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Validation of a Questionnaire for Family Physicians: Knowledge, Attitude, Practice on Dementia Care

Published online by Cambridge University Press:  05 May 2020

Genevieve Arsenault-Lapierre
Affiliation:
Department of Family Medicine, Faculty of Medicine, McGill University, Montreal Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal
Nadia Sourial
Affiliation:
Department of Family Medicine, Faculty of Medicine, McGill University, Montreal
Sarah Pakzad
Affiliation:
École de Psychologie, Faculté des sciences de la santé et services communautaires, Université de Moncton, New Brunswick
Marine Hardouin
Affiliation:
Department of Family Medicine, Faculty of Medicine, McGill University, Montreal Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal
Yves Couturier
Affiliation:
École de travail social, Faculté des lettres et des sciences humaines, Université de Sherbrooke, Quebec
Howard Bergman
Affiliation:
Department of Family Medicine, Faculty of Medicine, McGill University, Montreal
Isabelle Vedel*
Affiliation:
Department of Family Medicine, Faculty of Medicine, McGill University, Montreal Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal
*
La correspondance et les demandes de tirés-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Dr. Isabelle Vedel Department of Family Medicine Faculty of Medicine McGill University 5858 chemin de la Cote-des-Neiges, 3rd floor Montreal, QC, H3S 1Z1 (isabelle.vedel@mcgill.ca)

Abstract

Our study objective was to develop and validate a questionnaire assessing the knowledge, attitude, and practice (KAP) of family physicians regarding dementia care and dementia strategies in Canada. Using a multistage process with a panel of experts, we developed and distributed an 83-item questionnaire to 542 eligible family physicians in 42 interdisciplinary primary care teams participating in the Quebec Alzheimer Plan implementation. Altogether, 369 physicians (68%) returned questionnaires. Median item-specific non-response rate was 0.8 per cent (0.3%–8.1%). Exploratory factor analyses and scale correlation supported the questionnaire validity. The final questionnaire contained five factors and 31 items. The KAP questionnaire has proved to be a reliable instrument for assessing the KAP of family physicians regarding dementia care and dementia strategies. This questionnaire provides researchers, clinicians, managers, and decision-makers with a tool to assess an intervention, a program, or a policy change implemented in primary health care for patients with dementia.

Résumé

RÉSUMÉ

L’objectif de cette étude était d’élaborer et de valider un questionnaire évaluant les connaissances, les attitudes et les pratiques (CAP) des médecins de famille en matière de soins et de stratégies liés à la démence au Canada. Un questionnaire de 83 items a été élaboré en suivant un processus en plusieurs étapes, avec un groupe d’experts. Le questionnaire a été distribué à 542 médecins de famille de 42 équipes interdisciplinaires de soins de première ligne participant à la mise en œuvre du Plan Alzheimer du Québec. Au total, 369 médecins (68 %) ont rempli le questionnaire. Le taux médian de non-réponse par item était de 0,8 % (0,3 %-8,1 %). Des analyses factorielles exploratoires et une corrélation d’échelle appuient la validité du questionnaire. Le questionnaire final comprenait cinq facteurs et 31 items. Cet instrument s’est avéré fiable pour évaluer les CAP des médecins de famille concernant les soins liés à la démence. Il fournit aux chercheurs, aux cliniciens, aux gestionnaires et aux décideurs un outil pour évaluer une intervention, un programme ou un changement de politique mis en œuvre dans les soins de santé de première ligne pour les patients atteints de démence.

Type
Article
Copyright
© Canadian Association on Gerontology 2020

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Footnotes

We thank Muriel Gueriton for the literature review; Geva Maimon, for statistical guidance; Rebecca Rupp and Mary Henein, for proofreading the English version of our manuscript; Martin Beauchamp, Lucie Vaillancourt, Mélanie Le Berre, and Dominique Gagnon for their help in distributing and collecting the questionnaires; and Matt Hacker Teper for his review of Alzheimer plans. We would like to thank Jim Kroening (C. Tr.) for his translation of our questionnaire. We extend our appreciation to the many local project managers, nurses, administrative coordinators and medical directors from the FMGs participating in the QAP, and the Quebec Ministry of Health project managers: Anne-Marie Simard, Christine Fournier, Christian Boutin, and Eric Maubert for their help with distribution of questionnaires. We also thank Ainsley Moore, Paul-Émile Bourque, Roxane Borgès Da Silva, Jeannie Haggerty, Michèle Aubin, and Nathalie Champoux for their participation on the panel of experts, and the five family physicians (end users) who assisted with the content validation of our questionnaire. Finally, we thank all the family physicians who completed the questionnaire. Thank you for your precious time and inputs.

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