Development and validation of a Knowledge, Attitudes and Practices (KAP) questionnaire for healthcare professionals on environmental sustainability in healthcare in Southern Africa [version 1; peer review: 1 approved, 2 approved with reservations]
Background Global environmental degradation is increasingly driving poor health outcomes worldwide. Healthcare systems and services are often not environmentally sustainable and compound the problem, while healthcare professionals are also recognised as key leaders in advancing sustainable healthcar...
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F1000 Research Ltd
2024-10-01
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| author | Karien Mostert Filip Maric Megan Rohde Stefani Odendaal Natasha Mubi Danté Knock Emma Field Tanita Botha Helga Lister |
| author_facet | Karien Mostert Filip Maric Megan Rohde Stefani Odendaal Natasha Mubi Danté Knock Emma Field Tanita Botha Helga Lister |
| author_sort | Karien Mostert |
| collection | DOAJ |
| description | Background Global environmental degradation is increasingly driving poor health outcomes worldwide. Healthcare systems and services are often not environmentally sustainable and compound the problem, while healthcare professionals are also recognised as key leaders in advancing sustainable healthcare. To adopt this leadership position, healthcare professionals’ knowledge, attitudes, and practices regarding environmental sustainability in healthcare must be established. This article reports the development and validation of a new instrument for this purpose that corresponds to the specificities of the Southern African context. Methods Questionnaire development followed a seven-stage process. Information was obtained from a 2021 study titled ‘South African Healthcare Professionals’ Knowledge, Attitudes, and Practices Regarding Environmental Sustainability in Healthcare: A Mixed-Methods Study’ to develop the instrument. Information was also sourced from the literature regarding environmental sustainability and healthcare to generate the first questionnaire with 29 items. The following stages included two rounds of expert input, separated by a pilot study with the target population to receive feedback regarding the instrument’s structure, relevance, and length. Content validity was determined through statistical analysis. Results Feedback was received from nine experts in stage two and 13 pilot-study participants in stage four and incorporated to improve the questionnaire. In stage six, the questionnaire was rated by seven experts. The content validity index of the questionnaire was calculated at two different stages, after which the indices were compared. Following a final edit, the questionnaire has 24 questionnaire items. The closing analysis calculated the scale content validity index average (S-CVI/Ave) of 0,922; this indicates that the final questionnaire has excellent content validity. Conclusion A questionnaire that assesses the knowledge, attitudes and practices of healthcare professionals regarding environmental sustainability in Southern Africa has been developed and validated. This questionnaire can now be used for further studies in Southern Africa. |
| format | Article |
| id | doaj-art-0b72bdcd1a9d4beeb8891ccff7e8c572 |
| institution | DOAJ |
| issn | 2046-1402 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | F1000Research |
| spelling | doaj-art-0b72bdcd1a9d4beeb8891ccff7e8c5722025-08-20T02:57:56ZengF1000 Research LtdF1000Research2046-14022024-10-011310.12688/f1000research.157487.1172940Development and validation of a Knowledge, Attitudes and Practices (KAP) questionnaire for healthcare professionals on environmental sustainability in healthcare in Southern Africa [version 1; peer review: 1 approved, 2 approved with reservations]Karien Mostert0Filip Maric1https://orcid.org/0000-0002-1265-6205Megan Rohde2Stefani Odendaal3Natasha Mubi4Danté Knock5Emma Field6Tanita Botha7Helga Lister8Department of Physiotherapy, University of Pretoria Faculty of Health Sciences, Pretoria, Gauteng, South AfricaDepartmet of Health and Care Sciences, UiT The Arctic University of Norway Faculty of Health Sciences, Tromsø, Troms, NorwayDepartment of Occupational Therapy, University of Pretoria Faculty of Health Sciences, Pretoria, Gauteng, South AfricaDepartment of Occupational Therapy, University of Pretoria Faculty of Health Sciences, Pretoria, Gauteng, South AfricaDepartment of Occupational Therapy, University of Pretoria Faculty of Health Sciences, Pretoria, Gauteng, South AfricaDepartment of Occupational Therapy, University of Pretoria Faculty of Health Sciences, Pretoria, Gauteng, South AfricaDepartment of Occupational Therapy, University of Pretoria Faculty of Health Sciences, Pretoria, Gauteng, South AfricaDepartment of Statistics, University of Pretoria Faculty of Natural and Agricultural Sciences, Pretoria, Gauteng, South AfricaDepartment of Occupational Therapy, University of Pretoria Faculty of Health Sciences, Pretoria, Gauteng, South AfricaBackground Global environmental degradation is increasingly driving poor health outcomes worldwide. Healthcare systems and services are often not environmentally sustainable and compound the problem, while healthcare professionals are also recognised as key leaders in advancing sustainable healthcare. To adopt this leadership position, healthcare professionals’ knowledge, attitudes, and practices regarding environmental sustainability in healthcare must be established. This article reports the development and validation of a new instrument for this purpose that corresponds to the specificities of the Southern African context. Methods Questionnaire development followed a seven-stage process. Information was obtained from a 2021 study titled ‘South African Healthcare Professionals’ Knowledge, Attitudes, and Practices Regarding Environmental Sustainability in Healthcare: A Mixed-Methods Study’ to develop the instrument. Information was also sourced from the literature regarding environmental sustainability and healthcare to generate the first questionnaire with 29 items. The following stages included two rounds of expert input, separated by a pilot study with the target population to receive feedback regarding the instrument’s structure, relevance, and length. Content validity was determined through statistical analysis. Results Feedback was received from nine experts in stage two and 13 pilot-study participants in stage four and incorporated to improve the questionnaire. In stage six, the questionnaire was rated by seven experts. The content validity index of the questionnaire was calculated at two different stages, after which the indices were compared. Following a final edit, the questionnaire has 24 questionnaire items. The closing analysis calculated the scale content validity index average (S-CVI/Ave) of 0,922; this indicates that the final questionnaire has excellent content validity. Conclusion A questionnaire that assesses the knowledge, attitudes and practices of healthcare professionals regarding environmental sustainability in Southern Africa has been developed and validated. This questionnaire can now be used for further studies in Southern Africa.https://f1000research.com/articles/13-1308/v1Content validity knowledge attitudes and practices healthcare environmental sustainability Southern Africa questionnaire developmenteng |
| spellingShingle | Karien Mostert Filip Maric Megan Rohde Stefani Odendaal Natasha Mubi Danté Knock Emma Field Tanita Botha Helga Lister Development and validation of a Knowledge, Attitudes and Practices (KAP) questionnaire for healthcare professionals on environmental sustainability in healthcare in Southern Africa [version 1; peer review: 1 approved, 2 approved with reservations] F1000Research Content validity knowledge attitudes and practices healthcare environmental sustainability Southern Africa questionnaire development eng |
| title | Development and validation of a Knowledge, Attitudes and Practices (KAP) questionnaire for healthcare professionals on environmental sustainability in healthcare in Southern Africa [version 1; peer review: 1 approved, 2 approved with reservations] |
| title_full | Development and validation of a Knowledge, Attitudes and Practices (KAP) questionnaire for healthcare professionals on environmental sustainability in healthcare in Southern Africa [version 1; peer review: 1 approved, 2 approved with reservations] |
| title_fullStr | Development and validation of a Knowledge, Attitudes and Practices (KAP) questionnaire for healthcare professionals on environmental sustainability in healthcare in Southern Africa [version 1; peer review: 1 approved, 2 approved with reservations] |
| title_full_unstemmed | Development and validation of a Knowledge, Attitudes and Practices (KAP) questionnaire for healthcare professionals on environmental sustainability in healthcare in Southern Africa [version 1; peer review: 1 approved, 2 approved with reservations] |
| title_short | Development and validation of a Knowledge, Attitudes and Practices (KAP) questionnaire for healthcare professionals on environmental sustainability in healthcare in Southern Africa [version 1; peer review: 1 approved, 2 approved with reservations] |
| title_sort | development and validation of a knowledge attitudes and practices kap questionnaire for healthcare professionals on environmental sustainability in healthcare in southern africa version 1 peer review 1 approved 2 approved with reservations |
| topic | Content validity knowledge attitudes and practices healthcare environmental sustainability Southern Africa questionnaire development eng |
| url | https://f1000research.com/articles/13-1308/v1 |
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