TY - JOUR
T1 - Knowledge, attitudes, behavioral and organizational factors of health professions students for a competent smoking cessation practice
T2 - An instrument adaptation and psychometric validation study in Spanish and English samples
AU - INSTrUCT research group
AU - Pueyo-Garrigues, María
AU - Agüera, Zaida
AU - Andrés, Ana
AU - Lluch-Canut, Maria Teresa
AU - Tricas-Sauras, Sandra
AU - Duaso, Maria José
AU - Feliu, Ariadna
AU - Pardavila-Belio, Miren Idoia
AU - Antón, Laura
AU - Cornejo-Ovalle, Marco
AU - Puig-Llobet, Montserrat
AU - Moreno-Arroyo, Carmen
AU - Barroso, Tereza
AU - Roca, Judith
AU - Martínez, Cristina
N1 - Funding Information:
this work was supported by Erasmus+ programme (EU). The INSTrUCT project (Reference: 2019-1-ES01-KA203-064496) has been funded in the framework of Erasmus+ programme (EU) with support from the European Commission and SEPIE. This manuscript reflects the views only of the authors and the Commission cannot be held responsible for any use which may be made of the information contained therein.
Funding Information:
this work was supported by Erasmus+ programme (EU) . The INSTrUCT project (Reference: 2019-1-ES01-KA203-064496 ) has been funded in the framework of Erasmus+ programme (EU) with support from the European Commission and SEPIE. This manuscript reflects the views only of the authors and the Commission cannot be held responsible for any use which may be made of the information contained therein.
Publisher Copyright:
© 2023 The Authors
PY - 2023/7
Y1 - 2023/7
N2 - Background: To improve smoking cessation, training of health professions students is essential. However, no specific instrument is available to assess factors that may affect students' learning about smoking cessation practice. Aim: To adapt and validate the Knowledge, Attitudes, Behaviors and Organization questionnaire in the population of undergraduate health professions students. Design: Methodological research. Methods: The researchers conducted this study with 511 Spanish and 186 English health professions students from four different universities. We used a four-step approach: 1) adaptation of the items to the target population and validation of the content by a panel of experts; 2) a pilot study to test face validity; 3) linguistic adaptation of the Spanish version to English; and 4) the psychometric assessment based on construct validity, criterion validity and internal consistency. Results: Exploratory factor analysis revealed four subscales for the Spanish version, namely ‘Individual knowledge and skills’, ‘Individual attitudes and beliefs’, ‘Organizational support’ and ‘Organizational resources’, which accounted for 85.1% of the variance. Confirmatory factor analysis in the holdout Spanish and English samples revealed adequate goodness-of-fit values, supporting the factor structure. Hypotheses testing demonstrated significant differences by capacitation in smoking cessation interventions and degree courses, providing further evidence regarding construct validity. All the subscales correlated positively with the criterion variables (5 A's smoking cessation model), except for the ‘Organizational resources’ subscale, which was not significantly correlated with the 5 A's. The overall Cronbach's alpha was.83 for the Spanish version and.88 for the English one. Conclusions: Our results provide empirical support for the use of the Knowledge, Attitudes, Behaviors and Organization questionnaire for Students as a reliable and valid instrument to assess knowledge, attitudes, behaviors and organization perceptions in health professions students, which is essential for competent smoking cessation practice. Interestingly, ‘Organizational resources’ subscale presented the lowest correlations among factors and did not correlate with any component of the 5 A's, suggesting the need of enhancing students' responsibility and involvement during their internships, as well as the interest of some organizations.
AB - Background: To improve smoking cessation, training of health professions students is essential. However, no specific instrument is available to assess factors that may affect students' learning about smoking cessation practice. Aim: To adapt and validate the Knowledge, Attitudes, Behaviors and Organization questionnaire in the population of undergraduate health professions students. Design: Methodological research. Methods: The researchers conducted this study with 511 Spanish and 186 English health professions students from four different universities. We used a four-step approach: 1) adaptation of the items to the target population and validation of the content by a panel of experts; 2) a pilot study to test face validity; 3) linguistic adaptation of the Spanish version to English; and 4) the psychometric assessment based on construct validity, criterion validity and internal consistency. Results: Exploratory factor analysis revealed four subscales for the Spanish version, namely ‘Individual knowledge and skills’, ‘Individual attitudes and beliefs’, ‘Organizational support’ and ‘Organizational resources’, which accounted for 85.1% of the variance. Confirmatory factor analysis in the holdout Spanish and English samples revealed adequate goodness-of-fit values, supporting the factor structure. Hypotheses testing demonstrated significant differences by capacitation in smoking cessation interventions and degree courses, providing further evidence regarding construct validity. All the subscales correlated positively with the criterion variables (5 A's smoking cessation model), except for the ‘Organizational resources’ subscale, which was not significantly correlated with the 5 A's. The overall Cronbach's alpha was.83 for the Spanish version and.88 for the English one. Conclusions: Our results provide empirical support for the use of the Knowledge, Attitudes, Behaviors and Organization questionnaire for Students as a reliable and valid instrument to assess knowledge, attitudes, behaviors and organization perceptions in health professions students, which is essential for competent smoking cessation practice. Interestingly, ‘Organizational resources’ subscale presented the lowest correlations among factors and did not correlate with any component of the 5 A's, suggesting the need of enhancing students' responsibility and involvement during their internships, as well as the interest of some organizations.
KW - Health care services
KW - Health professions students
KW - Instrument development
KW - Quality of care
KW - Smoking cessation
UR - http://www.scopus.com/inward/record.url?scp=85153602190&partnerID=8YFLogxK
U2 - 10.1016/j.nepr.2023.103647
DO - 10.1016/j.nepr.2023.103647
M3 - Article
AN - SCOPUS:85153602190
SN - 1471-5953
VL - 70
JO - Nurse Education in Practice
JF - Nurse Education in Practice
M1 - 103647
ER -