Translation, Cross-Cultural Adaptation, and Validation of the Malay-Version of the Factors Influencing Community Willingness to Perform Cardiopulmonary Resuscitation and Use an Automated External Defibrillator Questionnaire

Abstract

Limited factors influence community willingness to perform cardiopulmonary resuscitation and use an automated external defibrillator, making it difficult to take preventive and control measures to improve the survival of patients with out-of-hospital cardiac arrest. In this study, we translated and evaluated the Malay-language version of the cardiopulmonary resuscitation and an automated external defibrillator questionnaire. The translation and evaluation involved three phases: development, translation and cultural adaptation, and validation. Content validity was assessed by five experts, and demonstrated a content validity index of 0.98 and a Fleiss kappa index of 0.159. Construct validity for the multi-item scale performed using factor analysis and involving 100 participants was 0.777. Factor analysis using the varimax rotation method demonstrated the appropriateness of the data in the exploratory factor analysis. Cronbach’s alpha was 0.849, suggesting high reliability. Test–retest reliability involving 45 participants calculated using the intraclass correlation coefficient had a value of 0.723. The findings demonstrate that the Malay-version FIXED questionnaire is a valid and reliable instrument and is ready to be used by health care workers and policymakers to evaluate the factors influencing the community’s willingness to perform cardiopulmonary resuscitation and use an automated external defibrillator.

Development validation and evaluation of the knowledge test on cardiopulmonary resuscitation and correct use of the automated external defibrillator in Asunción 2023

“…The difficulty of the KOR-AED items varied, with certain items showing a medium level of difficulty, especially the questions related to the use of the AED and others a higher discriminatory index, In addition, Cronbach's alpha of 0.75 indicates an acceptable internal consistency of the KOR-AED test, however other studies of development and validation of questionnaires in CPR and AED use showed a Cronbach's alpha of 0.84 (11) and 0.9 (12) attributable to social contexts and familiarity with the use of the AED other than our own.…”

Automatic External Defibrillator (AED) Location – seconds that save lifes

“…[4]. Therefore, most often, witnesses of OHCA are bystanders without medical education and with very varying degrees of training in resuscitation [8,9]. The survival rate and good neurological outcome of OHCA victims are in uenced by early diagnosis, alerting the emergency medical services (EMS) system, providing high-quality resuscitation by a bystander, and the use of an automatic external de brillator (AED) as soon as possible.…”

Demand for Cardiopulmonary Resuscitation and Bleeding Control Skills Training in an Urban Region: A Feasibility Review of a Community Engagement Effort

“…Our understanding of the factors that drive community willingness to learn and perform CPR, for instance, are limited, and no universal instrument has been validated to assess such variables of in uence. 23 The success of our implementation of community CPR and bleeding control skills despite this uncertainty was likely impacted by the efforts of the community liaisons, who a) assured their respective community members would want to learn to the skills of bystander CPR and bleeding control; b) coordinated with the health system in regards to planning the event and c) con rmed community members arrived and participated on the date of training.…”