Validation, Invariance, and Reliability of Instruments for the Assessment of Knowledge and Attitudes Toward Cardiopulmonary Resuscitation in Peruvian Children and Adolescents
<b>Background/Objectives</b>: In this study, we aimed to analyze the validity, based on the internal structure of the construct, measurement invariance by sex, and reliability of the scores for the “Knowledge in Basic Cardiopulmonary Resuscitation in Peruvian children/adolescents” (KBCPR...
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MDPI AG
2025-05-01
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| Online Access: | https://www.mdpi.com/2227-9067/12/6/697 |
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| author | Ángel López-González Joseba Rabanales-Sotos Yrene E. Urbina-Rojas Zoila E. Leitón-Espinoza María D. P. Gómez-Luján Francisco García-Alcaráz Walter Capa-Luque |
| author_facet | Ángel López-González Joseba Rabanales-Sotos Yrene E. Urbina-Rojas Zoila E. Leitón-Espinoza María D. P. Gómez-Luján Francisco García-Alcaráz Walter Capa-Luque |
| author_sort | Ángel López-González |
| collection | DOAJ |
| description | <b>Background/Objectives</b>: In this study, we aimed to analyze the validity, based on the internal structure of the construct, measurement invariance by sex, and reliability of the scores for the “Knowledge in Basic Cardiopulmonary Resuscitation in Peruvian children/adolescents” (KBCPR_P21) and “Attitudes in Basic Cardiopulmonary Resuscitation in Peruvian children/adolescents” (ABCPR_P21) instruments in Spanish. <b>Methods</b>: A cross-sectional and instrumental methodological study was conducted between February and August 2021, with the participation of 415 Peruvian elementary school students between 8 and 13 years of age. Participants responded to surveys on knowledge and attitudes toward CPR. For both instruments, exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) was used as the estimation method for categorical data. <b>Results</b>: All of the items for both scales have high discriminative capacity (>0.30), and both scales showed high internal consistency (Cronbach’s alpha > 0.87 and McDonald’s omega > 0.90). The validity, based on the internal structure of the construct, implied the existence of a single factor grouping all the items in the two scales (CFI and TLI > 0.95; RMSEA and SRMR < 0.08). Multigroup confirmatory factor analysis also allowed us to satisfactorily verify measurement invariance by sex at the four levels (configural, metric, scalar, and strict) for both scales. <b>Conclusions</b>: We can conclude that the values obtained in our evaluation of the scales favor considering them as valid and reliable instruments with which to measure knowledge and attitudes toward basic cardiopulmonary resuscitation in children/adolescents in Peru, given prior learning. The scales could also be used in the evaluation of knowledge and attitudes around basic cardiopulmonary resuscitation in other countries, providing trainers with rapid feedback on the knowledge and attitudes transmitted in training courses, thus allowing better control over the training activities carried out in these courses. Finally, the availability of the scales would allow researchers to empirically test their psychometric properties in other countries. |
| format | Article |
| id | doaj-art-cf691b7675ff43a6be033154e57cce78 |
| institution | Kabale University |
| issn | 2227-9067 |
| language | English |
| publishDate | 2025-05-01 |
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| series | Children |
| spelling | doaj-art-cf691b7675ff43a6be033154e57cce782025-08-20T03:27:30ZengMDPI AGChildren2227-90672025-05-0112669710.3390/children12060697Validation, Invariance, and Reliability of Instruments for the Assessment of Knowledge and Attitudes Toward Cardiopulmonary Resuscitation in Peruvian Children and AdolescentsÁngel López-González0Joseba Rabanales-Sotos1Yrene E. Urbina-Rojas2Zoila E. Leitón-Espinoza3María D. P. Gómez-Luján4Francisco García-Alcaráz5Walter Capa-Luque6Nursing College, Universidad de Castilla La Mancha, 02006 Albacete, SpainNursing College, Universidad de Castilla La Mancha, 02006 Albacete, SpainFaculty of Nursing, Universidad Nacional de Tumbes, Tumbes 24001, PeruFaculty of Nursing, Universidad Nacional de Trujillo, Trujillo 13011, PeruFaculty of Nursing, Universidad Nacional de Trujillo, Trujillo 13011, PeruNursing College, Universidad de Castilla La Mancha, 02006 Albacete, SpainFaculty of Psychology, Universidad Nacional Federico Villarreal, Lima 15082, Peru<b>Background/Objectives</b>: In this study, we aimed to analyze the validity, based on the internal structure of the construct, measurement invariance by sex, and reliability of the scores for the “Knowledge in Basic Cardiopulmonary Resuscitation in Peruvian children/adolescents” (KBCPR_P21) and “Attitudes in Basic Cardiopulmonary Resuscitation in Peruvian children/adolescents” (ABCPR_P21) instruments in Spanish. <b>Methods</b>: A cross-sectional and instrumental methodological study was conducted between February and August 2021, with the participation of 415 Peruvian elementary school students between 8 and 13 years of age. Participants responded to surveys on knowledge and attitudes toward CPR. For both instruments, exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) was used as the estimation method for categorical data. <b>Results</b>: All of the items for both scales have high discriminative capacity (>0.30), and both scales showed high internal consistency (Cronbach’s alpha > 0.87 and McDonald’s omega > 0.90). The validity, based on the internal structure of the construct, implied the existence of a single factor grouping all the items in the two scales (CFI and TLI > 0.95; RMSEA and SRMR < 0.08). Multigroup confirmatory factor analysis also allowed us to satisfactorily verify measurement invariance by sex at the four levels (configural, metric, scalar, and strict) for both scales. <b>Conclusions</b>: We can conclude that the values obtained in our evaluation of the scales favor considering them as valid and reliable instruments with which to measure knowledge and attitudes toward basic cardiopulmonary resuscitation in children/adolescents in Peru, given prior learning. The scales could also be used in the evaluation of knowledge and attitudes around basic cardiopulmonary resuscitation in other countries, providing trainers with rapid feedback on the knowledge and attitudes transmitted in training courses, thus allowing better control over the training activities carried out in these courses. Finally, the availability of the scales would allow researchers to empirically test their psychometric properties in other countries.https://www.mdpi.com/2227-9067/12/6/697validationcardiopulmonary resuscitationcardiac arrestknowledgeattitudeschildren |
| spellingShingle | Ángel López-González Joseba Rabanales-Sotos Yrene E. Urbina-Rojas Zoila E. Leitón-Espinoza María D. P. Gómez-Luján Francisco García-Alcaráz Walter Capa-Luque Validation, Invariance, and Reliability of Instruments for the Assessment of Knowledge and Attitudes Toward Cardiopulmonary Resuscitation in Peruvian Children and Adolescents Children validation cardiopulmonary resuscitation cardiac arrest knowledge attitudes children |
| title | Validation, Invariance, and Reliability of Instruments for the Assessment of Knowledge and Attitudes Toward Cardiopulmonary Resuscitation in Peruvian Children and Adolescents |
| title_full | Validation, Invariance, and Reliability of Instruments for the Assessment of Knowledge and Attitudes Toward Cardiopulmonary Resuscitation in Peruvian Children and Adolescents |
| title_fullStr | Validation, Invariance, and Reliability of Instruments for the Assessment of Knowledge and Attitudes Toward Cardiopulmonary Resuscitation in Peruvian Children and Adolescents |
| title_full_unstemmed | Validation, Invariance, and Reliability of Instruments for the Assessment of Knowledge and Attitudes Toward Cardiopulmonary Resuscitation in Peruvian Children and Adolescents |
| title_short | Validation, Invariance, and Reliability of Instruments for the Assessment of Knowledge and Attitudes Toward Cardiopulmonary Resuscitation in Peruvian Children and Adolescents |
| title_sort | validation invariance and reliability of instruments for the assessment of knowledge and attitudes toward cardiopulmonary resuscitation in peruvian children and adolescents |
| topic | validation cardiopulmonary resuscitation cardiac arrest knowledge attitudes children |
| url | https://www.mdpi.com/2227-9067/12/6/697 |
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