title: [Construction and validation of a questionnaire to measure behavior, knowledge and attitudes on hand hygiene in health personnel training].
abstract: BACKGROUND
  Hand hygiene in the health context is a complex behaviour. There have been rarely given the role of the knowledge and attitudes as predictors of hand hygiene behaviour. The main objective of this work is the description of the development of a questionnaire on hand hygiene and the analysis of their measurement properties.
  
  
  METHODS
  An instrument which was designed and validated a questionnaire. It was held in January 2009. It finally has had 50 items that assess risk behaviour intention before and after contact with the patient, declarative knowledge and attitudes about hand hygiene. It has been applied to 431 students of health sciences at the University of Granada.
  
  
  RESULTS
  There were three factor analysis, ultimately obtaining a general convergence value that explains 46.01% of the total variance and high reliability (a = 0,843). There is correlation between knowledge and behavior intentions before and after patient contact (p < 0.01).In turn, the attitude correlates only with behavioral intention before (p < 0.05). The hand hygiene behavior refers to a higher mean after the completion of various health activities before the same (4.26 and 3.96 respectively). Both declarative knowledge and attitudes significantly predict behavioral intention, in particular the conduct before the contact with the patient (R² = 0.100, standardized Beta 0.256 for knowledge and 0.145 for attitudes).
  
  
  CONCLUSIONS
  The questionnaire shows high internal consistency. We have obtained a valid tool for assessing risk behavior, knowledge and attitudes about students' hand hygiene in health sciences. The tool detects deficiencies in basic skills in students.
authors.affiliation: Departamento de Psicología Social y Metodología de las Ciencias del Comportamiento humano, Universidad de Granada, Granada, España.
authors.forename: Joaquín
authors.initials: J
authors.lastname: González-Cabrera
authors.forename: María
authors.initials: M
authors.lastname: Fernández-Prada
authors.forename: María Dolores
authors.initials: MD
authors.lastname: Martínez-Bellón
authors.forename: Milagros
authors.initials: M
authors.lastname: Fernández-Crehuet
authors.forename: José
authors.initials: J
authors.lastname: Guillén-Solvas
authors.forename: Aurora
authors.initials: A
authors.lastname: Bueno-Cavanillas
mesh_terms: D006235:Hand Disinfection / Q000592:standards*; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education*; D011795:Surveys and Questionnaires