Translating, Adapting and Testing The Indonesian version of Evidence-based Practice Questionnaire (EBPQ)

Abstract

Background: Evidence-based practice (EBP) increases quality of care. However, its practice in Indonesia is still uncovered. A measure on EBP is then needed to acquire the EBP profile in Indonesia. The Upton and Upton’s EBPQ is utilized to measure the perception of health workers on their EBP’s knowledge, attitude and practice. This questionnaire is widely known; however, the Indonesian version is yet available. Therefore, a reliable Indonesian version of EBPQ is imperative. Objectives: This study aimed to translate EBPQ into Indonesian language, adapt, and evaluate its reliability. Methods: The WHO’s framework on translation and adoption process of instrument was assigned in this study. 24 items in 3 subscales of EBPQ was translated forward, discussed with experts then translated backward, pretested and finalized. The reliability test was conducted towards a total of 20 doctors and nurses at three hospitals in West Java, Indonesia and were calculated using the SPSS software. Results: 12 changes of words and the psychometric scale were applied in the Indonesian version of EBPQ. The 4 pairs of questions in the attitude subscale were separated into 8 independent questions, although only 4 of them reliable. The Cronbach’s of total items valued 0.92 with 0.81, 0.74 and 0.94 for practice, attitude, and knowledge, respectively. Thus, a total of 24 reliable questions were finalized in this version. Conclusions: The Indonesian version of EBPQ is reliable. Further study on the attitude subscale and psychometric scale are necessary.

The Internal Reliability and Construct Validity of the Evidence-Based Practice Questionnaire (EBPQ): Evidence from Healthcare Professionals in the Eastern Mediterranean Region

“…However, attitude had the lowest Cronbach's value, similar to the original study by Upton and Upton [19], even in a study that translated and tested the same tool among Indonesians, where its overall Cronbach's α was 0.92 (with α of practice = 0.81, attitude = 0.81, and knowledge = 0.94) [21].…”

“…The original EBPQ was developed in English to assess United Kingdom (UK) nurses' knowledge, skills, and attitudes toward EBP [19]. The EBPQ is a short questionnaire that is widely used to evaluate attitudes, knowledge, and skills of EBP [20][21][22]27]. This makes it an appropriate tool that can be used as a standardized questionnaire to compare the attitudes, knowledge, skills, and practice of EBP by HCPs in EMR countries because the majority of HCPs in the EMR use English as a secondary language in health sciences colleges and clinical practice.…”

“…How-ever, while some are too long [15,17,18], available in Spanish [15,16], and for nursing students [16], the EBPQ is a concise and comprehensive tool in English [19]. Moreover, the EBPQ contains all the EBP domains, which makes it a widely used tool among HCPs [20][21][22]. However, in the EMR, the validity and reliability of the EBPQ among HCPs have not been reported yet until the current study, which could provide essential new information about the attitude and competence of HCPs in the EMR regarding EBP.…”

Investigating Physiotherapists’ Knowledge, Attitude, and Practice of Evidence-Based Practice in Indonesia

“…The Evidence-Based Practice Questionnaire by Upton and Upton is a 24-item self-report questionnaire that assesses healthcare professionals' perceptions of EBP in terms of their knowledge, attitudes, and practice. The Indonesian translation of Upton and Upton's EBPQ was shown to be valid and reliable (Fajarini et al, 2018). The Pearson correlation coefficient varies from 0.451 to 0.875, indicating that all 24 items are all valid.…”