Validation of an instrument to measure level of knowledge of physicians of the first level of health care on the warning signs of dengue

Main Article Content

Edward Anthony Chavarry Rodas
Irvin David Sosa Alvarado
Cristian Díaz-Vélez
Jaime Israel Salazar-Zuloeta

Keywords

dengue, knowledge, attitudes, alarm sign, doctors

Abstract

Objetive: Validate an instrument for physicians from the first level of health care that measures the level of knowledge about dengue warning signs.
Materials and Methods: An instrument validation analytical study, for which an instrument created by the researchers was designed. This instrument was evaluated by the Delphi method by 7 experts in epidemiology, infectology and public health from more than 5 years of experience in the management of patients with dengue, the initial construct consisted of 22 questions that were evaluated in three rounds, with four being modified and 6 questions eliminated, leaving the final version of 16 questions, an average of intelligibility and relevance was obtained. Reliability was evaluated in 40 physicians working in the first level of health care in the Lambayeque region, using the Crombach Alpha Kuder Richarson-20 to assess reliability, in addition the Kaiser-Meyer-Olkin coefficient (KMO> 0.5) and Bartlett's sphericity test (<0.05), using the SPSS version 22 program.
Results: A 16-item instrument was developed with an average intelligibility and relevance of 5 / 4.5 respectively. A global Crombach's alpha of 0.81 was obtained with a correlation variation per item from 0.07 to 0.69 and a Kuder Richarson of 0.81. The Kaiser-Meyer-Oklin (KMO) with a value of 0.66 and the Bartlett's Sphericity test less than 0.05.
Conclusions: An instrument that proved to be valid and reliable was designed to evaluate the knowledge of physicians of the first level of health care on the warning signs of dengue.

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References

1. OMS | Dengue y dengue grave [Internet]. WHO. [2017]. Disponible en: http://www.who.int/mediacentre/factsheets/fs117/es/

2. Konongoi L, Ofula V, Nyunja A, Owaka S, Koka H, Makio A, et al. Detection of dengue virus serotypes 1, 2 and 3 in selected regions of Kenya: 2011–2014. Virol J [Internet]. 2016; 13. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5097412/

3. Ministerio de Salud del Perú. Guía Técnica: Guía de Práctica Clínica para la Atención de Casos de Dengue en el Perú. 2017.

4. Gerencia Regional de Salud Lambayeque. Boletín Epidemiológico SE 36 - 2017. Lambayeque: Oficina Epidemiológica - GERESA; 2017 p. 1–20.

5. Fitzpatrick C, Haines A, Bangert M, Farlow A, Hemingway J, Velayudhan R. An economic evaluation of vector control in the age of a dengue vaccine. PLoS Negl Trop Dis [Internet]. 2017;11(8). Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573582/

6. Paico-Romero C, Polo-Capuñay A, Díaz-Exebio G, Díaz-Vélez C. Validación y desarrollo del instrumento: Nivel de conocimientos en diagnóstico y tratamiento sobre dengue en médicos de la región Lambayeque. Acta Médica Peru. 2012;29(3):143–147.

7. García-Martínez V, Aquino-Zúñiga SP, Guzmán-Salas A, Medina-Meléndez A. El uso del método Delphi como estrategia para la valoración de indicadores de calidad en programas educativos a distacia. Rev Electrónica Calid En Educ Super. 2012;3(1):200–222.

8. Morales - Vallejos P. La fiabilidad de los tests y escalas [Internet]. España; 2007. 1-37p. Disponible en: https://matcris5.files.wordpress.com/2014/04/fiabilidad-tests-y-escalas-morales-2007.pdf

9. Hernández Sampieri R, Fernández Collado C, Baptista Lucio P. Metodología de la investigación. 5a ed. México, D.F: McGraw-Hill; 2010. 613 p.

10. Iglesias JCA, Rodríguez NFA, Pérez JAF. Validación de un cuestionario de conocimientos sobre hipercolesterolemia en la farmacia comunitaria. Pharm Pract. 2005;3(4):189–196.

11. Métodos de Investigación Clínica y Epidemiológica (4a ed.) | Josep Ma Argimon Pallas |. 2017. Disponible en: https://www.casadellibro.com/libro-metodos-de-investigacion-clinica-y-epidemiologica-4-ed/9788480869416/2033037

12. Aymerich M, Berra S, Guillamón I, Herdman M, Alonso J, Ravens-Sieberer U, et al. Desarrollo de la versión en español del Kidscreen, un cuestionario de calidad de vida para la población infantil y adolescente. Gac Sanit. 2005;19(2):93–102.

13. Torres-Roman JS, Díaz-Vélez C, Bazalar-Palacios J, Helguero-Santin LM. Hospital management in patients with Dengue: what challenges do we face in Latin America? Infez Med. 01 de 2016;24(4):359–60.

14. Rodríguez-Morales A. Aedes: un eficiente vector de viejos y nuevos arbovirus (dengue, chikungunya y zika) en las Américas. Rev Cuerpo Med HNAAA. 2015;8(2):50–52.

15. Maguiña C, Galán-Rodas E. El virus Zika: una revisión de literatura. Acta Médica Peruana. 2016;33(1):35–41.

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