Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults

Sheizi Prista Sari; Irma H J Everink; Christa Lohrmann; Yufitriana Amir; Eka Afrima Sari; Ruud J G Halfens; Dimitri Beeckman; Jos M G A Schols

doi:10.1186/s12912-022-00957-4

Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults

Sheizi Prista Sari^*, Irma H J Everink, Christa Lohrmann, Yufitriana Amir, Eka Afrima Sari, Ruud J G Halfens, Dimitri Beeckman, Jos M G A Schols

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: The prevalence of pressure injuries among community-dwelling older adults in countries worldwide is still a serious problem. In Indonesia, older adults mostly rely on family members for (medical) care. Therefore, involving family members in the prevention and treatment of pressure injuries (PIs) could potentially decrease its prevalence rates. However, family members are usually not trained for such tasks. Hence, it is essential to first get more insight into the current state of affairs on family members' knowledge, attitude and actual practice of preventing PIs. Due to the lack of an existing instrument to measure knowledge, attitude and practice of family caregivers in preventing PIs, this study focuses on the development and evaluation of psychometric properties of such an instrument.

METHODS: Three phases of instrument development and evaluation were used, including item generation, instrument construction and psychometric testing of the instrument. A total of 372 family caregivers of community-dwelling older adults who randomly selected participated in this study. Principal factor analysis, confirmatory factor analysis and Cronbach's alpha were performed to evaluate factor structure and internal consistency of the Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) instrument.

RESULTS: The final version of the KAP-PI-instrument consists of a 12-item knowledge domain, a 9-item attitude domain, and a 12-item practice domain with Cronbach's Alpha values of 0.83, 0.93 and 0.89, respectively. The instrument appeared to be both reliable and valid.

CONCLUSION: The KAP-PI instrument can be used in family nursing or community nursing practice, education, and research to assess knowledge, attitude and practice of pressure injury prevention of family caregivers.

Original language	English
Article number	222
Number of pages	24
Journal	BMC Nursing
Volume	21
Issue number	1
DOIs	https://doi.org/10.1186/s12912-022-00957-4
Publication status	Published - 11 Aug 2022

Keywords

Knowledge
Attitude
Practice
Pressure injury
Pressure ulcer
Prevention
Family caregivers
Psychometric evaluation
Community nurses
ULCER PREVENTION
PREVALENCE
VALIDATION

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Cite this

Sari, S. P., Everink, I. H. J., Lohrmann, C., Amir, Y., Sari, E. A., Halfens, R. J. G., Beeckman, D., & Schols, J. M. G. A. (2022). Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults. BMC Nursing, 21(1), Article 222. https://doi.org/10.1186/s12912-022-00957-4

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title = "Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults",

abstract = "BACKGROUND: The prevalence of pressure injuries among community-dwelling older adults in countries worldwide is still a serious problem. In Indonesia, older adults mostly rely on family members for (medical) care. Therefore, involving family members in the prevention and treatment of pressure injuries (PIs) could potentially decrease its prevalence rates. However, family members are usually not trained for such tasks. Hence, it is essential to first get more insight into the current state of affairs on family members' knowledge, attitude and actual practice of preventing PIs. Due to the lack of an existing instrument to measure knowledge, attitude and practice of family caregivers in preventing PIs, this study focuses on the development and evaluation of psychometric properties of such an instrument.METHODS: Three phases of instrument development and evaluation were used, including item generation, instrument construction and psychometric testing of the instrument. A total of 372 family caregivers of community-dwelling older adults who randomly selected participated in this study. Principal factor analysis, confirmatory factor analysis and Cronbach's alpha were performed to evaluate factor structure and internal consistency of the Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) instrument.RESULTS: The final version of the KAP-PI-instrument consists of a 12-item knowledge domain, a 9-item attitude domain, and a 12-item practice domain with Cronbach's Alpha values of 0.83, 0.93 and 0.89, respectively. The instrument appeared to be both reliable and valid.CONCLUSION: The KAP-PI instrument can be used in family nursing or community nursing practice, education, and research to assess knowledge, attitude and practice of pressure injury prevention of family caregivers.",

keywords = "Knowledge, Attitude, Practice, Pressure injury, Pressure ulcer, Prevention, Family caregivers, Psychometric evaluation, Community nurses, ULCER PREVENTION, PREVALENCE, VALIDATION",

author = "Sari, {Sheizi Prista} and Everink, {Irma H J} and Christa Lohrmann and Yufitriana Amir and Sari, {Eka Afrima} and Halfens, {Ruud J G} and Dimitri Beeckman and Schols, {Jos M G A}",

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year = "2022",

month = aug,

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doi = "10.1186/s12912-022-00957-4",

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Sari, SP, Everink, IHJ, Lohrmann, C, Amir, Y, Sari, EA, Halfens, RJG, Beeckman, D & Schols, JMGA 2022, 'Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults', BMC Nursing, vol. 21, no. 1, 222. https://doi.org/10.1186/s12912-022-00957-4

Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults. / Sari, Sheizi Prista; Everink, Irma H J; Lohrmann, Christa et al.
In: BMC Nursing, Vol. 21, No. 1, 222, 11.08.2022.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults

AU - Sari, Sheizi Prista

AU - Everink, Irma H J

AU - Lohrmann, Christa

AU - Amir, Yufitriana

AU - Sari, Eka Afrima

AU - Halfens, Ruud J G

AU - Beeckman, Dimitri

AU - Schols, Jos M G A

PY - 2022/8/11

Y1 - 2022/8/11

N2 - BACKGROUND: The prevalence of pressure injuries among community-dwelling older adults in countries worldwide is still a serious problem. In Indonesia, older adults mostly rely on family members for (medical) care. Therefore, involving family members in the prevention and treatment of pressure injuries (PIs) could potentially decrease its prevalence rates. However, family members are usually not trained for such tasks. Hence, it is essential to first get more insight into the current state of affairs on family members' knowledge, attitude and actual practice of preventing PIs. Due to the lack of an existing instrument to measure knowledge, attitude and practice of family caregivers in preventing PIs, this study focuses on the development and evaluation of psychometric properties of such an instrument.METHODS: Three phases of instrument development and evaluation were used, including item generation, instrument construction and psychometric testing of the instrument. A total of 372 family caregivers of community-dwelling older adults who randomly selected participated in this study. Principal factor analysis, confirmatory factor analysis and Cronbach's alpha were performed to evaluate factor structure and internal consistency of the Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) instrument.RESULTS: The final version of the KAP-PI-instrument consists of a 12-item knowledge domain, a 9-item attitude domain, and a 12-item practice domain with Cronbach's Alpha values of 0.83, 0.93 and 0.89, respectively. The instrument appeared to be both reliable and valid.CONCLUSION: The KAP-PI instrument can be used in family nursing or community nursing practice, education, and research to assess knowledge, attitude and practice of pressure injury prevention of family caregivers.

AB - BACKGROUND: The prevalence of pressure injuries among community-dwelling older adults in countries worldwide is still a serious problem. In Indonesia, older adults mostly rely on family members for (medical) care. Therefore, involving family members in the prevention and treatment of pressure injuries (PIs) could potentially decrease its prevalence rates. However, family members are usually not trained for such tasks. Hence, it is essential to first get more insight into the current state of affairs on family members' knowledge, attitude and actual practice of preventing PIs. Due to the lack of an existing instrument to measure knowledge, attitude and practice of family caregivers in preventing PIs, this study focuses on the development and evaluation of psychometric properties of such an instrument.METHODS: Three phases of instrument development and evaluation were used, including item generation, instrument construction and psychometric testing of the instrument. A total of 372 family caregivers of community-dwelling older adults who randomly selected participated in this study. Principal factor analysis, confirmatory factor analysis and Cronbach's alpha were performed to evaluate factor structure and internal consistency of the Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) instrument.RESULTS: The final version of the KAP-PI-instrument consists of a 12-item knowledge domain, a 9-item attitude domain, and a 12-item practice domain with Cronbach's Alpha values of 0.83, 0.93 and 0.89, respectively. The instrument appeared to be both reliable and valid.CONCLUSION: The KAP-PI instrument can be used in family nursing or community nursing practice, education, and research to assess knowledge, attitude and practice of pressure injury prevention of family caregivers.

KW - Knowledge

KW - Attitude

KW - Practice

KW - Pressure injury

KW - Pressure ulcer

KW - Prevention

KW - Family caregivers

KW - Psychometric evaluation

KW - Community nurses

KW - ULCER PREVENTION

KW - PREVALENCE

KW - VALIDATION

U2 - 10.1186/s12912-022-00957-4

DO - 10.1186/s12912-022-00957-4

M3 - Article

C2 - 35948976

SN - 1472-6955

VL - 21

JO - BMC Nursing

JF - BMC Nursing

IS - 1

M1 - 222

ER -