Development and validation of a scale for assessing community adults’ knowledge, attitude and practice toward adult snoring

Bibliographic Data

ID22080847
AuthorsShaoping Yang (0000-0002-4153-3650, Zhengzhou University), Siyan Guo (Zhengzhou University), Xiaokai Wang (0009-0001-0784-2150, Zhengzhou University, corresponding author), Qiufang Li (0000-0002-2557-2473, Zhengzhou University, corresponding author), Jia Wang (0000-0003-1916-5086, First Affiliated Hospital of Zhengzhou University), Wei Jia (0000-0002-8181-086X, First Affiliated Hospital of Zhengzhou University), Kaiwen Liu (0000-0002-2186-8031, Zhengzhou University), Siyue Wang (0000-0002-0186-7955, Zhengzhou University), Hao Zhang (0000-0003-0232-5565, Zhengzhou University)
Year2026
Volume14
Pages1754193-1754193
Publication date2026-03-10
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1754193
PMID41889612
OpenAlexW7134830791
LanguageEN
References cited29

Introduction This study aimed to develop and validate a scale for assessing community adults’ knowledge-attitude-practice toward Adult Snoring. Methods A total of 1,198 Chinese community adults were included in the development of this scale. An initial item pool was first constructed through literature review and qualitative interviews; after item optimization through Delphi expert consultation and pre-survey, the scale structure was determined through item screening, exploratory factor analysis, and confirmatory factor analysis, with reliability and validity tests also completed. Results The scale comprised 32 items, with 18, 7, and 7 items, respectively, for knowledge dimension, attitude dimension, and practice dimension. Exploratory and confirmatory factor analyses supported three dimensions and five factors (basic cognition, causes and risk factors, snoring harm, attitude, and practices). Internal consistency for the total scale was high (Cronbach’s α = 0.962). The construct reliability of the five factors was 0.911, 0.912, 0.908, 0.920, and 0.910, respectively. The intraclass correlation coefficient of test–retest reliability was 0.88, providing support for the stability of the scale. Conclusion The scale demonstrates excellent psychometric properties, making it a reliable and valid tool for assessing community adults’ knowledge, attitude, and practice toward Adult Snoring. Identifying gaps in knowledge, attitudes, and practices about adult snoring among community adults supports the development of effective prevention-oriented health promotion strategies

Confirmatory factor analysis · Construct validity · Delphi method · Exploratory factor analysis · Intraclass correlation · Psychometrics · Cleft Lip and Palate Research · Dysphagia Assessment and Management · Obstructive Sleep Apnea Research

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