Post-Publication Peer Reviewed Article

Validity and Reliability of the Knowledge, Attitude and Practice (KAP) Questionnaire about Cervical Cancer and its Screening among Iranian Women

Abstract

Introduction: Cervical screening has decreased the incidence and mortality of cervical cancer worldwide. Due to a low incidence rate of cervical cancer in Iran and several Middle Eastern countries, an opportunistic screening is available for women in this region. We aimed to design and validate a questionnaire about Knowledge, Attitude, and practice (KAP) for cervical cancer and cervical screening among Iranian women. Methods: We drafted a questionnaire about KAP of women about cervical cancer and its screening. Content validity was examined and the questionnaire was revised based on the scores provided by seven experts. We, studied reliability of the questions by performing test-retest analyses of data from 112 subjects and estimation of Cronbach Alpha and Interclass Correlation Coefficient (ICC).Results: The questionnaire consist 67 questionsabout cervical cancer and its screening including 30 characteristics, 20 knowledge, 9 attitude and 8 practicequestions.Knowledge questions had higher validity (0.8) than attitude and practice questions (0.6).Cronbach Alpha for knowledge, attitude and practice were 80, 82, and 93 percent, respectively. Corresponding Interclass correlations were 88, 77 and 95 percent, respectively.Conclusion: Validity and reliability of the designed questionnaire was sufficient to evaluate knowledge, attitude, and practice of women about cervical cancer and its screening.

Ramezani Tehrani F, Mohamad K, Rahgozar M, Naghavi M. Kenowlege and practice of Iranian women toward cervical cancer. Journal of Reproduction and Infertility Volume 2, Issue 1, Year 2001, Number 5.

Cadman L. Human Papillomavirus(HPV) and cervical cancer-the fact. Royal College of Nursing,London. october 2006.

Bradley J. Monk, Thomas J. Herzog. The new era of cervical cancer prevention: HPV vaccination. Gynecologic Oncology 109 (2008) S1–S3. Available online at www.sciencedirect.com

WHO/ICO Information Centre on HPV and Cervical Cancer (HPV Information Centre). Human Papillomavirus and Related Cancers in Europe. Summary Report 2010. [Date accessed]. Available online at: www. who. int/ hpvcentre.

http://www.who.int/gho/ncd/mortality_morbidity/cancer_text/en/index.html.

Komodiki C. Cervical and Corpus Uterine Cancer. MECC Monograph. Chapter 9:83-90. Available online at: http://seer.cancer.gov/publications/mecc/mecc_cervical.pdf

Mohagheghi MA, Mosavi-Jarrahi A, Malekzadeh R, Parkin M. Cancer incidence in Tehran metropolis: the first report from the Tehran Population-based Cancer Registry, 1998-2001. Arch Iran Med 2009;12(1):15-23.

Sankaranarayanan R, Budukh AM. Effective screening programmes for cervical cancer in low- and middle-income developing countries. Bulletin of the World Health Organization, 2001, 79 (10).

R Bergström PS, H-O Adami. Trends in cancer of the cervix uteri in Sweden following cytological screening. British Journal of Cancer. 1999;81(1):159–66.

Subramanian S TJ, Ekwueme D, Gardner J, Whitmire J, Rao C. Cost of Cervical Cancer Treatment: Implications for Providing Coverage to Low-Income Women under the Medicaid Expansion for Cancer Care. Women's Health Issues. 2010;20(6):400-5.

Ontario CC. Changing trends in cervical cancer subtypes. October 2005. Available online at: https://www.cancercare.on.ca/cms/one.aspx?pageId=9777

Department of Health and Human Service- Centers for Disease Control and revention. Available online at : www.cdc.gov

Rungtusanatham M, Let’s Not Overlook Content Validity. Decision Line, July 1998.

Al Sairafi M. Knowledge, Attitudes, and Practice Related to Cervical Cancer Screening among Kuwaiti Women. Med Princ Pract 2009;18:35–42.

Gamarra C J. Knowledge, attitudes and practice related to Papanicolaou smear test among Argentina’s women. Rev Saude Publica 2005;39(2).

Mobaraki A, Mahmudi F. Knowledge, Attitude And Practice Of Pap Smear Among Women Employees in Yasuje. Journal of Nursing and Midwifery, Gorgan. 1387;5(2):29-35.

Nseem Mohamed Bakheit AIBH. The Knowledge, Attitude And Practice Of Pap Smear Among Local School Teachers In The Sharjah District. Middle East Journal Of Family Medicine. 20042004;Vol. 4 (4).

Khojasteh,F.Knowledge, Attitude And Practice Of Pap Smear in Women referred to health centers, Zahedan.1380

Hadi N, Azimirad A. Knowledge Attitude and Practice of Women in Shiraz about Cervical Cancer and Pap Smear 2009. Iran J Cancer Prev 2010; 3: 117-26.

Files
IssueVol 4 No 1&2 (2012) QRcode
SectionPost-Publication Peer Reviewed Article
Keywords
Validity Reliability Questionnaire Cervical Cancer Screening Iran

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Khosravi M, Shafaei S, Rajabzadeh A, Karimi H, Haghollahi F, Ramezanzadeh F, Mamishi N, Zendehdel K. Validity and Reliability of the Knowledge, Attitude and Practice (KAP) Questionnaire about Cervical Cancer and its Screening among Iranian Women. Basic Clin Cancer Res. 2012;4(1&2):1-6.