Design and reliability study of a parental knowledge, attitude, and practice questionnaire on prevention and management of acute bronchiolitis of children under two years of age

Authors

  • Elena Delgado-Castillejo Programa de Doctorado en Pediatría, Obstetricia y Ginecología. Escuela de Doctorado. Universidad Autónoma de Barcelona. Bellaterra. Barcelona. España. https://orcid.org/0000-0003-3773-9178
  • María Carratalá-Tejada Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física. Facultad de Ciencias de la Salud. Universidad Rey Juan Carlos. Alcorcón, Madrid. España. https://orcid.org/0000-0003-2825-8655
  • Francisco Molina-Rueda Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física. Facultad de Ciencias de la Salud. Universidad Rey Juan Carlos. Alcorcón, Madrid. España. https://orcid.org/0000-0002-8616-5505

DOI:

https://doi.org/10.23938/ASSN.1032

Keywords:

Bronchiolitis, Surveys and questionnaires, Disease prevention, Preschool child, Parents

Abstract

Background. Acute bronchiolitis is the most common cause of hospitalization in the first year of life. Primary prevention and supportive care are key. Here, we aimed to design and assess the psychometric properties of a parent-focused questionnaire on prevention and management of acute bronchiolitis at home in children under two years of age.

Methodology. For the design of the questionnaire, we conducted a literature search on prevention strategies and risk factors for bronchiolitis. An expert committee evaluated the content of the new questionnaire using the Content Validity Index and estimated the internal consistency reliability with Cronbach's alpha.

Results. A 26-item questionnaire divided into four dimensions (Risk factors, Signs and symptoms, Prevention, Care and pharmacological support) was created. The normalized score fell in the range between -50 and +50; a positive score was interpreted as presence of good knowledge, attitudes, and habits. Each of the 26 items obtained a Content Validity Index score > 0.80 and the global score was 0.90. The global internal consistency was α = 0.77, with differences between individual scores of the different dimensions of the questionnaire.

Conclusion. The Parental knowledge, attitude, and practice questionnaire on prevention and management of acute bronchiolitis at home obtained an excellent Content Validity Index score by the expert committee and an acceptable internal consistency. Our questionnaire may reinforce the weak knowledge areas regarding the measures to apply.

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References

Update information | Bronchiolitis in children: diagnosis and management | Guidance | NICE. https://www.nice.org.uk/guidance/ng9/chapter/Update-information

FRIEDMAN JN, RIEDER MJ, WALTON JM, Canadian Paediatric Society, Acute Care Committee, Drug Therapy and Hazardous Substances Committee. Bronchiolitis: Recommendations for diagnosis, monitoring and management of children one to 24 months of age. Paediatr Child Health 2014; 19(9): 485-491. https://doi.org/10.1093/pch/19.9.485

RALSTON SL, LIEBERTHAL AS, MEISSNER HC, ALVERSON BK, BALEY JE, GADOMSKI AM et al. Clinical practice guideline: The Diagnosis, management, and prevention of bronchiolitis. Pediatrics 2014; 134(5): e1474-e502. https://doi.org/10.1542/peds.2014-2742

KIMPEN JLL. Prevention and treatment of respiratory syncytial virus bronchiolitis and postbronchiolitic wheezing. Respir Res 2002; 3 (Suppl 1): S40-S45. https://doi.org/10.1186/rr183

MEJÍAS A, RAMILO O. Review of palivizumab in the prophylaxis of respiratory syncytial virus (RSV) in high-risk infants. Biologics 2008; 2(3): 433-439. https://doi.org/10.2147/btt.s3104

CAMPBELL A, HARTLING L, LOUIE-POON S, SCOTT SD. Parents’ information needs and preferences related to bronchiolitis: a qualitative study. CMAJ Open 2019; 7(4): E640- E645. https://doi.org/10.9778/cmajo.20190092

SMITH DK, SEALES S, BUDZIK C. Respiratory syncytial virus bronchiolitis in children. Am Fam Physician 2017; 95(2): 94-99.

LaPILLONNE A, REGNAULT A, GOURNAY V, GOUYON J-B, BENMEDJAHED K, ANGHELESCU D et al. Development of a questionnaire to assess the impact on parents of their infant’s bronchiolitis hospitalization. BMC Health Serv Res 2013; 13(1): 272. https://doi.org/10.1186/1472-6963-13-272

DAWSON-CASWELL M, MUNCIE HL JR. Respiratory syncytial virus infection in children. Am Fam Physician 2011; 83(2): 141-146.

TSANG S, ROYSE C, TERKAWI A. Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi J Anaesth 2017; 11(5): 80. https://doi.org/10.4103/sja.sja_203_17

MATAS A. Diseño del formato de escalas tipo Likert: un estado de la cuestión. Revista Electrónica de Investigación Educativa 2018; 20(1): 38-47. https://doi.org/10.24320/redie.2018.20.1.1347

URRUTIA EGAÑA MU, BARRIENTOS ARAYA S, GUTIÉRREZ NÚÑEZ M, MAYORGA CAMUS M. Métodos óptimos para determinar validez de contenido Educ Med Super 2014; 28(3): 547-558. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21412014000300014

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(5): 489-497. https://doi.org/10.1002/nur.20147

FERMANIAN J. [Validation of assessment scales in physical medicine and rehabilitation: how are psychometric properties determined?]. Ann Readapt Med Phys 2005; 48(6): 281-287. https://doi.org/10.1016/j.annrmp.2005.04.004

FRIAS-NAVARRO D, PASCUAL-SOLER M. Research design, analysis and writing of results . Open Science Framework 2022. https://www.uv.es/friasnav/AlfaCronbach.pdf

OVIEDO HC, CAMPO-ARIAS A. Metodología de investigación y lectura crítica de estudios Aproximación al uso del coeficiente alfa de Cronbach. Rev Colomb Psiquiatr 2005; 34(4): 572-580. http://www.scielo.org.co/scielo.php?pid=S0034-74502005000400009&script=sci_abstract&tlng=es

BARALDI E, LANARI M, MANZONI P, ROSSI GA, VANDINI S, RIMINI A et al. Inter-society consensus document on treatment and prevention of bronchiolitis in newborns and infants. Ital J Pediatr 2014; 40(1). https://doi.org/10.1186/1824-7288-40-65

VERMA N, LODHA R, KABR SK. Recent advances in management of bronchiolitis. Indian Pediatr 2013; 50(10): 939-949. https://doi.org/10.1007/s13312-013-0265-z.

CABALLERO MT, POLACK FP, STEIN RT. Viral bronchiolitis in young infants: new perspectives for management and treatment. J Pediatr (Rio J) 2017; 93: 75-83. https://doi.org/10.1016/j.jped.2017.07.003

VAN GINDERDEUREN F, VANDENPLAS Y, DENEYER M, VANLAETHEM S, BUYL R, KERCKHOFS E. Effectiveness of airway clearance techniques in children hospitalized with acute bronchiolitis. Pediatr pulmonology 2017; 52(2): 225–231. HTTPS://DOI.ORG/10.1002/PPUL.23495

SÁNCHEZ BAYLE M, MARTÍN MARTÍN R, CANO FERNÁNDEZ J, MARTÍNEZ SÁNCHEZ G, GÓMEZ MARTÍN J, YEP CHULLEN G et al. Estudio de la eficacia y utilidad de la fisioterapia respiratoria en la bronquiolitis aguda del lactante hospitalizado. Ensayo clínico aleatorizado y doble ciego. An Pediatr (Barc) 2012; 77(1): 5-11. https://doi.org/10.1016/j.anpedi.2011.11.026

GOMES GR, CALVETE FP, ROSITO GF, DONADIO MV. Rhinopharyngeal retrograde clearance induces less respiratory effort and fewer adverse effects in comparison with nasopharyngeal aspiration in infants with acute viral bronchiolitis. Resp Care 2016; 61(12): 1613-1619. https://doi.org/10.4187/respcare.04685

GOMES EL, POSTIAUX G, MEDEIROS DR, MONTEIRO KK, SAMPAIO LM, COSTA D. Chest physical therapy is effective in reducing the clinical score in bronchiolitis: randomized controlled trial. Revista brasileira de fisioterapia (Sao Carlos (Sao Paulo, Brazil)) 2012, 16(3): 241–247. https://doi.org/10.1590/s1413-35552012005000018

POSTIAUX G, LOUIS J, LABASSE HC, GERROLDT J, KOTIK AC, LEMUHOT A Et al. Evaluation of an alternative chest physiotherapy method in infants with respiratory syncytial virus bronchiolitis. Resp Care 2011; 56(7): 989-994. https://doi.org/10.4187/respcare.00721

AYRE C, SCALLY AJ. Critical values for Lawshe’s content validity ratio: revisiting the original methods of calculation. Measurement and evaluation in counseling and development 2014; 47(1): 79-86. https://doi.org/10.1177/074817561351380

PINTO AFANADOR N. Conmemoración de los 88 años del Programa de enfermería y de los 50 años de la Facultad de Enfermería de la Universidad Nacional de Colombia. Bogotá, 14 de octubre de 2008. https://revistas.unal.edu.co/index.php/avenferm/article/view/12947/13666

PEDROSA I, SUÁREZ-ÁLVAREZ J, GARCÍA-CUETO E. Evidencias sobre la validez de contenido: avances teóricos y métodos para su estimación. Acción Psicológica 2014; 10(2): 3. https://doi.org/10.5944/ap.10.2.1182026

HARTOG K, ARDURA-GARCIA C, HAMMER J, KUEHNI CE, BARBEN J. Acute bronchiolitis in Switzerland – Current management and comparison over the last two decades. Pediatr Pulmonol 2022; 57(3): 734-743. https://doi.org/10.1002/ppul.25786

National Institute for Health and Care Excellence. Bronchiolitis in children: diagnosis and managemen. NICE Guideline No. 9, 2021. https://www.ncbi.nlm.nih.gov/books/NBK573086/pdf/Bookshelf_NBK573086.pdf

POSTIAUX G, ZWAENEPOEL B, LOUIS J. Chest physical therapy in acute viral bronchiolitis: an updated review. Resp Care 2013; 58(9): 1541–1545. https://doi.org/10.4187/respcare.01890

MORENO L, HERNÁNDEZ O, MIJANGOS P, MORALES J. Nivel de conocimiento sobre infecciones respiratorias agudas en madres de niños menores de 5 años en una unidad de medicina familiar. Atención Fam 2018; 26(1): 13-17. https://www.revistas.unam.mx/index.php/atencion_familiar/article/view/67711

GONI MD, HASAN H, NAING NN, WAN-ARFAH N, DERIS ZZ, ARIFIN WN. Assessment of knowledge, attitude and practice towards prevention of respiratory tract infections among hajj and umrah pilgrims from Malaysia in 2018. Int J Environ Res Public Health 2019; 16(22): 4569. https://doi.org/10.3390/ijerph16224569

PANAGAKOU SG, THEODORIDOU MN, PAPAEVANGELOU V, PAPASTERGIOU P. Development and assessment of a questionaire for a descriptive cross-sectional study concerning parent’s knowledge, attitudes and practises in antibiotic use in Greece. BMC Infect Dis 2009; 9: 52. https://doi.org/10.1186/1471-2334-9-52

ALILI-IDRIZI E, DAUTI M, MALAJ L. Validation of the parental knowledge and attitude towards antibiotic usage and resistance among children in Tetovo, the Republic of Macedonia. Pharm Pract (Granada) 2014; 12(4): 467. http://dx.doi.org/10.4321/s1886-36552014000400003

ABU FARHA R, SUYAGH M, ALSAKRAN L. ALSOUS M, ALEFISHAT E. Parental views of antibiotic use in children with upper respiratory tract infections in Jordan. Trop J Pharm Res 2016; 15(9): 2009-2016.

RODRÍGUEZ MARTINEZ CE, SOSSA MP. Validación de un cuestionario de conocimientos acerca de asma. VI Congreso Colombiano de Neumología Pediátrica. Cartagena (Colombia), 25 - 28 de agosto de 2004.

LEONARDO CABELLO MT, OCEJA SETIEN E, GARCÍA HIGUERA L, CABERO PÉREZ MJ, PÉREZ BELMONTE E, GÓMEZ ACEBO I. valuación de los conocimientos paternos sobre asma con el Newcastle Asthma Knowledge Questionnaire. Rev Pediatr Aten Primaria 2013; 15(58): 117-126.

GUEDDARI W, TAZI A, OUARDI A, NANI S, ZINEDDINE A. [Evaluation of parental knowledge on acute bronchiolitis]. Pan Afr Med J 2014; 17: 310. https://doi.org/10.11604/pamj.2014.17.310.2717

Published

2023-04-25

How to Cite

Delgado-Castillejo, E. ., Carratalá-Tejada, M., & Molina-Rueda, F. . (2023). Design and reliability study of a parental knowledge, attitude, and practice questionnaire on prevention and management of acute bronchiolitis of children under two years of age. Anales Del Sistema Sanitario De Navarra, 46(1), e1032. https://doi.org/10.23938/ASSN.1032

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Research articles

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