Volume 29 Issue 10
Oct.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(10): 1721-1725
WANG Dashan, ZHOU Chao, QUAN Yuhao, XIE Ning. The development of a community resident questionnaire on children' s use of antimicrobial drugs: a study based on reliability and validity testing[J]. Chinese Journal of General Practice, 2025, 23(10): 1721-1725. doi: 10.16766/j.cnki.issn.1674-4152.004214
Citation: WANG Dashan, ZHOU Chao, QUAN Yuhao, XIE Ning. The development of a community resident questionnaire on children' s use of antimicrobial drugs: a study based on reliability and validity testing[J]. Chinese Journal of General Practice, 2025, 23(10): 1721-1725. doi: 10.16766/j.cnki.issn.1674-4152.004214
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The development of a community resident questionnaire on children' s use of antimicrobial drugs: a study based on reliability and validity testing

doi: 10.16766/j.cnki.issn.1674-4152.004214
  • 1.

    Department of Pharmacy, Xujing Beidaju Community Health Service Center of Qingpu District, Shanghai 201702, China

Funds:

 2024JGYQ04

 QWJ2023-54

 沪卫计药政〔2018〕9号

  • Received Date: 2024-12-05
    Abstract
  •   Objective  Antimicrobial drug misuse poses potential risks to children' s health. This study aimed to develop a scientifically valid questionnaire for assessing community residents' knowledge, attitudes, and practices (KAP) regarding children' s antimicrobial drug use, thereby providing a basis for targeted health education strategies.  Methods  The initial questionnaire was developed based on the Knowledge-Attitude-Practice (KAP) theory, informed by a literature review and two rounds of Delphi expert consultation. Using a convenience sampling method, we surveyed 398 parents of children in Qingpu District, Shanghai between July and September 2024. The collected data underwent item analysis, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA), alongside assessments of reliability and validity, to finalize the formal questionnaire.  Results  (1) Initial questionnaire: The effective response rate for both rounds of expert consultation was 100%. The expert authority coefficients were 0.75 and 0.79, respectively. Kendall' s W coefficient in the second round was 0.402 (χ2=253.056, P < 0.001). Item importance scores ranged from 4.18 to 4.88 with coefficients of variation < 25%. The preliminary scale included 3 dimensions and 31 items. (2) Item screening: after removing 13 items, the final scale comprised 18 items. EFA extracted 3 factors with loadings of 0.592-0.838, explaining 60.439% of the variance. (3) Reliability and validity: The total scale Cronbach' s α was 0.882, and the Cronbach' s α coefficients for the three dimensions ranged from 0.762 to 0.903. CFA results indicated a good model fit (χ2/df=2.78, RMSEA=0.091, NNFI=0.865, CFI=0.884, IFI=0.885). The final questionnaire included 3 dimensions and 18 items.  Conclusion  The developed questionnaire demonstrated satisfactory reliability and validity, and can effectively assess parents' KAP regarding children' s antimicrobial drug use.

     

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