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Background <p>Public health nurses serve as the frontline for dengue prevention and control at the community level. Assessing their attitudes is essential, as these influence the effectiveness of nursing practices in disease prevention. However, no validated Indonesian questionnaire exists for this purpose. This study aimed to translate, culturally adapt, and evaluate the reliability and validity of the Dengue Preventive Attitudes Questionnaire (DPAQ) for use among public health nurses in Indonesia.</p> Methods <p>A cross-sectional study was conducted with 458 public health nurses working in primary healthcare (PHC) units across Indonesia. The study involved two phases: a cross-cultural adaptation process and psychometric evaluation. A six-step cross-cultural adaptation process, including forward translation, synthesis, backward translation, expert committee review, pretesting, and instrument appraisal, was employed to generate the Indonesian version of the DPAQ (DPAQ-I). Psychometric evaluations, including the face validity, content validity, item analysis, construct validity, test-retest reliability, and internal consistency, were assessed.</p> Results <p>The DPAQ-I demonstrated excellent content validity (scale-CVI = 1.00, evaluated by eight experts). Exploratory and confirmatory factor analyses confirmed a single-factor structure, explaining 42.82% of the variance, with good model fit (CMIN/df = 2.51, CFI = 0.95, TLI = 0.92, RMSEA = 0.07, SRMR = 0.05). Reliability testing showed acceptable internal consistency (Cronbach’s <i>α</i> = 0.75 and McDonald’s <i>ω</i> = 0.74) and acceptable test–retest reliability (ICC = 0.75 over a two-week interval).</p> Conclusions <p>The DPAQ-I showed acceptable validity and reliability for measuring public health nurses’ attitudes toward dengue prevention. Its concise format enhances feasibility and ease of use in busy clinical settings. The findings support its potential as a brief instrument for evaluating nurses’ dengue preventive attitudes in both research and educational contexts, although further validation using independent samples from more diverse geographic settings is recommended before broader application.</p>

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Cross-cultural adaptation and psychometric evaluation of the dengue preventive attitudes questionnaire for Indonesian public health nurses

  • 期刊论文

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  • 发表日期：

    2026年6月21日

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  • Nuzul Sri Hertanti,
  • Yeu-Hui Chuang

摘要

Background

Public health nurses serve as the frontline for dengue prevention and control at the community level. Assessing their attitudes is essential, as these influence the effectiveness of nursing practices in disease prevention. However, no validated Indonesian questionnaire exists for this purpose. This study aimed to translate, culturally adapt, and evaluate the reliability and validity of the Dengue Preventive Attitudes Questionnaire (DPAQ) for use among public health nurses in Indonesia.

Methods

A cross-sectional study was conducted with 458 public health nurses working in primary healthcare (PHC) units across Indonesia. The study involved two phases: a cross-cultural adaptation process and psychometric evaluation. A six-step cross-cultural adaptation process, including forward translation, synthesis, backward translation, expert committee review, pretesting, and instrument appraisal, was employed to generate the Indonesian version of the DPAQ (DPAQ-I). Psychometric evaluations, including the face validity, content validity, item analysis, construct validity, test-retest reliability, and internal consistency, were assessed.

Results

The DPAQ-I demonstrated excellent content validity (scale-CVI = 1.00, evaluated by eight experts). Exploratory and confirmatory factor analyses confirmed a single-factor structure, explaining 42.82% of the variance, with good model fit (CMIN/df = 2.51, CFI = 0.95, TLI = 0.92, RMSEA = 0.07, SRMR = 0.05). Reliability testing showed acceptable internal consistency (Cronbach’s α = 0.75 and McDonald’s ω = 0.74) and acceptable test–retest reliability (ICC = 0.75 over a two-week interval).

Conclusions

The DPAQ-I showed acceptable validity and reliability for measuring public health nurses’ attitudes toward dengue prevention. Its concise format enhances feasibility and ease of use in busy clinical settings. The findings support its potential as a brief instrument for evaluating nurses’ dengue preventive attitudes in both research and educational contexts, although further validation using independent samples from more diverse geographic settings is recommended before broader application.