Validity and reliability of the Noor Evidence-Based Medicine Questionnaire: A cross-sectional study

PLoS One. 2021 Apr 22;16(4):e0249660. doi: 10.1371/journal.pone.0249660. eCollection 2021.

Abstract

Background: Evidence-based medicine (EBM) is a widely accepted scientific advancement in clinical settings that helps achieve better, safer, and more cost-effective healthcare. However, presently, validated instruments to evaluate healthcare professionals' attitude and practices toward implementing EBM are not widely available. Therefore, the present study aimed to determine the validity and reliability of a newly developed knowledge, attitude, and practice (KAP) questionnaire on EBM for use among healthcare professionals.

Methods: The Noor Evidence-Based Medicine Questionnaire was tested among physicians in a government hospital between July and August 2018. Exploratory factor analysis and internal consistency reliability-based Cronbach's alpha statistic were conducted.

Results: The questionnaire was distributed among 94 physicians, and 90 responded (response rate of 95.7%). The initial number of items in the KAP domains of the Noor Evidence-Based Medicine Questionnaire were 15, 17, and 13, respectively; however, two items in the practice domain with communalities <0.25 and factor loadings <0.4 were removed. The factor structure accounted for 52.33%, 66.29%, and 55.39% of data variance in the KAP domains, respectively. Cronbach's alpha values were 0.81, 0.81, and 0.84 for KAP domains, respectively, indicating high reliability.

Conclusions: This questionnaire can be used to evaluate the knowledge, attitudes, and behaviour of healthcare professionals toward EBM. Future testing of this questionnaire among other medical personnel groups will help expand the scope of this tool.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel
  • Clinical Competence / statistics & numerical data
  • Cross-Sectional Studies
  • Evidence-Based Medicine / methods*
  • Evidence-Based Medicine / trends*
  • Factor Analysis, Statistical
  • Health Personnel / psychology
  • Health Personnel / trends
  • Humans
  • Malaysia
  • Psychometrics / instrumentation*
  • Reproducibility of Results
  • Surveys and Questionnaires

Grants and funding

This research was funded by Tabung Insentif Pembangunan Pengajian Siswazah PPSP, Universiti Sains Malaysia. The funder provided support in the form of salaries for authors [NMN], but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The specific roles of these authors are articulated in the ‘author contributions’ section.