Validity and Reliability Questionnaire Knowledge, Attitude, and Practice of Pharmacists towards Antimicrobial Stewardship
DOI:
https://doi.org/10.23917/pharmacon.v23i1.16060Keywords:
Antimicrobial stewardship, Attitude, Knowledge, Practice, QuestionnaireAbstract
Increasing antibiotic resistance can be caused by the use of broad-spectrum antibiotics, which can increase morbidity and mortality. The Antimicrobial Stewardship Program (ASP) has been implemented globally to control antibiotic resistance. The presence of a multiprofessional health team such as physicians, pharmacists, microbiologists, and infection control (IPC) practitioners is a key requirement for implementing the ASP. The purpose of this study was to develop a questionnaire on pharmacists' knowledge, attitudes, and practice regarding Antimicrobial Stewardship. The questionnaire items were developed based on literature review and expert judgment. Validity testing used the Content Validity Index (CVI) method with expert judgment to assess the validity of each questionnaire item. Reliability testing was distributed to thirty pharmacists to measure the consistency of the questionnaire. Validity testing with the CVI obtained a value of 0.75–1.0, meaning that some items were invalid because the CVI was <0.83. Meanwhile, the reliability test showed that 7 items of knowledge variable statements had a corrected item-total correlation value > 0.25. All statement items on the attitude variable showed a corrected item-total correlation value > 0.25. 13 statement items on the behavior variable had a corrected item-total correlation value > 0.25. The developed questionnaire demonstrated acceptable validity and reliability and can be used to assess pharmacists’ knowledge, attitudes, and practices regarding antimicrobial stewardship.
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Akbar, Z., Saleem, Z., Shaukat, A., & Farrukh, M. J. (2021). Perception and practices of community pharmacists towards antimicrobial stewardship in Lahore, Pakistan. Journal of Global Antimicrobial Resistance, 25, 157–161. https://doi.org/10.1016/j.jgar.2021.03.013
Anggraini, F. D. P., Aprianti, A., Setyawati, V. A. V., & Hartanto, A. A. (2022). Statistics Instruction Using SPSS Software for Validity and Reliability Testing. Jurnal Basicedu, 6(4), 6491–6504. https://doi.org/10.31004/basicedu.v6i4.3206
Azwar, S. (2022). Sikap Manusia: Teori dan Pengukurannya. Pustaka Pelajar. http://repository.poltekkes-denpasar.ac.id/5848/
Azwar, S. (2024). Penyusunan Skala Psikologi (Edisi II). Pustaka Pelajar.
Azwar, S. (2025). Reliabilitas dan Validitas (Edisi 5). Pustaka Pelajar.
Brinkmann, I., & Kibuule, D. (2020). Effectiveness of antibiotic stewardship programmes in primary health care settings in developing countries. Research in Social and Administrative Pharmacy, 16(9), 1309–1313. https://doi.org/10.1016/j.sapharm.2019.03.008
Busschaert, C., Bourdeaudhuij, I. De, Holle, V. Van, Chasti, S. F., Cardon, G., & Choker, K. De. (2015). Reliability and validity of three questionnaires measuring context-specific sedentary behaviour and associated correlates in adolescents, adults and older adults. International Journal of Behavioral Nutrition and Physical Activity, 12(1), 1–13. https://doi.org/https://doi.org/10.1186/s12966-015-0277-2
CDC. (2019). Antibiotic Resistance Threats in The United States 2019. In Centre for Disease Control and Prevention (Vol. 10, Issue 1). CDC. https://doi.org/10.1186/s13756-020-00872-w
Darsini, Aryani, H. P., & Nia, N. S. (2020). Validity and Reliability of the COVID-19 (SARS-CoV-2) Knowledge Questionnaire 1. Jurnal Keperawatan, 19.
Fabre, V., Cosgrove, S. E., Lessa, F. C., Patel, T. S., Reyes-Morales, G., Aleman, W. R., Alvarez, A. A., Aquiles, B., Arauz, A. B., Arguello, F., Barberis, M. F., Barcan, L., Bernachea, M. P., Bernan, M. L., Buitrago, C., Del Carmen Bangher, M., Castañeda, X., Colque, A. M., Canton, A., Quiros, R. E. (2024). Knowledge, attitudes and perceptions of Latin American healthcare workers relating to antibiotic stewardship and antibiotic use: a cross-sectional multi-country study. Antimicrobial Resistance and Infection Control, 13(1), 1–7. https://doi.org/10.1186/s13756-024-01400-w
Husna, U. Y., & Ichsan, B. (2023). Validity and Reliability of a Questionnaire on Pharmacists' Knowledge, Attitudes, and Practices Regarding Pharmaceutical Care. PHARMACY: Jurnal Farmasi Indonesia (Pharmaceutical Journal of Indonesia), 20(02), 96–101.
Karuniawati, H., Hassali, M. A. A., Suryawati, S., Ismail, W. I., Taufik, T., & Mutalazimah, M. (2022). Development and Validation of Knowledge, Attitude, and Practice Towards Antibiotics Questionnaire (KAPAQ) for General Community. Research Journal of Pharmacy and Technology (RJPT), 15(1). https://rjptonline.org/HTMLPaper.aspx?Journal=Research Journal of Pharmacy and Technology;PID=2022-15-1-52
Kemenkes RI. (2021). Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2021 Tentang Pedoman Penggunaan Antibiotik. Kementrian Kesehatan RI.
Kurniasari, D. R., & Ichsan, B. (2023). Validity and Reliability of a Questionnaire on Pharmacists' Knowledge, Attitudes, and Practices Regarding Antibiotic Resistance. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(11), 2333–2343. https://doi.org/10.56338/mppki.v6i11.4373
Mudenda, S., Hankombo, M., Saleem, Z., Sadiq, M. J., Banda, M., Munkombwe, D., Mwila, C., Kasanga, M., Zulu, A. C., Hangoma, J. M., Mufwambi, W., Muungo, L. T., Kampamba, R. M., Bambala, A. M., Abdulrahman, N. M., Akram, M., Hikaambo, C. N., & Muma, J. B. (2021). Knowledge, Attitude, and Practices of Community Pharmacists on Antibiotic Resistance and Antimicrobial Stewardship in Lusaka, Zambia. Journal of Biomedical Research & Environmental Sciences, 2(10), 1005–1014. https://doi.org/10.37871/jbres1343
Notoatmodjo, S. (2014). Ilmu Perilaku Kesehatan. Rineka Cipta.
Sarwar, M. R., Saqib, A., Iftikhar, S., & Sadiq, T. (2018). Knowledge of community pharmacists about antibiotics, and their perceptions and practices regarding antimicrobial stewardship: A cross-sectional study in Punjab, Pakistan. Infection and Drug Resistance, 11, 133 – 145. https://doi.org/10.2147/IDR.S148102
Setiawan, E., Wibowo, Y. I., Setiadi, A. P., Nurpatria, Y., Sosilya, H., Wardhani, D. K., Cotta, M. O., Abdul-Aziz, M.-H., & Roberts, J. (2019). Implementation of Antimicrobial Stewardship Programs in Asia: A Systematic Review. Indonesian Journal of Clinical Pharmacy, 8(2), 141. https://doi.org/10.15416/ijcp.2019.8.2.141
Suryadi, T., Alfiya, F., Yusuf, M., Indah, R., Hidayat, T., & Kulsum, K. (2023). Content Validity for the Research Instrument Regarding Teaching Methods of the Basic Principles of Bioethics. Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education, 12(2), 186. https://doi.org/10.22146/jpki.77062
Taherdoost, H., Business, H., Sdn, S., Group, C., & Lumpur, K. (2016). Validity and Reliability of the Research Instrument ; How to Test the Validation of a Questionnaire / Survey in a Research. International Journal of Academic Research in Management, 5(3), 28–36.
Yusoff, M. S. B. (2019). ABC of Content Validation and Content Validity Index Calculation. Education in Medicine Journal, 11(2), 49–54. https://doi.org/10.21315/eimj2019.11.2.6
