Development and validation of an Arabic tool for assessment of post-vaccination confidence in COVID-19 vaccines (ARAB-VAX-CONF)
Abstract Background Vaccine confidence is described as a belief that vaccines are effective, safe, and part of a trustworthy health system. The objective of this study was to develop and validate an Arabic tool to evaluate confidence in the received coronavirus disease 2019 (COVID-19) vaccines (ARAB...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-11-01
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| Series: | Journal of the Egyptian Public Health Association |
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| Online Access: | https://doi.org/10.1186/s42506-024-00174-8 |
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| author | Rowan Abuyadek Samar Abd ElHafeez Mohamed Mostafa Tahoun Sally Samir Othman Abdelrahman Omran Naglaa Fathy Ramy Mohamed Ghazy |
| author_facet | Rowan Abuyadek Samar Abd ElHafeez Mohamed Mostafa Tahoun Sally Samir Othman Abdelrahman Omran Naglaa Fathy Ramy Mohamed Ghazy |
| author_sort | Rowan Abuyadek |
| collection | DOAJ |
| description | Abstract Background Vaccine confidence is described as a belief that vaccines are effective, safe, and part of a trustworthy health system. The objective of this study was to develop and validate an Arabic tool to evaluate confidence in the received coronavirus disease 2019 (COVID-19) vaccines (ARAB-VAX-CONF). Methods The research team developed the ARAB-VAX-CONF based on three areas specified by the Centers for Disease Control and Prevention (CDC): confidence in vaccine effectiveness, confidence in vaccine safety, and confidence in the healthcare system. The analysis includes data from 406 eligible vaccinated persons (≥ 18 years). Cronbach’s alpha was used to measure internal consistency, while convergent, discriminant, exploratory, and confirmatory factor analyses were used to verify construct validity. Results A total of 406 adults were recruited, with a mean age of 33.0 ± 12.2 years. A total of 63.1% were males, 56.7% were married, 21.9% had chronic conditions, 93.3% were nonsmokers, and 39.6% were obligated to obtain vaccines. The three domains of the scale met the criterion of internal consistency (Cronbach’s alpha > 0.7). Convergent validity was identified by the significant inter-item and item-mean score of the domain correlation (P < 0.001). Discriminant validity was reported as the inter-factor correlation matrix (< 0.7). The Kaiser–Meyer–Olkin sampling adequacy measure was 0.80, and Bartlett’s sphericity test was significant (P < 0.001). Exploratory factor analysis indicated that the scale could be summarized into three factors. Confirmatory factor analysis confirmed the adequate psychometric properties and fit with observed data (root-mean-square error of approximation = 0.08, comparative fit index = 0.945, Tucker-Lewis index = 0.924, standardized root-mean-square residual = 0.086, normed fit index = 0.918, and goodness-of-fit index = 0.909). Conclusions The ARAB-VAX-CONF developed in this study is valid and reliable for assessing confidence in vaccine effectiveness, safety, and confidence in the healthcare system. The ARAB-VAX-CONF can support decision-makers in addressing the gap in vaccine confidence among various populations. |
| format | Article |
| id | doaj-art-5b44a4b64ad74f838fa6bb87dc12e4b0 |
| institution | OA Journals |
| issn | 2090-262X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of the Egyptian Public Health Association |
| spelling | doaj-art-5b44a4b64ad74f838fa6bb87dc12e4b02025-08-20T02:33:00ZengSpringerOpenJournal of the Egyptian Public Health Association2090-262X2024-11-0199111010.1186/s42506-024-00174-8Development and validation of an Arabic tool for assessment of post-vaccination confidence in COVID-19 vaccines (ARAB-VAX-CONF)Rowan Abuyadek0Samar Abd ElHafeez1Mohamed Mostafa Tahoun2Sally Samir Othman3Abdelrahman Omran4Naglaa Fathy5Ramy Mohamed Ghazy6Health Administration and Behavioural Sciences Department, High Institute of Public Health, Alexandria UniversityEpidemiology Department, High Institute of Public Health, Alexandria UniversityEpidemiology Department, High Institute of Public Health, Alexandria UniversityFamily Health Department- Mental Health Specialty, High Institute of Public Health, Alexandria UniversityPharmacist, Egyptian Ministry of Health and PopulationDepartment of Medical-Surgical Nursing, College of Nursing, Princess Nourah Bint Abdulrahman UniversityFamily and Community Medicine Department, College of Medicine, King Khalid UniversityAbstract Background Vaccine confidence is described as a belief that vaccines are effective, safe, and part of a trustworthy health system. The objective of this study was to develop and validate an Arabic tool to evaluate confidence in the received coronavirus disease 2019 (COVID-19) vaccines (ARAB-VAX-CONF). Methods The research team developed the ARAB-VAX-CONF based on three areas specified by the Centers for Disease Control and Prevention (CDC): confidence in vaccine effectiveness, confidence in vaccine safety, and confidence in the healthcare system. The analysis includes data from 406 eligible vaccinated persons (≥ 18 years). Cronbach’s alpha was used to measure internal consistency, while convergent, discriminant, exploratory, and confirmatory factor analyses were used to verify construct validity. Results A total of 406 adults were recruited, with a mean age of 33.0 ± 12.2 years. A total of 63.1% were males, 56.7% were married, 21.9% had chronic conditions, 93.3% were nonsmokers, and 39.6% were obligated to obtain vaccines. The three domains of the scale met the criterion of internal consistency (Cronbach’s alpha > 0.7). Convergent validity was identified by the significant inter-item and item-mean score of the domain correlation (P < 0.001). Discriminant validity was reported as the inter-factor correlation matrix (< 0.7). The Kaiser–Meyer–Olkin sampling adequacy measure was 0.80, and Bartlett’s sphericity test was significant (P < 0.001). Exploratory factor analysis indicated that the scale could be summarized into three factors. Confirmatory factor analysis confirmed the adequate psychometric properties and fit with observed data (root-mean-square error of approximation = 0.08, comparative fit index = 0.945, Tucker-Lewis index = 0.924, standardized root-mean-square residual = 0.086, normed fit index = 0.918, and goodness-of-fit index = 0.909). Conclusions The ARAB-VAX-CONF developed in this study is valid and reliable for assessing confidence in vaccine effectiveness, safety, and confidence in the healthcare system. The ARAB-VAX-CONF can support decision-makers in addressing the gap in vaccine confidence among various populations.https://doi.org/10.1186/s42506-024-00174-8COVID-19Vaccine confidenceFully vaccinatedValidityReliabilityVaccine hesitancy |
| spellingShingle | Rowan Abuyadek Samar Abd ElHafeez Mohamed Mostafa Tahoun Sally Samir Othman Abdelrahman Omran Naglaa Fathy Ramy Mohamed Ghazy Development and validation of an Arabic tool for assessment of post-vaccination confidence in COVID-19 vaccines (ARAB-VAX-CONF) Journal of the Egyptian Public Health Association COVID-19 Vaccine confidence Fully vaccinated Validity Reliability Vaccine hesitancy |
| title | Development and validation of an Arabic tool for assessment of post-vaccination confidence in COVID-19 vaccines (ARAB-VAX-CONF) |
| title_full | Development and validation of an Arabic tool for assessment of post-vaccination confidence in COVID-19 vaccines (ARAB-VAX-CONF) |
| title_fullStr | Development and validation of an Arabic tool for assessment of post-vaccination confidence in COVID-19 vaccines (ARAB-VAX-CONF) |
| title_full_unstemmed | Development and validation of an Arabic tool for assessment of post-vaccination confidence in COVID-19 vaccines (ARAB-VAX-CONF) |
| title_short | Development and validation of an Arabic tool for assessment of post-vaccination confidence in COVID-19 vaccines (ARAB-VAX-CONF) |
| title_sort | development and validation of an arabic tool for assessment of post vaccination confidence in covid 19 vaccines arab vax conf |
| topic | COVID-19 Vaccine confidence Fully vaccinated Validity Reliability Vaccine hesitancy |
| url | https://doi.org/10.1186/s42506-024-00174-8 |
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