Pitaloka Dian Ayu Eka, Yuda Kusuma Ikhwan, Insyirah Ariani, Oktariani Anisa Nabilah, Pratiwi Hening, Majida Alfarafisa Nayla
Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang, 45363, Indonesia.
Center of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjadjaran, Sumedang, 45363, Indonesia.
Infect Drug Resist. 2023 Sep 12;16:6111-6120. doi: 10.2147/IDR.S426313. eCollection 2023.
This study aimed to develop and validate a questionnaire to measure the knowledge, attitude, and practice of parents regarding antibiotic use in Indonesian children using structural equation modeling (SEM) analysis.
The instrument development process was conducted from January 5 to 19, 2023, using the following steps: 1) literature review and item development, 2) internal review and refinement, 3) structural model analysis, and 4) measurement models' reliability and validity. A convenience sample was used to recruit parents as participants from Arcamanik District, Bandung, Indonesia. A total of 83 respondents completed the on-site interview questionnaire. Furthermore, statistical analyses were performed using SPSS Version 21.0 and Analysis of Moment Structures (AMOS) Version 26.0.
The content validity for the scales was over 50%, and the reliabilities for the 38 items of the questionnaire were above 0.6, respectively. The suitability of the model was assessed, and the findings showed parameters for indicators: chi-square = 0.0004, CFI = 0.977, RMSEA = 0.044, CMIN/DF = 1.162, AGFI = 0.651, TLI = 0.973, and NFI = 0.860. The GFI parameter did not fit with the output value of 0.718, while the convergent and divergent validity of scores provided evidence in the expected direction.
This psychometric development study provides preliminary evidence that the 38-item scales were reliable and valid for assessing knowledge, attitude, and practice toward parents in the self-medication of antibiotics in children.
本研究旨在开发并验证一份问卷，以通过结构方程模型（SEM）分析来衡量印度尼西亚儿童家长在抗生素使用方面的知识、态度和行为。
仪器开发过程于2023年1月5日至19日进行，采用以下步骤：1）文献综述与项目开发；2）内部评审与完善；3）结构模型分析；4）测量模型的信度和效度。采用便利抽样法从印度尼西亚万隆市阿尔卡马尼区招募家长作为参与者。共有83名受访者完成了现场访谈问卷。此外，使用SPSS 21.0版和矩结构分析（AMOS）26.0版进行统计分析。
各量表的内容效度超过50%，问卷38个条目的信度分别高于0.6。对模型的适用性进行了评估，结果显示指标参数为：卡方=0.0004，CFI=0.977，RMSEA=0.044，CMIN/DF=1.162，AGFI=0.651，TLI=0.973，NFI=0.860。GFI参数与输出值0.718不匹配，而分数的收敛效度和区分效度在预期方向上提供了证据。
这项心理测量学发展研究提供了初步证据，表明这份包含38个条目的量表在评估家长对儿童抗生素自我用药的知识、态度和行为方面是可靠且有效的。
