Subscribe Now Subscribe Today
Research Article
 

Development and Pilot Testing of Nutrition Knowledge, Attitude and Practice Questionnaire in Persons with Disabilities (KAP-nOKU) among Trainers in Rehabilitation Centres, Malaysia



Seong-Ting Chen, Kah-Leng Soo, Azriani Ab Rahman, Hans Van Rostenberghe and Sakinah Harith
 
Facebook Twitter Digg Reddit Linkedin StumbleUpon E-mail
ABSTRACT

Malnutrition and growth failure are prevalent among Persons with Disabilities (PWD) and most trainers or care givers in the Community-based Rehabilitation (CBR) centres had limited knowledge in nutrition management for this vulnerable population. The purpose of this study was to develop and examine the validity and reliability of an evaluation instrument, Nutrition Knowledge, Attitude and Practice Questionnaire in Persons with Disabilities (KAP-nOKU) among trainers in CBR centres, Malaysia. KAP-nOKU was a guided self-administered questionnaire and consisted of 30 knowledge, 15 attitude and 15 practice items. After items generation, it was assessed the content validity by an expert panel; and face validity by nine care givers for spastic children. The revised questionnaire was further pre-tested. This pilot study was a cross-sectional survey and recruited 165 trainers from CBR centres in Perlis, Pulau Pinang and Perak, Malaysia. Item analysis or construct validity, internal consistency and test-retest reliability of KAP-nOKU were examined. Five sub-domains were constructed for knowledge domain and three factor-solutions emerged for attitude and practice domains, respectively. Items with low factor loading and correlation were removed. Internal consistency was good-to-excellent for knowledge (KR20 = 0.63), attitude (CA = 0.67) and practice (CA = 0.82) domains. Test-retest reliability- the intraclass correlation coefficients for knowledge, attitude and practice domains were 0.59, 0.73 and 0.91 (p<0.05). The finalized KAP-nOKU after analysis contained 57 items-29 knowledge, 13 attitude and 15 practice items. KAP-nOKU was an adequately valid and reliable questionnaire which can serve as an assessment tool to evaluate the effectiveness of nutrition education among trainers or care givers in rehabilitation centres, Malaysia.

Services
Related Articles in ASCI
Similar Articles in this Journal
Search in Google Scholar
View Citation
Report Citation

 
  How to cite this article:

Seong-Ting Chen, Kah-Leng Soo, Azriani Ab Rahman, Hans Van Rostenberghe and Sakinah Harith, 2013. Development and Pilot Testing of Nutrition Knowledge, Attitude and Practice Questionnaire in Persons with Disabilities (KAP-nOKU) among Trainers in Rehabilitation Centres, Malaysia. Pakistan Journal of Nutrition, 12: 708-714.

DOI: 10.3923/pjn.2013.708.714

URL: https://scialert.net/abstract/?doi=pjn.2013.708.714

REFERENCES
Bertoli, S., A. Battezzati, G. Merati, V. Margonato, M. Maggioni, G. Testolin and A. Veicsteinas, 2006. Nutritional status and dietary patterns in disabled people. Nutr. Metab. Cardiovas., 16: 100-112.
PubMed  |  

Bryman, A. and D. Cramer, 2005. Quantitative Data Analysis with SPSS 12 and 13: A Guide for Social Scientists. Routledge, East Sussex, UK., ISBN-13: 9780415340809, Pages: 367.

DeVon, H.A., M.E. Block, P. Moyle-Wright, D.M. Ernst and S.J. Hayden et al., 2007. A psychometric toolbox for testing validity and reliability. J. Nurs. Scholarship, 39: 155-164.
PubMed  |  

Dixon, R.A., 1994. Evaluating and improving multiple-choice papers: True-false questions in public health medicine. Med. Educ., 28: 400-408.
PubMed  |  

Glanz, K. and A. Steffen, 2008. Development and reliability testing for measures of psychosocial constructs associated with adolescent girls' calcium intake. J. Am. Diet. Assoc., 108: 857-861.
CrossRef  |  PubMed  |  

Laws of Malaysia, 2008. Act 685: Persons with disabilities act 2008. Percetakan Nasional Malaysia Berhad, Kuala Lumpur, Malaysia.

Linn, R.L. and N.E. Gronlund, 1995. Measurement and Assessment in Teaching. 7th Edn., Prentice Hall, New Jersey.

Lowenthal, K.M., 2001. An Introduction to Psychological Tests and Scales. 2nd Edn., Psychology Press Ltd., Hove, Philadelphia.

Marchand, V., K.J. Motil and Naspghan Committee on Nutrition, 2006. Nutrition support for neurologically impaired children: A clinical report of the North American Society for pediatric gastroenterology, hepatology and nutrition. J. Pediatr. Gastroenterol. Nutr., 43: 123-135.
PubMed  |  Direct Link  |  

Melville, C.A., S. Hamilton, C.R. Hankey, S. Miller and S. Boyle, 2007. The prevalence and determinants of obesity in adults with intellectual disabilities. Obes. Rev., 8: 223-230.
PubMed  |  

Nunnally, J.C. and I.H. Bernstein, 1994. Psychometric Theory. 3rd Edn., McGraw-Hill, New York, USA., ISBN-13: 978-0070478497, Pages: 736.

Obayashi, S., L.J. Bianchi and W.O. Song, 2003. Reliability and validity of nutrition knowledge, social-psychological factors and food label use scales from the 1995 diet and health knowledge survey. J. Nutr. Educ. Behav., 35: 83-92.
CrossRef  |  Direct Link  |  

Parmenter, K. and J. Wardle, 2000. Evaluation and design of nutrition knowledge measures. J. Nutr. Educ., 32: 269-277.
CrossRef  |  Direct Link  |  

Portney, L.G. and M.P. Watkins, 2009. Foundations of Clinical Research: Application to Practice. 3rd Edn., Pearson Education, Inc., New Jersey, ISBN-13: 9780131716407, Pages: 892.

Roslee, R., 2011. Assessing food intake of children with special need. Proceedings of the 2nd UKM-SGH Joint Conference of Health Sciences, April 2-3, 2011, National University of Malaysia, Kuala Lumpur -.

Sanchez-Lastres, J., J. Eiris-Punal, J.L. Otero-Cepeda, P. Pavon-Belinchon and M. Castro-Gago, 2003. Nutritional status of mentally retarded children in Northwest Spain: II. Biochemical indicators. Acta Paediatr., 92: 928-934.
PubMed  |  

Siti Sabariah, B., M.S. Zalilah, O. Norlijah, H. Normah and I. Maznah et al., 2006. Reliability and validity of the instrument used in the helic (healthy lifestyle in children) study of primary school children's nutrition knowledge, attitude and practice. Mal. J. Nutr., 12: 33-44.

Smith, G.F., D. Spiker, C.P. Peterson, D. Cicchetti and P. Justine, 1984. Use of megadoses of vitamins with minerals in Down syndrome. J. Pediatr., 105: 228-234.
CrossRef  |  Direct Link  |  

Sushil, S. and N. Verma, 2010. Questionnaire validation made easy. Eur. J. Sci. Res., 46: 172-178.

Tan, S., 2009. Misuses of KR-20 and Cronbach's alpha reliability coefficients. Educ. Sci., 34: 103-112.

Trochim, W.M.K., 2006. Construct validity. Research Methods Knowledge Base. http://www.socialresearchmethods.net/kb/constval.php.

Waltz, C.F. and R.B. Bausell, 1983. Nursing Research: Design, Statistics and Computer Analysis. 2nd Edn., FA Davis Company, Philadelphia.

Weathers, C., 1983. Effects of nutritional supplementation on IQ and certain other variables associated with Down syndrome. Am. J. Ment. Def., 88: 214-217.
PubMed  |  

Zulkiple, I., 2009. Malaysia gives priority care for the disabled. Bernama, Malaysia, January 23, 2009.

©  2020 Science Alert. All Rights Reserved