Faculty of Pharmacy, Universitas Hasanuddin, Makassar, Indonesia.
Unit of Global Health, Department of Health Sciences, University of Groningen, University Medical Centre Groningen (UMCG), Ant. Deusinglaan 1, 9713 AV, Groningen, The Netherlands.
Health Qual Life Outcomes. 2022 Apr 2;20(1):55. doi: 10.1186/s12955-022-01963-5.
Despite a global decline in new HIV/AIDS cases in low-middle countries, cases are increasing in Indonesia. Low knowledge about the disease among the general population is one of the major factors responsible for this trend. Indonesia does not have a validated instrument to assess HIV/AIDS knowledge. The HIV Knowledge Questionnaire-18 (HIV-KQ-18) has been translated into several languages and is one of the most extensively used instruments for assessing HIV/AIDS knowledge. This paper describes the process of adapting and validating the HIV-KQ-18, an instrument to assess the level of HIV/AIDS knowledge in the general population of Indonesia.
In the adaptation phase, feedback for the initial Bahasa Indonesia version was gathered from two HIV activists, an obstetrician, two general practitioners, and 60 pilot participants. At the validation stage, we distributed the instrument link via Google Form to 6 major regions in Indonesia. Validity was measured using known-group validity and construct validity. The construct validity was assessed using an exploratory factor analysis (EFA) with a polychoric correlation matrix. Cronbach's alpha was used to analyze the internal consistency.
Based on the findings in the adaptation phase, additional descriptions (namely synonyms or examples) were added to 6 items to make them more understandable. In the validation phase, 1,249 participants were recruited. The a priori hypothesis in known-group validity was supported. We also found three items that did not meet the construct validity. Based on the acceleration factor approach to interpret the scree tree in the factor analysis, using only two factors was preferable. Cronbach's alpha values were 0.75 and 0.71 representing good internal reliability.
The HIV-KQ-18 Bahasa Indonesia is considered a valid and reliable instrument to assess the level of HIV/AIDS knowledge in Indonesia.
尽管中低收入国家的全球新艾滋病病例数量有所下降，但印度尼西亚的病例却在增加。普通民众对该疾病的了解不足是导致这一趋势的主要因素之一。印度尼西亚没有经过验证的工具来评估艾滋病知识。HIV 知识问卷-18（HIV-KQ-18）已被翻译成多种语言，是评估艾滋病知识的最广泛使用的工具之一。本文描述了 HIV-KQ-18 的适应和验证过程，HIV-KQ-18 是一种评估印度尼西亚普通人群艾滋病知识水平的工具。
在适应阶段，从两名艾滋病活动家、一名产科医生、两名全科医生和 60 名试点参与者那里收集了对初始印度尼西亚语版本的反馈。在验证阶段，我们通过 Google 表格向印度尼西亚的 6 个主要地区分发了该工具的链接。使用已知组有效性和结构有效性来衡量有效性。使用探索性因子分析（EFA）和偏相关矩阵评估结构有效性。使用克朗巴赫的 alpha 分析内部一致性。
根据适应阶段的结果，我们为 6 个项目添加了额外的说明（即同义词或示例），以使其更易于理解。在验证阶段，共招募了 1249 名参与者。已知组有效性的先验假设得到支持。我们还发现了三个不符合结构有效性的项目。根据因子分析中 scree 树的加速因子方法，使用两个因子更可取。克朗巴赫的 alpha 值分别为 0.75 和 0.71，代表良好的内部可靠性。
印度尼西亚语版的 HIV-KQ-18 被认为是一种有效且可靠的工具，可用于评估印度尼西亚的艾滋病知识水平。
