Aryal Dipsikha, Acharya Puspa, Bhattarai Niraj, Gwachha Roshan
Public Health Officer, Ministry of Health, Lumbini Province, Dang, Nepal.
Public Health Officer, Shree Birendra Military Hospital, Kathmandu, Nepal.
BMC Public Health. 2024 Dec 18;24(1):3522. doi: 10.1186/s12889-024-21009-3.
The new coronavirus disease 2019 (COVID-19), caused by a virus in the coronavirus family called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Due to lack of effective treatment, the major way to breakdown the disease transmission is by application of preventive measures. For this, a preventive practice questionnaire was used to assess the preventive practice during COVID-19. A definite advantage of this questionnaire is its ability to identify individual level preventive practices. The objective of the study was to validate the Nepali version of Questionnaire to assess preventive practices against the COVID-19 pandemic in the General population.
A web-based descriptive cross-sectional study was conducted from November 2022 to April 2023 using preventive practices against the COVID-19 pandemic questionnaire and was conducted among 351 respondents. The sensitivity and specificity of the questionnaire were calculated for validation. The best cutoff point for the Nepalese version of the questionnaire was identified and the area under the receiver operating characteristic curve (AUC) was calculated.
The overall prevalence of good preventive practices was 90.6%. The best cutoff points for the Nepali version of the questionnaire were 93% sensitivity and 67% specificity, respectively at a cutoff level of 47/48. The area under the curve was 0.859. Thus, the Nepalese version of the questionnaire concerning preventive practices during the COVID-19 pandemic in the general population had an accuracy of 85.9% (95% CI 0.757-0.961, p = 0.001).
The Nepalese version of the questionnaire on preventive practices during the COVID-19 pandemic in the general population can be successfully used as a survey tool. These findings might help to detect appropriate adherence to preventive practices can be achieved in busy outpatient departments. Detecting adherence to preventive practices may help local health authorities and policymakers in identifying specific populations for future awareness campaigns during infectious disease outbreaks.
2019年新型冠状病毒病（COVID-19）由一种名为严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的冠状病毒引起。由于缺乏有效的治疗方法，阻断疾病传播的主要途径是采取预防措施。为此，使用了一份预防措施调查问卷来评估COVID-19期间的预防措施。该问卷的一个明显优势是能够识别个人层面的预防措施。本研究的目的是验证尼泊尔语版的问卷，以评估普通人群针对COVID-19大流行的预防措施。
2022年11月至2023年4月进行了一项基于网络的描述性横断面研究，使用针对COVID-19大流行的预防措施问卷，共对351名受访者进行了调查。计算问卷的敏感性和特异性以进行验证。确定了尼泊尔语版问卷的最佳截断点，并计算了受试者工作特征曲线（AUC）下的面积。
良好预防措施的总体患病率为90.6%。尼泊尔语版问卷的最佳截断点分别为敏感性93%和特异性67%，截断水平为47/48。曲线下面积为0.859。因此，普通人群中关于COVID-19大流行期间预防措施的尼泊尔语版问卷的准确率为85.9%（95%CI 0.757 - 0.961，p = 0.001）。
普通人群中关于COVID-19大流行期间预防措施的尼泊尔语版问卷可成功用作调查工具。这些发现可能有助于在繁忙的门诊部门检测到对预防措施的适当遵守情况。检测对预防措施的遵守情况可能有助于当地卫生当局和政策制定者确定在传染病爆发期间未来提高认识活动的特定人群。
