Skip to main navigation menu Skip to main content Skip to site footer


Vol. 11 No. 2 (2023): Jurnal Keperawatan Padjadjaran

Cross-culture adaptation and validation of knowledge, attitude and behavior regarding disaster preparedness among community in Indonesia

February 25, 2023


Background: At the time of the research, there were only a limited number of instruments accessible for recognizing the knowledge, attitude, and behavior of the Indonesian population concerning disaster preparedness. Objectives: The goal of this study was to modify and evaluate the reliability and uniformity of a survey that individuals can complete on their own, focusing on their knowledge, attitude, and behavior related to disaster preparedness. Methods: The translation of this tool into Bahasa Indonesia went through four phases: first translation, back-translation by experts, pre-testing, and cognitive interviews. The evaluation of the tool's accuracy involved a study with 250 volunteers using a cross-sectional approach. The validity of the questionnaire was checked based on its content and structure, and its reliability was measured by looking at internal consistency and stability (Cronbach's alpha). Results: The CVI scores for knowledge, attitude, and behaviors ranged from 0.80 to 1.00. Regarding knowledge, the exploratory factor analysis (EFA) outcomes indicated the presence of two factors with eigenvalues surpassing 1.0, collectively explaining 71.4% of the total variance. The loading factor for 25 items was observed between 0.34 and 0.65, within the acceptable threshold of 0.3. In terms of attitude, the EFA results revealed a single factor with an eigenvalue exceeding 1.0, accounting for 86.2% of the total variance. The loading factor for 18 items ranged from 0.30 to 0.50. Similarly, for behaviors, the EFA findings displayed the existence of two factors with eigenvalues greater than 1.0, explaining a cumulative 79.7% of the total variance. The loading factor for 22 items ranged from 0.30 to 0.60. The Cronbach's alpha values for knowledge regarding earthquake and tsunami preparedness stood at 0.763, for attitude it was 0.736, and for behaviors, it was 0.760. Conclusion: The recently implemented scale designed to assess the knowledge, attitude, and behavior of communities regarding disaster preparedness has been verified to possess satisfactory validity and reliability, making it suitable for survey applications within Indonesia.

Article Matrics
Abstract views : 202 times PDF Downloads: 244


Download data is not yet available.


  1. Bahrami, M., Aliakbari, F., & Aein, F. (2014a). Investigation of competencies of nurses in disaster response by utilizing objective structured clinical examination. Iranian Journal of Nursing and Midwifery Research, 19(7 Suppl 1), S1-6.
  2. Bahrami, M., Aliakbari, F., & Aein, F. (2014b). Iranian nurses’ perception of essential competences in disaster response: A qualitative study. Journal of Education and Health Promotion, 3, 81.
  3. Bolarinwa, O. A. (2015). Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. The Nigerian Postgraduate Medical Journal, 22(4), 195–201.
  4. Cecchetto, F. H., & Pellanda, L. C. (2014). Construction and validation of a questionnaire on the knowledge of healthy habits and risk factors for cardiovascular disease in schoolchildren TT - Construção e validação de um questionário sobre conhecimento de hábitos saudáveis e fatores de risco par. J Pediatr, 90(4), 415–419.
  5. Coleman, L. (2006). Frequency of man-made disasters in the 20th century. Journal of Contingencies and Crisis Management, 14(1), 3–11.
  6. Delaney, P. G., Bamuleke, R., & Lee, Y. J. (2018). Lay first responder training in Eastern Uganda: Leveraging transportation infrastructure to build an effective prehospital emergency care training program. World Journal of Surgery, 42(8), 2293–2302.
  7. Enderlein, G. (1988). Fleiss, J. L.: The design and analysis of clinical experiments. Wiley, New York – Chichester – Brislane – Toronto – Singapore 1986, 432 S., £38.35. Biometrical Journal, 30(3), 304.
  8. Glasser, R., & Guha-Sapir, D. (2016). Poverty & Death: Disaster Mortality 1996--2015. The United Nations Office for Disaster Risk Reduction: Brussels, Belgium.
  9. Godschalk, D. R. (2003). Urban hazard mitigation: Creating resilient cities. Natural Hazards Review, 4(3), 136–143.
  10. Kaiser, H. F., & Rice, J. (1974). Little Jiffy, Mark Iv. Educational and Psychological Measurement, 34(1), 111–117.
  11. Kheirollahpour, M., & Shohaimi, S. (2014). Dimensional model for estimating factors influencing childhood obesity: Path analysis based modeling. The Scientific World Journal, 2014, 512148.
  12. Levac, J., Toal-Sullivan, D., & O’Sullivan, T. L. (2012). Household emergency preparedness: A literature review. Journal of Community Health, 37(3), 725–733.
  13. Maurice, J. (2013). Mitigating disasters--a promising start. In Lancet (London, England), 381(9878), pp. 1611–1613).
  14. Mileti, D. (1999). Disasters by design: A reassessment of natural hazards in the United States. Joseph Henry Press. Washington, D.C.
  15. National Agency for Disaster Management. (2018). 1.999 Kejadian Bencana Selama Tahun 2018, Ribuan Korban Meninggal Dunia - BNPB.
  16. Paramita, N., Nusdwinuringtyas, N., Nuhonni, S. A., Atmakusuma, T. D., Ismail, R. I., Mendoza, T. R., & Cleeland, C. S. (2016). Validity and reliability of the Indonesian version of the Brief Fatigue Inventory in cancer patients. Journal of Pain and Symptom Management, 52(5), 744–751.
  17. Quarantelli, E. L. (1984). Emergent behavior at the emergency time periods of disasters. OHIO STATE UNIV COLUMBUS DISASTER RESEARCH CENTER.
  18. Rebmann, T., & Mohr, L. B. (2008). Missouri nurses’ bioterrorism preparedness. Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, 6(3), 243–251.
  19. Songlar, T., La-or, N. P. P., Chomchoe, C., & Khunthason, S. (2019). Knowledge, attitude and practice (KAP) of earthquake preparedness amongst the elderly in risk areas. Journal of Health Research, 33(1), 2–13.
  20. Subandi, A., Alim, S., Haryanti, F., & Prabandari, Y. S. (2019). Training on modified model of programme for enhancement of emergency response flood preparedness based on the local wisdom of Jambi community. Jamba: Journal of Disaster Risk Studies, 11(1), 1–9.
  21. Sutton, J., & Tierney, K. (2006). Disaster preparedness: Concepts, guidance, and research. Colorado: University of Colorado, 3, 1–41.
  22. Tuthill, E. L., Butler, L. M., McGrath, J. M., Cusson, R. M., Makiwane, G. N., Gable, R. K., & Fisher, J. D. (2014). Cross-cultural adaptation of instruments assessing breastfeeding determinants: A multi-step approach. International Breastfeeding Journal, 9(1), 1–8.
  23. United Nations Environment Programme. (n.d.). Environmental management and disaster reduction. In Proceedings of the Environmental Management and Disaster Reduction: Building a Multi-Stakeholder Partnership, Kobe, Japan.
  24. van de Velde, S., de Buck, E., Vandekerckhove, P., & Volmink, J. (2011). Evidence-based African first aid guidelines and training materials. PLoS Medicine, 8(7), 1–4.
  25. World Health Organization (WHO). (2007). Alcohol and injury in emergency departments : summary of the report from the WHO collaborative study on alcohol and injuries (p. 13 p.). World Health Organization.
  26. World Health Organization (WHO). (2014). Statement on the 1st meeting of the IHR Emergency Committee on the 2014 Ebola outbreak in West Africa.
  27. World Health Organization (WHO). (2015). 2015 report WHO’s work in emergency risk and crisis management. World Health Organization.
  28. WHO. (2019). Process of translation and adaptation of instruments.
  29. Zhong, B.-L., Luo, W., Li, H.-M., Zhang, Q.-Q., Liu, X.-G., Li, W.-T., & Li, Y. (2020). Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: A quick online cross-sectional survey. International Journal of Biological Sciences, 16(10), 1745.