Development and Validation of the COVID-19 Knowledges and Behavior Questionnaire in a French Population (CoVQuest-CC)

Verot, Élise; Bonjean, Paul; Chaux, Robin; Gagnaire, Julie; Gagneux‐Brunon, Amandine; Pozzetto, Bruno; Berthelot, Philippe; Botelho-Nevers, Élisabeth; Chauvin, Franck

doi:10.3390/ijerph19052569

Cited by 4 publications

(8 citation statements)

References 33 publications

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“…Likewise, the validation of an Indian questionnaire to assess knowledge, attitude, practices and concerns regarding COVID-19 vaccination among the general population was based on 201 participants and resulted in an alpha Cronbach coefficient of 0.86. With the exception of a french questionnaire aimed to assess COVID-19 knowledge and behaviors that was validated on a big cohort of 8045 participants [ 9 ], our study fits the current international scientific landscape for the population sample as well as validity results.…”

Section: Discussionmentioning

confidence: 90%

“…Worldwide, countries with high vaccination rates validated COVID-19 knowledge and behavior questionnaires (France [ 9 ], Spain [ 10 ], Italy [ 11 ], Hungary [ 12 ], Brazil [ 13 ], Korea [ 14 ], India [ 15 ], etc.). Timely insights from behavioral and attitudinal data proved to be crucial for the decision-making process in the COVID-19 international public health policies [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Development and Validation of a Questionnaire to Assess Knowledge and Attitudes toward COVID-19 Preventive Measures in Romania

et al. 2022

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The World Health Organization warns about the threat of the COVID-19 sixth wave. Our aim was to propose the first validated Romanian questionnaire to assess people’s level of education and attitudes towards general measures to protect against COVID-19 infection. Our study was conducted on a sample of 194 people. The first version of the questionnaire consisted of 40 items. Items that did not meet psychometric criteria were removed. Latent components/factors were identified through exploratory factorial analysis (EFA). The Cronbach’s alpha coefficient was used to assess internal fidelity. The EFA identified three factors. Factor 1 was named “Compliance with protective measures”, factor 2 was “Attitudes toward vaccination” and factor 3 was “Attitudes regarding potential COVID-19 therapies”. The final version of the questionnaire consists of 16 items. The test’s final score predicted the presence of vaccination with an accuracy of 0.773. The questionnaire score, the diagnosis of diabetes, the advice provided by healthcare workers and the medical profession proved to be significant predictors of vaccination. The implementation of our questionnaire within national programs could identify populational areas that need specific interventions to reach vaccination targets and prevent a full-blown sixth wave of the COVID-19 pandemic in Romania.

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Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Development and Validation of a Questionnaire to Assess Knowledge and Attitudes toward COVID-19 Preventive Measures in Romania

et al. 2022

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“…For these 3 concept areas, all response modalities are offered in the form of a Likert scale. The precise content of the CovQuest-CC questionnaire is presented elsewhere [19]. The questionnaire was psychometrically tested and validated in a general population aged 10 years and older.…”

Section: Recruitmentmentioning

confidence: 99%

“…The following age groups were represented: 10-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80-89, and >90 years. As explained in a previous report on the CovQuest-CC questionnaire validation process [19], we first carried out a pretest with a representative sample of the target population, to assess the comprehensibility of the questions and their wording. [19] The psychometric validation procedure showed this questionnaire was valid, consistent and reliable.…”

Section: Recruitmentmentioning

confidence: 99%

Evaluating the Knowledge of and Behavior Toward COVID-19 and the Possibility of Isolating at a City Level: Survey Study

Verot,

Chaux,

Gagnaire

et al. 2024

JMIR Public Health Surveill

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Background Mass testing campaigns were proposed in France during the first wave of the COVID-19 pandemic to detect and isolate asymptomatic individuals infected by SARS-CoV-2. During mass testing in Saint-Étienne (February 2021), we performed a survey of the general population. Objective We evaluated, on the scale of a city’s population, the literacy level about SARS-CoV-2 transmission, barrier gesture respect, and isolation acceptability or possibility in case of SARS-CoV-2 infection. Methods We used the validated CovQuest-CC questionnaire. Data were analyzed and correlated with volunteer characteristics and their SARS-CoV-2 screening results using multivariate analysis. Results In total, 4707 participants completed the CovQuest-CC questionnaire. Multivariate analysis revealed that female sex was a determinant of a higher score of knowledge about SARS-CoV-2 transmission (adjusted β coefficient=0.14, 95% CI 0.04-0.23; corrected P=.02). Older ages of 50-59 years (adjusted β coefficient=0.25, 95% CI 0.19-0.31; corrected P<.001) and ≥60 years (adjusted β coefficient=0.25, 95% CI 0.15-0.34; corrected P<.001) were determinants of a higher score on barrier gesture respect compared to ages 20-49 years considered as reference. Female sex was also a determinant of a higher score on barrier gesture respect (adjusted β coefficient=0.10, 95% CI 0.02-4.63; corrected P<.001). The knowledge score was correlated with the score on barrier gesture respect measures (adjusted β coefficient=0.03, 95% CI 0.001-0.004; corrected P=.001). Older ages of 50-59 years (adjusted β coefficient=0.21, 95% CI 0.13-0.29; corrected P<.001) and ≥60 years (adjusted β coefficient=0.25, 95% CI 0.1-0.38; corrected P<.001) were determinants of a higher score on isolation acceptability or possibility compared to the age of 20-49 years considered as reference. Finally, the knowledge score regarding SARS-CoV-2 transmission was significantly associated with a lower risk of RT-PCR (reverse transcriptase–polymerase chain reaction) positivity (adjusted odds ratio 0.80, 95% CI 0.69-0.94; corrected P<.03), implying that a 1-point increase in the knowledge score lowers the risk of positivity by 20% on average. Conclusions This study identified factors associated with health literacy regarding SARS-CoV-2 infection in asymptomatic individuals in a large French city’s population. We can confirm that in the context of the COVID-19 pandemic, the determinants of better health literacy are not the same as those in other contexts. It seems critical to obtain a more detailed understanding of the determinants of individual citizens’ behavior, as part of a strategy to combat the large-scale spread of the virus. The harsh experience of this pandemic should teach us how to nurture research to structure customized interventions to encourage the adoption of ad hoc behaviors to engage citizens in adapting behaviors more favorable to their health.

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“…Some studies investigated whether sets of items on different types of behaviours (e.g., hand washing, social distancing and wearing a face mask) jointly measure a latent construct of 'adherence', but did not study whether the individual items themselves adequately reflected participant behaviour (9)(10)(11). Other studies have assessed the reliability of self-reported behaviour by comparing it to objective data, but only for a specific behaviour such as mobility (12) or vaccination (3), or in specific contexts such as among healthcare professionals (13).…”

Section: Introductionmentioning

confidence: 99%

How well do surveys on adherence to pandemic policies assess actual behaviour: measurement properties of the Dutch Covid-19 Adherence to Prevention Advice Survey (CAPAS).

Bussemakers¹,

Dijk²,

Dima³

et al. 2022

Preprint

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BackgroundSurvey data on adherence to COVID-19 prevention measures have often been used to inform policy makers and public health professionals. However, there is a lack of studies critically examining the validity and reliability of those self-reported measures.AimWe studied the measurement properties of the Covid-19 Adherence to Prevention Advice Survey (CAPAS), a novel questionnaire implemented in a repeated cross-sectional (i.e., ‘Trend’) Study and a Cohort Study in the Netherlands during the COVID-19 pandemic.MethodsThe CAPAS is a novel questionnaire developed in March 2020, with the aim to assess social activity and adherence to COVID-19 prevention measures. Items were formulated to minimise social desirability and aid memory retrieval. Based on the COSMIN framework, we investigated criterion validity by comparing trends of self-reported behaviour to trends in objective data. Responsiveness was assessed by studying whether self-reported behaviour changed following contextual (e.g., policy) changes. Test-retest reliability was examined over periods in which the context was stable.ResultsOverall, trends in self-reported behaviour closely corresponded to trends in external objective data. Self-reported behaviours were responsive to contextual changes and test-retest reliabilities were adequate. For infrequent behaviours reliability improved when measures were dichotomised. We were able to examine national representativeness for vaccination, which suggested a modest overestimation of on average 3.7%.ConclusionsThis study supports the suitability of using carefully designed, self-reported surveys (and the CAPAS specifically) to study changes in pandemic behaviours in a dynamic context.

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Development and Validation of the COVID-19 Knowledges and Behavior Questionnaire in a French Population (CoVQuest-CC)

Cited by 4 publications

References 33 publications

Development and Validation of a Questionnaire to Assess Knowledge and Attitudes toward COVID-19 Preventive Measures in Romania

Development and Validation of a Questionnaire to Assess Knowledge and Attitudes toward COVID-19 Preventive Measures in Romania

Evaluating the Knowledge of and Behavior Toward COVID-19 and the Possibility of Isolating at a City Level: Survey Study

How well do surveys on adherence to pandemic policies assess actual behaviour: measurement properties of the Dutch Covid-19 Adherence to Prevention Advice Survey (CAPAS).

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