The development of a reliable and valid instrument to measure the osteoporosis-related knowledge: validation of the Hungarian version of Osteoporosis Knowledge Assessment Tool (OKAT)

Abstract

Background Osteoporosis is one of the most common chronic musculoskeletal diseases. Osteoporosis-related knowledge is an important contributor in to prevent osteoporosis. There is no validated reliable questionnaire to measure the knowledge in Hungary. The aim of the study was to validate the Osteoporosis Knowledge Assessment Tool (OKAT) Hungarian version. Methods The research was a randomized validation study of a new Hungarian language instrument. The questionnaire was administered to 557 randomly selected healthy women (age between 25 and 44 years) from December 2018 to July 2019 in Baranya county, Hungary. The reliability was examined by the Flesch reading ease and McNemar’s test. We examined item discrimination and item-total correlations, inter-item consistency (Cronbach’s alpha coefficient) and principal component factor analysis. Results Significant differences (p < 0.001) were reported between total scores and the age categories. Significant (p < 0.001) correlation (r = 0.25) was found between the education level and the knowledge. Significantly (p < 0.001) higher knowledge were found in health care profession (14.53 ± 3.58) than the non-health care profession (9.99 ± 4.04). Participants with osteoporosis or fracture in family history had better knowledge (p < 0.001). Flesch reading ease was 44, the questionnaire had a Ferguson’s sigma of 0.94 and a Cronbach’s alpha of 0.81. There were no negative inter-item correlations psychometric properties of the OKAT, all items had more than 70% of correlations (p < 0.001). Conclusions The Hungarian version of the Osteoporosis Knowledge Assessment Tool is a reliable and objective questionnaire to measure women’s knowledge in Hungary.

Development and Validation of India-specific Hindi Version of Osteoporosis Knowledge Assessment Tool

“…Since using factor analysis for questionnaires with dichotomous items is problematic, the analysis was based on prevision studies. [ 7 8 9 ] Exploratory factor analysis was performed through principal component analysis on 20 items and yielded one factor with eigenvalues higher than 1. As the criteria for factor extraction, we applied the factor loading at a prefixed cutoff value.…”

“…The OKAT has been validated in Hungarian and Arabic languages. [ 7 8 9 ] The aim of this study is to validate the Hindi version of OKAT (OKAT-H) among a hospital-based sample in the age group of 18–44 years.…”

Egy csontritkulás-specifikus kérdőív magyar nyelvű adaptációja és validálása

“…E kapcsolatok közül kiemelendő az intenzív és a mérsékelt rekreációs tevékenység. [14,20,[28][29][30][31][32][33] (5. táblázat). Keresztmetszeti vizsgálatok magasabb iskolai végzettség esetén jobb betegségspecifikus tudásról számoltak be [28,30,[34][35][36].…”

“…Ez 2019-ben 86 000 csonttörést jelentett, ami az állami egészségügyi kiadások 5%-át tette ki annak ellenére, hogy a kezelési rés -magas csonttörési kockázatú nők aránya, akik nem részesültek kezelésben -65% volt [9,10]. A betegségspecifikus tudás fejlesztése számos kórkép esetén evidenciának számít, ennek ellenére betegségspecifikus tudást vizsgáló mérőeszközt magyar nyelvre kizárólag diabetes mellitus, továbbá az általunk derékfájdalom, továbbá osteoporosis (kizárólag praemenopausalis populáció) tekintetében validáltak [11][12][13][14]. A National Postmenopausal Osteoporosis Guideline alapján a betegségspecifikus tudás fejlesztése kifejezett erősséget mutat az osteoporosis kezelésében, valamint erős (1A) evidenciának számít az elesés és a törés prevenciójában [15][16][17].…”

Knowledge of osteoporosis prevention among people with endocrine disorders: A cross‐sectional study

“…An appropriate and reliable knowledge assessment tool is crucial to evaluate participants' education needs, monitor their education progress, and serve as an effective outcome measure of educational interventions. Some researchers used the Osteoporosis Knowledge Assessment Tool (OKAT) to evaluate osteoporosis knowledge, showing good psychometric properties (Tardi et al, 2021). However, the OKAT was focused on assessing knowledge related to osteoporosis treatment and may not fully capture participants' knowledge of osteoporosis prevention.…”