ArticleBMC public health2014
Assessing the construct validity and reliability of the Parental Perception on Antibiotics (PAPA) scales.
Article in BMC public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Parental perceptions of antibiotic use in pediatric dentistry: a cross-sectional study using the PAPA scale.BMC oral health · 2026Article
- Construct validity and internal reliability of the healthcare provider performance scale.Frontiers in health services · 2026Article
- The Antibiotic Use Questionnaire-Parent Version: a measure of the drivers of parental decisions about the use of antibiotics with their children.European journal of pediatrics · 2025Article
- Psychometric properties of the Chinese version of the SF-36v2 in patients with severe mental illnesses in China: factor structure, reliability, and validity.Health and quality of life outcomes · 2025Article
- Do professionalism, leadership, and resilience combine for professional identity formation? Evidence from confirmatory factor analysis.Frontiers in medicine · 2024Article
- Antibiotic perceptions, adherence, and disposal practices among parents of pediatric patients.PloS one · 2023Article
- Assessing Knowledge, Beliefs, and Behaviors around Antibiotic Usage and Antibiotic Resistance among UK Veterinary Students: A Multi-Site, Cross-Sectional Survey.Antibiotics (Basel, Switzerland) · 2022Article
- Design, reliability and construct validity of a Knowledge, Attitude and Practice questionnaire on personal use of antibiotics in Spain.Scientific reports · 2020Article
- The drivers of antibiotic use and misuse: the development and investigation of a theory driven community measure.BMC public health · 2019Article
- Identification of Parents' Perceptions of Antibiotic Use for Individualized Community Education.Global pediatric health · 2016Article
- A validated measure of adherence to antibiotic prophylaxis in children with sickle cell disease.Patient preference and adherence · 2016Article
- The Potential Role of Social Media Platforms in Community Awareness of Antibiotic Use in the Gulf Cooperation Council States: Luxury or Necessity?Journal of medical Internet research · 2015Article
- Onsite Versus Remote Working: The Impact on Satisfaction, Productivity, and Performance of Medical Call Center Workers.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe overuse of antibiotics is becoming an increasing concern. Antibiotic resistance, which increases both the burden of disease, and the cost of health services, is perhaps the most profound impact of antibiotics overuse. Attempts have been made to develop instruments to measure the psychosocial constructs underlying antibiotics use, however, none of these instruments have undergone thorough psychometric validation. This study evaluates the psychometric properties of the Parental Perceptions on Antibiotics (PAPA) scales. The PAPA scales attempt to measure the factors influencing parental use of antibiotics in children.
methods1111 parents of children younger than 12 years old were recruited from primary schools' parental meetings in the Eastern Province of Saudi Arabia from September 2012 to January 2013. The structure of the PAPA instrument was validated using Confirmatory Factor Analysis (CFA) with measurement model fit evaluated using the raw and scaled χ2, Goodness of Fit Index, and Root Mean Square Error of Approximation.
resultsA five-factor model was confirmed with the model showing good fit. Constructs in the model include: Knowledge and Beliefs, Behaviors, Sources of information, Adherence, and Awareness about antibiotics resistance. The instrument was shown to have good internal consistency, and good discriminant and convergent validity.
conclusionThe availability of an instrument able to measure the psychosocial factors underlying antibiotics usage allows the risk factors underlying antibiotic use and overuse to now be investigated.
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