Evidence map›Paper›PMID 40442706›Full record

ArticleBMC medical education2025

Validity and reliability of the Approaches to Dementia Questionnaire (ADQ) in Indonesian health students.

Sri Mulyani, Gary Mitchell, Gillian Carter, Bob Woods, Sri Warsini, Azam David Saifullah, Aisyah Iffah Ulayya, Christine Brown Wilson

Abstract readValidation Study
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Unveiling Neuroprotective Potential in Tempeh Peptide Extracts byReports of biochemistry & molecular biology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sri Mulyani *Department of Mental Health and Community Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Gary Mitchell *School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
Gillian Carter *School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
Bob Woods *School of Health Sciences, Bangor University, Bangor, UK.
Sri Warsini *Department of Mental Health and Community Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Azam David Saifullah *Department of Mental Health and Community Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Aisyah Iffah Ulayya *School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Christine Brown Wilson *School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK. C.BrownWilson@qub.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals living with dementia often visit healthcare settings, so it is important for health professionals to have appropriate dementia care training. A key component of dementia care is a positive, person-centred attitude towards people with dementia. As future healthcare workers, health students need to develop positive attitudes early in their education. To assess and support the development of such attitudes, a brief, valid, and reliable tool is needed in Indonesia. However, no such tool is currently available in Indonesia. The Approaches to Dementia Questionnaire (ADQ) is a well-established instrument that measures care staff attitudes and has been shown to predict staff behaviour and the recognition of people with dementia. Therefore, this study aims to translate, adapt, and assess the validity and reliability of the Indonesian translation of the modified ADQ for use with health students.

methodsThis methodological study was conducted from October to November 2023 to adapt the modified ADQ into Indonesian. The translation process followed established cross-cultural adaptation by Brislin guidelines, including translation, synthesis, expert review, and testing. Two translators from different language institutions translated the instrument into Indonesian (T1 & T2). These two versions were synthesised into an integrated version (T12) by a panel of experts. The final instrument was tested on 161 fourth-year nursing, medical, and health nutrition students recruited through consecutive sampling.

resultsThe Indonesian version of the ADQ demonstrated an overall internal consistency of 0.584 (Cronbach's alpha), which is considered acceptable. Subscale reliability was moderate for the Hope subscale (α = 0.552) and higher for the Personhood subscale (α = 0.701). Item-total correlation values ranged from 0.261 to 0.588, indicating moderate validity overall; however, three items (Items 1, 6, and 15) were identified as invalid with correlation coefficients below 0.195.

conclusionThe Indonesian version of the ADQ demonstrated lower reliability and variable subscale consistency compared to adaptations in other countries. This may be due to limited public awareness and associated stigma towards dementia. These findings highlight the need for further refinement of item wording and better alignment with local contexts, to improve the tool's validity and reliability for use in different populations.

Indexed as

Attitude of Health PersonnelDementiaStudents, Health OccupationsAdultFemaleHumansIndonesiaMalePsychometricsReproducibility of ResultsSurveys and QuestionnairesTranslationsApproaches to Dementia Questionnaire (ADQ)AttitudeDementiaHealth Professions StudentReliabilityValidity

Identifiers

PMID40442706
PMCPMC12121085

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.