Design and Validation of Knowledge, Attitude and Practice Questionnaire for Breast Cancer: An Exploratory and Confirmatory Factor Analysis

Background & Objective: The early identification of risk factors by screenings methods, as low-cost diagnostic tests with high survival rates, has always been of paramount importance for cancer diagnostics, especially in breast cancer. Since knowledge, attitude, and practice studies offer a desirable way to examine the status and make predictions, this study aims to design a valid and reliable instrument to assess breast cancer risk factors, symptoms, and screening methods. Materials & Methods: The Waltz method was used to develop the questionnaire. The exploratory factor analysis with a sample size of 390 and the confirmatory factor analysis were carried out using Amos software and SPSS 22, respectively. The reliability of the instrument was also assessed on 30 women over a one-month interval using the Cronbach's alpha and test-retest method. Results: The preliminary 87-item was finally developed into three sections: attitude (14 items and 2 factors with CVI=0.92, CVR= 0.72 and α= 0.76,) knowledge (16 items and 5 factors with CVI= 0.99, CVR= 0.85 and alpha 0.87) and practice checklist (8 items and CVI = 0.94 and CVR =1). Conclusion: The results suggested desirable psychometric properties of the questionnaire and its strength and validity in evaluating knowledge, attitude, and practice for identifying factors influencing breast cancer

A Survey of Knowledge and Attitude of Hospital Executive Management Team of Abadan and Khorramshahr Hospitals Regarding Hospital Accreditation in 2017

Introduction and purpose: Knowledge and attitude of administrators regarding accreditation play a significant role in its successful implementation. Thus, designing and implementing a survey is necessary to evaluate knowledge and attitudes of hospital executive management teams in the accreditation of Abadan and Khorramshahr hospitals, Iran. Methods: This descriptive cross-sectional study was conducted in the first half of 2017. The statistical population of this study consisted of all members of the executive management teams of Abadan and Khorramshahr hospitals. The sampling method was census-based and the sample size was 46 persons. Data collection was conducted by using a questionnaire. Validity and reliability of the questionnaire were already confirmed. Finally, the data were analyzed by SPSS software using descriptive statistics. Results: More than half of the participants had a great amount of knowledge about the requirements, goals, principles, and concepts of accreditation standards, as well as the need to participate in accreditation courses. More than 50% of the participants also had high expectations and positive attitudes towards the impact of accreditation on increasing public trust, improving the face of hospital, enhancing service quality, increasing patient satisfaction, raising safety and services, and improving hospital processes. There was a non-significant relationship between knowledge and attitude among the participants. Conclusion: Regarding the average awareness of hospital managers about accreditation, education and awareness-raising among them seems to be necessary. Considering the high score of managers’ attitudes and expectations regarding accreditation, the process of accreditation in these hospitals is hoped to be more effective, such that it will result in higher patient safety and satisfaction