Development and Psychometric Validation of the Knowledge and Attitudes Questionnaire toward Long COVID (KA-long COVID)
Keywords:
Long COVID, questionnaire, health literacy, Community medical technologistsAbstract
The impact of long COVID has been increasing globally, however, the symptoms and
pathophysiological mechanisms are still not well understood. Therefore, evaluating individuals knowledge and attitudes (KA) towards long COVID is crucial. This study aimed to create and validatetheKA-longCOVIDquestionnaire,whichconsistsof14items forknowledgeand6items for attitude. The questionnaire’s content validity was established through expert agreement, and its internal consistency and intra-rater reliability were assessed using 30 healthy participants, aged 18-60 years old. Results showed acceptable item level-content validity index (I-CVI) and scale level-content validity index (S-CVI) (≥ 0.8 and 0.91, respectively). The attitude section’s internal consistency was reliable (Cronbach’s alpha = 0.82). The knowledge section’s intra-rater reliability was acceptable (percent agreement ≥ 66.7), and the attitude section’s Spearman rank correlation coefficient was significant (p < 0.05). In conclusion, the KA-long COVID questionnaire is a reliable and valid instrument for measuring knowledge and attitudes toward long COVID. This questionnaire could guide healthcare professionals, including community medical technologists, in measuring health literacy and improving health outcomes.
References
Liu YC, Kuo RL, Shih SR. COVID-19: The first documented coronavirus pandemic in history. Biomed J 2020; 43: 328-33.
Tay MZ, Poh CM, Renia L, MacAry PA, Ng LFP. The trinity of COVID-19: immunity, inflammation and intervention. Nat Rev Immunol 2020; 20: 363-74.
Mehandru S, Merad M. Pathological sequelae of long-haul COVID. Nat Immunol 2022; 23: 194-202.
Silva Andrade B, Siqueira S, de Assis Soares WR, et al. Long-COVID and Post-COVID Health Complications: An up-to-date review on clinical conditions and their possible molecular mechanisms. Viruses 2021; 13.
Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19 syndrome. Nat Med 2021; 27: 601-15.
Castanares-Zapatero D, Chalon P, Kohn L, et al. Pathophysiology and mechanism of long COVID: a comprehensive review. Ann Med 2022; 54: 1473-87.
Lopez-Leon S, Wegman-Ostrosky T, Perelman C, et al. More than 50 long-term effects of COVID-19: a systematic review and meta-analysis. Sci Rep 2021; 11: 16144.
Aiyegbusi OL, Hughes SE, Turner G, et al. Symptoms, complications and management of long COVID: a review. J R Soc Med 2021; 114: 428-42.
Davis HE, McCorkell L, Vogel JM, Topol EJ. Long COVID: major findings, mechanisms and recommendations. Nat Rev Microbiol 2023; 21: 133-46.
O’Mahoney LL, Routen A, Gillies C, et al. The prevalence and long-term health effects of Long Covid among hospitalised and non-hospitalised populations: A systematic review and meta-analysis. EClinicalMedicine 2023; 55: 101762.
L OM, Buwalda T, Blair M, et al. Impact of Long COVID on health and quality of life. HRB Open Res 2022; 5: 31.
Malik P, Patel K, Pinto C, et al. Post-acute COVID-19 syndrome (PCS) and health-related quality of life (HRQoL)-A systematic review and meta-analysis. J Med Virol 2022; 94: 253-62.
Ishikawa H, Kato M. Health literacy and COVID-19-related beliefs and behaviors: a longitudinal study of the Japanese general population. Health Promot Int 2023; 38.
Siri Y, Arthan A, Nirachon C. Health literacy and preventive behaviors on COVID-19 among undergraduate students in a University of Southern Thailand. Dis Control J 2022; 48: 493-504.
Danpradit P, Jermtienchai K. Relationship between health literacy and COVID-19 prevention behaviors of COVID-19 infected people during the pandemic in 2021 and the First trimester of 2022. Vajira Nursing Journal 2022; 24: 70-84.
Naveed MA, Shaukat R. Health literacy predicts Covid-19 awareness and protec- tive behaviours of university students. Health Info Libr J 2022; 39: 46-58.
Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International. 2000. p. 259-67.
Nutbeam D. The evolving concept of health literacy. Soc Sci Med 2008; 67: 2072-8.
Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? Critique and recommendations. Res Nurs Health 2006; 29: 489-97.
Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health 2007; 30: 459-67.
Mukaka MM. Statistics corner: A guide to appropriate use of correlation coefficient in medical research. Malawi Med J 2012; 24: 69-71.
Schober P, Boer C, Schwarte LA. Correlation coefficients: Appropriate use and interpretation. Anesth Analg 2018; 126: 1763-8.
Raman B, Bluemke DA, Luscher TF, Neubauer S. Long COVID: post-acute sequelae of COVID-19 with a cardiovas- cular focus. Eur Heart J 2022; 43: 1157-72.
Bucciarelli V, Nasi M, Bianco F, et al. Depression pandemic and cardiovascular risk in the COVID-19 era and long COVID syndrome: Gender makes a difference. Trends Cardiovasc Med 2022; 32: 12-7.
Jimeno-Almazan A, Pallares JG, Buendia-Romero A, et al. Post-COVID-19 syndrome and the potential benefits of exercise. Int J Environ Res Public Health 2021; 18.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Journal of the Medical Technologist Association of Thailand

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.