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Validity and reliability of a knowledge, attitude, practice and confidence survey on female genital mutilation/cutting: a pre-test-post-test evaluation. | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 30 June 2025 V1 Latest version Share on Validity and reliability of a knowledge, attitude, practice and confidence survey on female genital mutilation/cutting: a pre-test-post-test evaluation. Authors : Monica Pilar Diaz 0000-0002-0128-2957 [email protected] , Jennie Louise , Angela Brown E , Julie-Anne Fleet , Mary Steen , and Jan Williams Authors Info & Affiliations https://doi.org/10.22541/au.175126883.34532953/v1 191 views 138 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Objective: To evaluate the validity and reliability of a modified Knowledge, Attitude, Practice and Confidence (KAPC) survey designed to assess nurses’ and midwives’ preparedness to care for women with female genital mutilation/cutting (FGM/C). Design: Pre-test-post-test study Setting: South Australia Sample: Five clinical and academic experts contributed to the validity assessment. Fifteen South Australian nurses and midwives participated in the test-retest reliability analysis. Method: A 50-item survey was developed through an integrative literature review and consultation with FGM/C clinical experts and academics. Content and face validity were assessed against three criteria: relevance, clarity and comprehension. Test-retest reliability was used to determine the stability of responses over time. Main outcome measures: Content and face validity (assessed using Gwet’s AC) and test-retest reliability (assessed using intraclass correlation coefficients (ICC)) across four constructs: knowledge, attitude, practice and confidence. Results: The KAPC survey demonstrated strong content validity (Gwet’s AC = 0.92, p <0.001) and face validity (Gwet’s AC = 0.95, p <0.001). The survey demonstrated satisfactory test-retest reliability across all four constructs: knowledge (ICC = 0.930, 95% CI: 0.823, 0.974), attitude (ICC = 0.622, 95% CI: 0.305, 0.860), practice (ICC = 0.764, 95% CI: 0.501, 0.912) and confidence, (ICC = 0.766, 95% CI: 0.506, 0.913). Conclusion: The findings support the KAPC survey as a valid and reliable instrument for assessing Australian midwives’ and nurses’ knowledge, attitudes, practice and confidence in the context of FGM/C care. Supplementary Material File (validity and reliability manuscript_final_diaz.docx) Download 240.59 KB Information & Authors Information Version history V1 Version 1 30 June 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords maternal medicine statistics: basic science studies Authors Affiliations Monica Pilar Diaz 0000-0002-0128-2957 [email protected] Women's and Children's Health Network View all articles by this author Jennie Louise Women's and Children's Health Network View all articles by this author Angela Brown E University of South Australia View all articles by this author Julie-Anne Fleet University of South Australia View all articles by this author Mary Steen Curtin University View all articles by this author Jan Williams Central Adelaide Local Health Network View all articles by this author Metrics & Citations Metrics Article Usage 191 views 138 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Monica Pilar Diaz, Jennie Louise, Angela Brown E, et al. Validity and reliability of a knowledge, attitude, practice and confidence survey on female genital mutilation/cutting: a pre-test-post-test evaluation.. Authorea . 30 June 2025. DOI: https://doi.org/10.22541/au.175126883.34532953/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . Format Please select one from the list RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks Direct import Tips for downloading citations document.getElementById('citMgrHelpLink').addEventListener('click', function() { popupHelp(this.href); return false; }); $(".js__slcInclude").on("change", function(e){ if ($(this).val() == 'refworks') $('#direct').prop("checked", false); $('#direct').prop("disabled", ($(this).val() == 'refworks')); }); View Options View options PDF View PDF Figures Tables Media Share Share Share article link Copy Link Copied! Copying failed. 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