A psychometric analysis of a Ghanaian tool (PCaKAB-Gh) for studying prostate cancer knowledge, attitudes and beliefs amongst women

Several Ghanaian studies have examined prostate cancer knowledge, attitudes and beliefs. However, none of these studies was conducted in women except our previous study which served as the third stage in the development of a local robust tool, PCaKAB-Gh, to assess women's knowledge about prosta...

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Main Authors: Ebenezer Wiafe, Kofi Boamah Mensah, Isaac Forson Adjei, Frasia Oosthuizen, Varsha Bangalee
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Scientific African
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468227623002569
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author Ebenezer Wiafe
Kofi Boamah Mensah
Isaac Forson Adjei
Frasia Oosthuizen
Varsha Bangalee
author_facet Ebenezer Wiafe
Kofi Boamah Mensah
Isaac Forson Adjei
Frasia Oosthuizen
Varsha Bangalee
author_sort Ebenezer Wiafe
collection DOAJ
description Several Ghanaian studies have examined prostate cancer knowledge, attitudes and beliefs. However, none of these studies was conducted in women except our previous study which served as the third stage in the development of a local robust tool, PCaKAB-Gh, to assess women's knowledge about prostate cancer. Although the subject had previously been studied in Ghana, none of the studies utilized a psychometrically valid tool and focused on involving women in the early detection of prostate cancer. For this purpose, we performed a psychometric study on a 41-item tool to improve robustness. The study which was the final stage of the tool development process employed a cross-sectional approach and conveniently recruited 500 participants. Statistical analysis to assess the reliability and construct validity of the tool was performed. The factors of the tool had Cronbach's alpha and McDonald's omega coefficients of 0.53 – 0.78 and reflected favourable internal consistency. The Exploratory Factor Analysis, using the Principal Component Analysis with Varimax with Kaiser Normalization, generated 5 factors with itemized factor loadings of 0.44 – 0.80, Kaiser-Meyer-Olkin Measure of Sampling Adequacy of 0.857, and a significant Bartlett's Test of Sphericity (2293.448, p-value < 0.001). A variance of 55.3% was explained. The Confirmatory Factor Analysis had a Root Mean Square Error of Approximation and a Standardized Root Mean Square Residual below 0.050, and a Comparative Fit Index and a Tucker-Lewis Index above 0.900 which indicated satisfactory fit indices (p-value < 0.001). The study successfully developed a 24-item psychometrically valid tool, with 5 factors, to be used to study the knowledge, attitudes, and beliefs about prostate cancer among Ghanaian women. The availability of the PCaKAB-Gh tool, the first of its kind, would permit the active involvement of women in improving the early detection of prostate cancer to reduce the cost of therapy and improve management outcomes.
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spelling doaj.art-dbaa3db422e0478b8eb258424dbbce3b2023-09-24T05:16:07ZengElsevierScientific African2468-22762023-09-0121e01800A psychometric analysis of a Ghanaian tool (PCaKAB-Gh) for studying prostate cancer knowledge, attitudes and beliefs amongst womenEbenezer Wiafe0Kofi Boamah Mensah1Isaac Forson Adjei2Frasia Oosthuizen3Varsha Bangalee4Discipline of Pharmaceutical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa; Clinical Pharmacy Services Unit, Directorate of Pharmacy, Ho Teaching Hospital, Ho, Ghana; Corresponding author at: Discipline of Pharmaceutical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.Discipline of Pharmaceutical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa; Department of Pharmacy Practice, Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Languages and Communication Sciences, Faculty of Social Sciences, College of Humanities and Social Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDiscipline of Pharmaceutical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South AfricaDiscipline of Pharmaceutical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South AfricaSeveral Ghanaian studies have examined prostate cancer knowledge, attitudes and beliefs. However, none of these studies was conducted in women except our previous study which served as the third stage in the development of a local robust tool, PCaKAB-Gh, to assess women's knowledge about prostate cancer. Although the subject had previously been studied in Ghana, none of the studies utilized a psychometrically valid tool and focused on involving women in the early detection of prostate cancer. For this purpose, we performed a psychometric study on a 41-item tool to improve robustness. The study which was the final stage of the tool development process employed a cross-sectional approach and conveniently recruited 500 participants. Statistical analysis to assess the reliability and construct validity of the tool was performed. The factors of the tool had Cronbach's alpha and McDonald's omega coefficients of 0.53 – 0.78 and reflected favourable internal consistency. The Exploratory Factor Analysis, using the Principal Component Analysis with Varimax with Kaiser Normalization, generated 5 factors with itemized factor loadings of 0.44 – 0.80, Kaiser-Meyer-Olkin Measure of Sampling Adequacy of 0.857, and a significant Bartlett's Test of Sphericity (2293.448, p-value < 0.001). A variance of 55.3% was explained. The Confirmatory Factor Analysis had a Root Mean Square Error of Approximation and a Standardized Root Mean Square Residual below 0.050, and a Comparative Fit Index and a Tucker-Lewis Index above 0.900 which indicated satisfactory fit indices (p-value < 0.001). The study successfully developed a 24-item psychometrically valid tool, with 5 factors, to be used to study the knowledge, attitudes, and beliefs about prostate cancer among Ghanaian women. The availability of the PCaKAB-Gh tool, the first of its kind, would permit the active involvement of women in improving the early detection of prostate cancer to reduce the cost of therapy and improve management outcomes.http://www.sciencedirect.com/science/article/pii/S2468227623002569Early detection techniqueGhanaian toolProstate cancerPsychometric studyWomen involvement
spellingShingle Ebenezer Wiafe
Kofi Boamah Mensah
Isaac Forson Adjei
Frasia Oosthuizen
Varsha Bangalee
A psychometric analysis of a Ghanaian tool (PCaKAB-Gh) for studying prostate cancer knowledge, attitudes and beliefs amongst women
Scientific African
Early detection technique
Ghanaian tool
Prostate cancer
Psychometric study
Women involvement
title A psychometric analysis of a Ghanaian tool (PCaKAB-Gh) for studying prostate cancer knowledge, attitudes and beliefs amongst women
title_full A psychometric analysis of a Ghanaian tool (PCaKAB-Gh) for studying prostate cancer knowledge, attitudes and beliefs amongst women
title_fullStr A psychometric analysis of a Ghanaian tool (PCaKAB-Gh) for studying prostate cancer knowledge, attitudes and beliefs amongst women
title_full_unstemmed A psychometric analysis of a Ghanaian tool (PCaKAB-Gh) for studying prostate cancer knowledge, attitudes and beliefs amongst women
title_short A psychometric analysis of a Ghanaian tool (PCaKAB-Gh) for studying prostate cancer knowledge, attitudes and beliefs amongst women
title_sort psychometric analysis of a ghanaian tool pcakab gh for studying prostate cancer knowledge attitudes and beliefs amongst women
topic Early detection technique
Ghanaian tool
Prostate cancer
Psychometric study
Women involvement
url http://www.sciencedirect.com/science/article/pii/S2468227623002569
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