Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Hunan Provincial Key Laboratory of Clinical Epidemiology, Changsha, China.
J Eval Clin Pract. 2024 Oct;30(7):1182-1195. doi: 10.1111/jep.14029. Epub 2024 May 27.
Medical students are demanders and future suppliers of antibiotic use. Understanding their knowledge, attitude and practice is important for appropriately using antibiotics and controlling antibiotic resistance. The objective of this study was to assess the measurement properties of existed instruments and summarize measurement items and results.
Five English and Chinese databases were searched to comprehensively identify related studies between January 2000 and May 2023. Included instruments were assessed using consensus-based standards for the selection of health measurement instruments checklist. Descriptive tables and narrative texts were applied to summary the data.
Of 3524 studies identified, 25 were finally included, from which 22 measurement instruments were included. Of these, 14 instruments were found with adequate content validity, only one study reported structural validation process and two studies reported reliability test results. Similar items were divided into different dimensions in different studies. Gaps and misconceptions in knowledge and attitude were indicated in antibiotic use principles, including antibiotic use indications and selection.
Limitations existed in the current measurement instrument including lacking validation, inconsistent classification of item and lacking item regarding the perspective of suppliers. Scientific tools for objective and accurate measure are needed.
医学生是抗生素使用的需求者和未来的供应者。了解他们的知识、态度和实践对于合理使用抗生素和控制抗生素耐药性至关重要。本研究旨在评估现有工具的测量特性，并总结测量项目和结果。
检索了五个英文和中文数据库，以全面识别 2000 年 1 月至 2023 年 5 月期间的相关研究。使用健康测量工具选择共识标准检查表评估纳入的工具。应用描述性表格和叙述性文本对数据进行总结。
在 3524 项研究中，最终纳入了 25 项研究，其中包括 22 种测量工具。其中，14 种工具具有足够的内容效度，只有一项研究报告了结构验证过程，两项研究报告了可靠性测试结果。在不同研究中，相似的项目被分为不同的维度。在抗生素使用原则方面，包括抗生素使用指征和选择，表明了知识和态度方面的差距和误解。
目前的测量工具存在一些局限性，包括缺乏验证、项目分类不一致以及缺乏供应商视角的项目。需要科学的工具来进行客观准确的测量。
