misuse.
镇静剂滥用是一个新出现的国际公共卫生问题。这种滥用的社会心理决定因素仍研究不足。除了最近在西班牙文发表的一份经过验证的问卷外，目前还没有用于测量镇静剂滥用的知识、态度和实践（KAP）的工具。我们将 KAP 问卷翻译成阿拉伯语和法语，对其进行了改编，并在黎巴嫩的普通成年人群中进行了全面的验证程序。内容效度指标良好：项目内容效度指数在 0.89 到 1.00 之间，内容效度指数量表平均值≥0.95，每个 KAP 项目的修正 Kappa 统计量等于 I-CVI。所有知识和态度项目的组内相关系数值（= 100）均≥0.62，表明项目可靠性。验证性因子分析（= 1450）表明，所选择的知识和态度结构模型具有适当的拟合指标，并包含三个具有可接受内部可靠性的因素：知识（克朗巴赫的 alpha = 0.72）、个人对镇静剂的态度（克朗巴赫的 alpha = 0.79）和对医疗保健提供者的态度（克朗巴赫的 alpha = 0.65）。阿拉伯语/法语问卷得到了高度认可，回复率为 95.72%，项目无应答率≤3.6%。跨文化适应和多语言验证问卷的可用性将促进镇静剂滥用的研究。
