PERTANIKA JOURNAL OF SOCIAL SCIENCES AND HUMANITIES

 

e-ISSN 2231-8534
ISSN 0128-7702

Home / Regular Issue / JSSH Vol. 30 (3) Jul. 2022 / JST-3304-2021

 

Validity and Reliability of Typhoid Risk Factors Questionnaire (TRFQ) in Gombe Metropolis, Gombe State, Nigeria

Umar Abdullahi Tawfiq, Shamarina Shohaimi, Noor Hisham Mohd Nadzir, Syafinaz Amin Nordin, Abdul Hafiz Ab Rahman and Nader Salari

Pertanika Journal of Social Science and Humanities, Volume 30, Issue 3, July 2022

DOI: https://doi.org/10.47836/pjst.30.3.13

Keywords: Questionnaire, reliability, risk, typhoid, validity

Published on: 25 May 2022

Typhoid poses a significant threat to human health, particularly in Africa and Asia, where the disease continues to be endemic. Typhoid caused approximately 8.4 million disability-adjusted life-years worldwide in 2017, with 116,814 deaths. While vaccinations effectively eradicate the endemic infection, limited resources frequently constrained vaccination strategies. Thus, an understanding of the risks associated with typhoid would aid in implementing targeted interventions. In many states of Nigeria, including Gombe, data on typhoid risk factors are unavailable. This study aimed to develop and validate a questionnaire on typhoid risk factors in the Gombe Metropolis. The questionnaire items were based on previously published questionnaires on typhoid and localized typhoid risk factors. After obtaining ethical approval, the drafted instrument was pilot tested among a small population and checked for readability. The questionnaire’s content validity was checked using Fleiss’ Multi-rater kappa, while internal consistency and test-retest reliability were checked using Cronbach’s alpha and intraclass correlation coefficient (ICC), respectively. The questionnaire validation results revealed that the instruments’ readability was easy, content validity with Fleiss’ kappa value of 0.623 was good, internal consistency with Cronbach’s alpha value of 0.720 and McDonald’s omega of 0.703, and test-retest reliability with an ICC estimate of 0.736 was good. The questionnaire was valid and reliable for collecting data on typhoid risk factors in Gombe State, Nigeria, to develop targeted health interventions and guide the Government’s resource prioritization and allocation decisions for efficient disease control.

  • Abdullah, M., Maulahela, H., Utari, A. P., Kusumo, P. D., Soebandrio, A., Achmad, I., William, A., & Makmun, D. (2019). Patient assessment of constipation quality of life questionnaire: validity and reliability for Indonesian population. Medical Journal of Indonesia, 28(4), 345-350. https://doi.org/10.13181/mji.v28i4.3353

  • Bäckström, J., Fogelberg, J., Gabrielsson, G., Lindberg, M., Arving, C., & Hellström, K. (2020). Reliability and internal consistency of the Swedish version of the MAastrIcht Nurses Activities INventory (MAINtAIN(S))—A pilot testing of the tool. Geriatric Nursing, 41(6), 790-803. https://doi.org/10.1016/j.gerinurse.2020.04.012

  • Blázquez-Sánchez, N., Rivas-Ruiz, F., Bueno-Fernández, S., Arias-Santiago, S., Fernández-Morano, M. T., & deTroya-Martín, M. (2020). Validation of a questionnaire designed to study knowledge, attitudes, and habits related to sun exposure among young adults: The CHACES questionnaire. Actas Dermo-Sifiliográficas (English Edition), 111(7), 579-589. https://doi.org/10.1016/j.adengl.2020.08.006

  • CDC. (2020). Epi InfoTM| CDC. Centers for disease control and prevention. https://www.cdc.gov/epiinfo/index.html

  • Crutzen, R., & Peters, G. J. Y. (2017). Scale quality: alpha is an inadequate estimate, and factor-analytic evidence is needed first of all. Health Psychology Review, 11(3), 242-247. https://doi.org/10.1080/17437199.2015.1124240

  • Ginty, A. T. (2013). Construct validity. In M. D. Gellman & J. R. Turner (Eds.), Encyclopedia of Behavioral Medicine (pp. 487-487). Springer. https://doi.org/10.1007/978-1-4419-1005-9_861

  • Hayes, A. F., & Coutts, J. J. (2020). Use omega rather than cronbach’s alpha for estimating reliability. But…. Communication Methods and Measures, 14(1), 1-24. https://doi.org/10.1080/19312458.2020.1718629

  • Jenkins, A. P. (2017). A nested environmental approach to typhoid epidemiology in Central Division, Fiji (Doctoral dissertation). Edith Cowan University, Australia. https://ro.ecu.edu.au/cgi/viewcontent.cgi?article=2994&context=theses

  • Khan, M. I., Pach, A., Khan, G. M., Bajracharya, D., Sahastrabuddhe, S., Bhutta, W., Tahir, R., Soofi, S., Thapa, C. B., Joshi, N., Puri, M. K., Shrestha, P., Upreti, S. R., Clemens, J. D., Bhutta, Z., & Ochiai, R. L. (2015). Typhoid vaccine introduction: An evidence-based pilot implementation project in Nepal and Pakistan. Vaccine. 33(S3), C62-C67. https://doi.org/10.1016/j.vaccine.2015.03.087

  • Koo, T. K., & Li, M. Y. (2016). A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine, 15(2), 155-163. https://doi.org/10.1016/j.jcm.2016.02.012

  • Lee, J. S., Mogasale, V. V., Mogasale, V., & Lee, K. (2016). Geographical distribution of typhoid risk factors in low and middle-income countries. BMC Infectious Diseases, 16(1), Article 732. https://doi.org/10.1186/s12879-016-2074-1

  • Liu, W., Zhao, T., Zhou, W., & Tang, J. (2018). Safety risk factors of metro tunnel construction in China: An integrated study with EFA and SEM. Safety Science, 105, 98-113. https://doi.org/10.1016/j.ssci.2018.01.009

  • Mansukhani, S. A., Hatt, S. R., Leske, D. A., & Holmes, J. M. (2019). Test-retest reliability of the revised diplopia questionnaire. Journal of AAPOS, 23(6), 319.e1-319.e5. https://doi.org/10.1016/j.jaapos.2019.08.277

  • Masinaei, M., Eshrati, B., & Yaseri, M. (2020). Spatial and spatiotemporal patterns of typhoid fever and investigation of their relationship with potential risk factors in Iran, 2012-2017. International Journal of Hygiene and Environmental Health, 224, Article 113432. https://doi.org/10.1016/j.ijheh.2019.113432

  • McHugh, M. L. (2012). Interrater reliability: the kappa statistic. Biochemia Medica, 22(3), 276-282. https://doi.org/10.11613/bm.2012.031

  • Mogasale, V., Maskery, B., Ochiai, R. L., Lee, J. S., Mogasale, V. V., Ramani, E., Kim, Y. E., Park, J. K., & Wierzba, T. F. (2014). Burden of typhoid fever in low-income and middle-income countries: a systematic, literature-based update with risk-factor adjustment. The Lancet Global Health, 2(10), e570-e580. https://doi.org/10.1016/S2214-109X(14)70301-8

  • Namazi, M., Zareiyan, A., Jafarabadi, M., & Moghadam, Z. B. (2020). Endometriosis reproductive health questionnaire (ERHQ): A self-administered questionnaire to measure the reproductive health in women with endometriosis. Journal of Gynecology Obstetrics and Human Reproduction, 50(3), Article 101860. https://doi.org/10.1016/j.jogoh.2020.101860

  • National Institute for Communicable Diseases (2016). Typhoid: NICD guidelines for diagnosis, management and public health response. http://www.nicd.ac.za/assets/files/Guidelines_typhoid_20160125.pdf.

  • O’Connor, L., Porter, L., Dugas, J., Robinson, C., Carrillo, E., Knowles, K., Nelson, K. P., Gigiliotti, R., Tennyson, J., Weisberg, S., & Rebesco, M. (2020). Measuring agreement among prehospital providers and physicians in patient capacity determination. Academic Emergency Medicine, 27(7), 580-587. https://doi.org/10.1111/acem.13941

  • Patalay, P., Hayes, D., & Wolpert, M. (2018). Assessing the readability of the self-reported strengths and difficulties questionnaire. BJPsych Open, 4(2), 55-57. https://doi.org/10.1192/bjo.2017.13

  • Stetson, B., Schlundt, D., Rothschild, C., Floyd, J. E., Rogers, W., & Mokshagundam, S. P. (2011). Development and validation of the personal diabetes questionnaire (PDQ): A measure of diabetes self-care behaviors, perceptions and barriers. Diabetes Research and Clinical Practice, 91(3), 321-332. https://doi.org/10.1016/j.diabres.2010.12.002

  • Taber, K. S. (2018). The use of cronbach’s alpha when developing and reporting research instruments in science education. Research in Science Education, 48(6), 1273-1296. https://doi.org/10.1007/s11165-016-9602-2

  • Tsang, S., Royse, C. F., & Terkawi, A. S. (2017). Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi Journal of Anaesthesia, 11(5), S80-S89. https://doi.org/10.4103/sja.SJA_203_17

  • Ugulu, I. (2013). Confirmatory factor analysis for testing validity and reliability of traditional knowledge scale to measure university students’ attitudes. Educational Research and Reviews, 8(16), Article E2DD31C7190.

  • Vilagut, G. (2014). Test-retest reliability. In A. C. Michalos (Ed), Encyclopedia of Quality of Life and Well-Being Research (pp. 6622-6625). Springer. https://doi.org/10.1007/978-94-007-0753-5_3001

  • Vova-Chatzi, C., Symvoulakis, E., Parpoula, C., Sbarouni, V., & Lionis, C. (2020). Robustness of the EUROPEP questionnaire as regards data quality, reliability, and construct validity: The Greek experience before and after the economic crisis. Health Policy, 124(8), 856-864. https://doi.org/10.1016/j.healthpol.2020.05.021

  • Wong, V. K., Holt, K. E., Okoro, C., Baker, S., Pickard, D. J., Marks, F., Page, A. J., Olanipekun, G., Munir, H., Alter, R., Fey, P. D., Feasey, N. A., Weill, F.-X., Le Hello, S., Hart, P. J., Kariuki, S., Breiman, R. F., Gordon, M. A., Heyderman, R. S., … & Obaro, S. (2016). Molecular surveillance identifies multiple transmissions of typhoid in West Africa. International Typhoid Consortium, 10(9), Article e0004781. https://doi.org/10.1371/journal.pntd.0004781