Alzaben Abeer Salman, Almansour Mohammed, Alzahrani Hayat Saleh, Alrumaihi Nouf Adnan, Alhamedi Nesrain Mubarak, Albuhayjan Nawaf Abdulaziz, Aljammaz Sadeem Abdulaziz
Department of Health Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia.
Department of Medical Education, College of Medicine, King Saud University, P.O. Box 2925, Riyadh 11461, Saudi Arabia.
Healthcare (Basel). 2024 Aug 20;12(16):1652. doi: 10.3390/healthcare12161652.
Lifestyle medicine (LM) should be incorporated as part of routine clinical work and medical education programs.
To develop and test the validity and reliability of a questionnaire that measures the level of knowledge, attitude, and practice (KAP) of LM domains among medical trainees through practicing physicians.
The KAP questionnaire sections covered the nine domains of LM. The validation process included face and content validity. A total of 151 individuals from the medical field residing in Saudi Arabia were recruited through a convenient sampling technique to participate in the study. Item response theory (IRT) was applied to validate the knowledge domain, while exploratory factor analysis (EFA) was used to assess attitude and practice. Cronbach's alpha was performed to test the reliability of the three sections.
The questionnaire contained 37 items of knowledge, 45 attitudes, and 28 practice items. According to the IRT analysis, 27 items of knowledge were within the acceptable range of difficulty and discrimination. The EFA analysis resulted in 6 factors, including all the items in the attitude domain, and 4 factors, for a total of 27 items in the practice domain, with satisfactory factor loading (>0.4). The Cronbach's alpha for the three domains was very high (≥0.88).
The KAP questionnaire for LM is valid and reliable across a spectrum, from medical trainees to practicing physicians. This tool could serve as an instrument to evaluate and develop adequate educational programs for medical doctors.
生活方式医学（LM）应纳入日常临床工作和医学教育项目之中。
开发并测试一份问卷的有效性和可靠性，该问卷旨在通过执业医师来衡量医学实习生对生活方式医学领域的知识、态度和实践（KAP）水平。
KAP问卷部分涵盖了生活方式医学的九个领域。验证过程包括表面效度和内容效度。通过便利抽样技术招募了151名居住在沙特阿拉伯的医学领域人员参与研究。应用项目反应理论（IRT）来验证知识领域，同时使用探索性因素分析（EFA）来评估态度和实践。进行克朗巴哈系数（Cronbach's alpha）检验以测试三个部分的可靠性。
问卷包含37项知识、45项态度和28项实践项目。根据IRT分析，27项知识项目在可接受的难度和区分度范围内。EFA分析得出6个因素，包括态度领域的所有项目，以及实践领域的4个因素，共27个项目，因素负荷令人满意（>0.4）。三个领域的克朗巴哈系数非常高（≥0.88）。
生活方式医学的KAP问卷在从医学实习生到执业医师的范围内都是有效且可靠的。该工具可作为评估和制定针对医生的适当教育项目的一种手段。
