A Cognitive Behavioral Survey and Exploration Questionnaire Development.

Background: Disease perception and attitude seem to play critical roles in the cognitive impairment of individuals and may be significantly affected by healthcare professionals’ guidance in specific health behavioral changes. Objectives: This study aimed to develop a questionnaire to investigate and explore the behavioral consciousness and attitudes of participants at risk of dementia during their early stage of cognitive impairment. Methods: Based on the Health Belief Model and Theory, after extant literature analysis and specialist interviews, a scale of 42 question items were developed. About 283 cognitively complained MCI adults with no current or past history of dementia from our database were asked to enter this survey in our Geriatric Rehabilitation and Industry Promotion Center. Result: 255 responses were obtained during this survey. The modified questionnaire includes four dimensions: susceptibility cognition (8 items), severity cognition (11 items), barrier cognition (7 items), and benefit cognition (9 items), 35 items in total. All of the internal consistency reliability, recalculation reliability, and content validity were higher than 0.89. Also, the correlation coefficient within each dimension shows a powerful relationship score from 0.874 to 0.935. Conclusion: Our results supported that the MCIHB-Q has good reliability and validity, which may provide an adequate evaluation of clinical judgment in health care specialists.