开发和验证一个结构化问卷，评估印度成年人对瑜伽对牙周健康影响的知识、态度和实践（KAP）。
Development and validation of a structured questionnaire to assess the Knowledge, Attitude and Practice (KAP) regarding the effect of yoga on periodontal health among Indian adults.
机构信息
Manipal College of Dental Sciences, Department of Periodontology, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Public Health Dentistry, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, Kerala, 682041, India.
出版信息
F1000Res. 2024 May 17;12:1404. doi: 10.12688/f1000research.140245.2. eCollection 2023.
BACKGROUND
Periodontal disease is a chronic inflammatory disease of structures surrounding the teeth. Its etiology is multifactorial. The primary etiological factor is the microbial component; the other factors are systemic, behavioral, environmental, and psychological. Conventional management includes routine periodontal therapy involving prophylactic and surgical management. In developing countries like India, complementary medicine and alternative medicines like yoga are gaining popularity for improving systemic health. Hence this pilot study was designed to assess the psychometric properties of a structured questionnaire that can assess knowledge, attitude, and practice (KAP) regarding the impact of yoga on oral and periodontal health in Indian population.
METHODS
The KAP questionnaire was developed (Stage One) using a deductive approach, and a psychometric evaluation of the questionnaire was performed to evaluate it's reliability and validity (Stage Two). Initial content validation and test re-test reliability were assessed using kappa statistics with binary responses. An intraclass correlation coefficient (ICC) was used to assess the questions in the practice and attitude category with categorical variables. Further assessment of psychometric properties of the questionnaire was done using item response theory. The developed questionnaire had four principal sections: demography of participants; knowledge regarding yoga and oral health; attitude towards yoga and oral health; and practice towards implementing yoga for oral health.
RESULTS
The ICC for all the assessed questions was greater than 0.60 suggesting satisfactory stability. Internal consistency measured using Cronbach's alpha for knowledge, attitude, and practice items were reported to be 0.632, 0.923, and 0.591 respectively and that of the KAP total was 0.632.
CONCLUSIONS
The findings of this study showed that the questionnaire had an acceptable psychometric property for measuring KAP regarding yoga and it's role in oral and periodontal health among Indian adults. The analysis of participant responses revealed that they had a medium level of knowledge regarding yoga and periodontal disease.
背景
牙周病是一种围绕牙齿的结构的慢性炎症性疾病。其病因是多因素的。主要病因是微生物成分；其他因素包括全身、行为、环境和心理因素。常规治疗包括常规牙周治疗，包括预防和手术治疗。在印度等发展中国家，补充医学和替代医学如瑜伽越来越受欢迎，以改善整体健康。因此，这项初步研究旨在评估一种结构问卷的心理测量特性，该问卷可以评估印度人口对瑜伽对口腔和牙周健康影响的知识、态度和实践（KAP）。
方法
使用演绎法开发 KAP 问卷（第一阶段），并对问卷进行心理测量评估，以评估其可靠性和有效性（第二阶段）。使用二进制响应的 Kappa 统计评估初始内容验证和测试重测可靠性。使用类别变量的 ICC 评估实践和态度类别的问题。使用项目反应理论进一步评估问卷的心理测量特性。开发的问卷有四个主要部分：参与者的人口统计学；关于瑜伽和口腔健康的知识；对瑜伽和口腔健康的态度；以及为口腔健康实施瑜伽的实践。
结果
所有评估问题的 ICC 均大于 0.60，表明稳定性令人满意。使用 Cronbach's alpha 评估知识、态度和实践项目的内部一致性，报告的知识、态度和实践项目的内部一致性分别为 0.632、0.923 和 0.591，而 KAP 总分为 0.632。
结论
本研究的结果表明，该问卷具有可接受的心理测量特性，可用于测量印度成年人对瑜伽及其在口腔和牙周健康中的作用的 KAP。对参与者反应的分析表明，他们对瑜伽和牙周病有中等水平的了解。
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