Development and Psychometric Evaluation of the Antibiotic Knowledge and Consumption Tool (AKCT)
Abstract
:1. Introduction
2. Results
2.1. Participant Characteristics
2.2. Structural Validity—Exploratory Factor Analysis
2.3. Internal Consistency Reliability
2.4. Convergent Validity
3. Discussion
4. Materials and Methods
4.1. Tool Development
4.2. Face and Content Validity
4.3. Tool Translation to Arabic
4.4. Cognitive Debriefings
4.5. Inclusion and Exclusion Criteria
4.6. Sample Size
4.7. Survey Administration
4.8. Convergent Validity
4.9. Data Analysis
5. Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Sociodemographic Information | N (%) |
Gender: Male Female | 123 (31.9) 263 (68.1) |
Age: 18–30 31–40 41–50 51 | 250 (65.0) 64 (16.5) 42 (10.8) 30 (7.7) |
Nationality: UAE National Other Arab Non-Arab | 214 (55.5) 138 (35.7) 34 (8.8) |
Education: Tertiary school or less Postgraduate Higher degree | 178 (46.1) 175 (45.3) 33 (8.6) |
Monthly Income (AED): <10,000 10,000–20,000 20,000–30,000 >30,000 | 272 (70.5) 57 (14.8) 33 (8.5) 24 (6.2) |
Do you have any persistent or long-lasting illness? Yes No | 38 (9.8) 348 (90.2) |
Have you had any medical/health related education? Yes No | 25 (6.5) 361 (93.5) |
Familiarity and consumption of antibiotics | N (%) |
Please name below some of the antibiotics you have heard of: Correct Incorrect | 108 (28.0) 278 (72.0) |
Have you ever used antibiotics without a doctor’s prescription? Yes No I don’t know | 111 (28.8) 161 (41.7) 114 (29.5) |
How many times have you consumed antibiotics during the past 12 months? Never Once only 2–5 times More than 5 | 35 (9.1) 141 (36.5) 134 (34.7) 76 (19.7) |
Do you consume antibiotics when your body temperature is ________? More than 37 °C More than 37.5 °C More than 38 °C More than 38.5 °C I don’t use antibiotics unless prescribed by my physician | 191 (49.5) 74 (19.2) 32 (8.3) 18 (4.6) 71 (18.4) |
Which of the following six medications is an antibiotic? (Correct response = 3) | MeanSt.D 1.47 0.77 |
Item | Correct/ Approp. N (%) | Incorrect/ In-Approp. N (%) | I Don’t Know N (%) |
---|---|---|---|
Antibiotics can be used to treat bacterial infections | 261 (67.62) | 53 (13.73) | 72 (18.62) |
Antibiotics can be used to treat viral infections | 134 (34.72) | 183 (47.41) | 69 (17.88) |
The body can fight mild infections on its own without antibiotics | 277 (71.76) | 62 (16.06) | 47 (12.18) |
You can use antibiotics when you have a common cold | 109 (28.24) | 188 (48.70) | 89 (23.06) |
You can use antibiotics when you have pneumonia (lung infection) | 160 (41.45) | 72 (18.65) | 154 (39.90) |
You should always use antibiotics if one’s mucous becomes colored when having a cold | 108 (27.98) | 81 (20.98) | 197 (51.04) |
You should always use antibiotics when you have sore throat | 144 (37.13) | 132 (34.20) | 110 (28.50) |
An ear infection in a 3–6 year old child has to be treated with antibiotics | 102 (26.42) | 105 (27.20) | 179 (46.37) |
If one feels better, he/she should stop using the antibiotic as soon as feeling better | 153 (39.64) | 166 (43.01) | 67 (17.36) |
Antibiotics are used to kill all bacteria in the body | 137 (35.49) | 122 (31.61) | 127 (32.90) |
Antibiotics make one recover faster when having a cold | 122 (31.61) | 140 (36.27) | 124 (32.12) |
I usually obtain antibiotics from a pharmacy without a doctor’s visit | 177 (45.85) | 163 (42.23) | 46 (11.92) |
In my home, leftover antibiotics can be saved for personal future use or given to someone else | 183 (47.41) | 166 (43.01) | 37 (9.59) |
Sometimes I am able to acquire antibiotics from relatives or acquaintances, without having to be examined by a doctor | 280 (72.54) | 75 (19.43) | 31 (8.03) |
Sometimes I buy antibiotics online, without having to see a doctor. | 256 (66.32) | 108 (27.98) | 22 (5.07) |
If I get an infection, I often wait and see. (i.e., rest and take it easy), and see if the infection goes away on its own | 291 (56.74) | 75 (19.43) | 20 (5.18) |
Antibiotics often cause side effects such as diarrhea | 146 (37.82) | 73 (18.91) | 167 (43.26) |
Antibiotics can cause negative effects on the body’s own bacteria | 144 (37.31) | 89 (23.06) | 153 (39.64) |
Bacteria can become resistant to antibiotics | 168 (43.52) | 43 (11.14) | 175 (45.34) |
Resistant bacteria can spread from one patient to another | 138 (35.75) | 93 (24.09) | 155 (40.16) |
The more antibiotics we used in society, the higher the risk that resistance develops | 95 (24.61) | 50 (12.95) | 241 (62.44) |
Antibiotic use in animals can have an effect on antibiotic treatment for humans | 106 (27.46) | 61 (15.80) | 219 (56.46) |
Resistance to antibiotics could spread from one country to another when people travel back and forth between countries | 100 (25.91) | 47 (12.18) | 239 (61.92) |
Item | Factor | |||||
---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | ||
1 | Antibiotics can be used to treat bacterial infections | * | * | * | * | 0.643 |
2 | Antibiotics can be used to treat viral infections | * | * | * | * | 0.788 |
3 | The body can fight mild infections on its own without antibiotics | * | * | * | * | 0.479 |
4 | You can use antibiotics when you have a common cold | * | * | * | −0.433 | * |
5 | You can use antibiotics when you have pneumonia (lung infection) | * | * | * | −0.392 | * |
6 | You should always use antibiotics if mucous becomes colored when having a cold | * | * | * | −0.707 | * |
7 | You should always use antibiotics when you have sore throat | * | * | * | −0.641 | * |
8 | An ear infection in a 3–6 year old child has to be treated with antibiotics | * | * | * | −0.690 | * |
9 | If one feels better, he/she should stop using the antibiotic as soon as feeling better | * | * | 0.654 | * | * |
10 | Antibiotics are used to kill all bacteria in the body | * | * | 0.627 | * | * |
11 | Antibiotics make one recover faster when having a cold | * | * | 0.535 | * | * |
12 | I usually obtain antibiotics from a pharmacy without a doctor’s visit | * | 0.702 | * | * | * |
13 | In my home, leftover antibiotics can be saved for personal future use or given to someone else | * | 0.726 | * | * | * |
14 | Sometimes I am able to acquire antibiotics from relatives or acquaintances, without having to be examined by a doctor | * | 0.792 | * | * | * |
15 | Sometimes I buy antibiotics online, without having to see a doctor. | * | 0.795 | * | * | * |
16 | If I get an infection, I often wait and see. (i.e., rest and take it easy), and see if the infection goes away on its own | * | 0.637 | * | * | * |
17 | Antibiotics often cause side effects such as diarrhea | 0.657 | * | * | * | * |
18 | Antibiotics can cause negative effects on the body’s own bacteria | 0.697 | * | * | * | * |
19 | Bacteria can become resistant to antibiotics | 0.616 | * | * | * | * |
20 | Resistant bacteria can spread from one patient to another | 0.658 | * | * | * | * |
21 | The more antibiotics we used in society, the higher the risk that resistance develops | 0.781 | * | * | * | * |
22 | Antibiotic use in animals can have an effect on antibiotic treatment for humans | 0.791 | * | * | * | * |
23 | Resistance to antibiotics could spread from one country to another when people travel back and forth between countries | 0.797 | * | * | * | * |
Cronbach’s Alpha | 0.856 | 0.792 | 0.592 | 0.631 | 0.504 | |
Cronbach’s Alpha for total knowledge scale | 0.848 |
Variable | N |
Factor 1 (7 Items) St.D P 2.32 ± 2.00 |
Factor 2 (5 Items) St.D P 3.08 ± 1.52 |
Factor 3 (3 Items) St.D P 1.07 ± 0.98 |
Factor 4 (5 Items) St.D P 1.61 ± 1.29 |
Factor 5 (3 Items) St.D P 1.74 ± 0.92 |
---|---|---|---|---|---|---|
Gender Male Female | 123 263 | 2.392.21 0.66 2.291.90 | 2.931.65 0.21 3.141.46 | 0.950.97 0.13 1.110.98 | 1.611.38 0.96 1.611.25 | 1.740.99 0.92 1.740.89 |
Age 18–30 31–40 41–50 51 | 250 64 42 30 | 2.271.95 0.29 2.151.84 2.402.20 2.972.37 | 3.181.47 0.20 2.851.65 2.741.78 3.101.24 | 0.980.96 0.12 1.280.92 1.191.06 1.131.04 | 1.631.24 0.016 1.351.34 1.431.40 2.231.33 | 1.710.89 0.53 1.721.03 1.780.97 1.960.89 |
Education Tertiary school or less Postgraduate Higher degree | 178 175 33 | 2.031.91 0.001 2.412.02 3.392.03 | 3.001.57 0.70 3.121.50 3.181.44 | 2.031.91 0.046 2.412.02 3.392.03 | 1.511.33 0.30 1.671.24 1.851.35 | 1.680.89 0.000 1.670.93 2.420.75 |
Monthly Income <10,000 10,000–20,000 20,000–30,000 >3000 | 272 57 33 24 | 2.171.98 0.008 2.241.83 2.362.23 3.671.97 | 2.981.58 0.38 3.261.40 3.241.37 3.371.31 | 1.020.95 0.14 1.291.00 0.911.01 1.251.07 | 1.491.28 0.043 1.881.40 1.901.28 1.961.08 | 1.680.92 0.024 2.030.90 1.570.93 1.950.80 |
AKCT Mean St.D = 9.82 ± 3.85 | 386 | 2.32 ± 2.00 | 3.08 ± 1.52 | 1.07 ± 0.98 | 1.61 ± 1.29 | 1.74 ± 0.92 |
INT (Total Score) | |
---|---|
Antibiotic knowledge (total score) | 0.205 ** |
Factor 1—Side-effects and resistance | 0.162 * |
Factor 2—Access to antibiotics | −0.060 |
Factor 3—Recovery after use | 0.125 |
Factor 4—Antibiotics use indications | −0.025 |
Factor 5—Body response | −0.030 |
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Hasan, S.; Sulieman, H.; Babi, H.; Bloukh, S. Development and Psychometric Evaluation of the Antibiotic Knowledge and Consumption Tool (AKCT). Antibiotics 2022, 11, 1744. https://doi.org/10.3390/antibiotics11121744
Hasan S, Sulieman H, Babi H, Bloukh S. Development and Psychometric Evaluation of the Antibiotic Knowledge and Consumption Tool (AKCT). Antibiotics. 2022; 11(12):1744. https://doi.org/10.3390/antibiotics11121744
Chicago/Turabian StyleHasan, Sanah, Hana Sulieman, Husam Babi, and Samir Bloukh. 2022. "Development and Psychometric Evaluation of the Antibiotic Knowledge and Consumption Tool (AKCT)" Antibiotics 11, no. 12: 1744. https://doi.org/10.3390/antibiotics11121744
APA StyleHasan, S., Sulieman, H., Babi, H., & Bloukh, S. (2022). Development and Psychometric Evaluation of the Antibiotic Knowledge and Consumption Tool (AKCT). Antibiotics, 11(12), 1744. https://doi.org/10.3390/antibiotics11121744