Development and validation of a knowledge, attitude and practice (KAP) Questionnaire on Ahara Vidhi Vidhana (Ayurvedic Dietary Guidelines)
DOI:
https://doi.org/10.70066/jahm.v13i12.2354Keywords:
Ahara Vidhi Vidhana, COSMIN, KAP Study, Questionnaire Development and Validation.Abstract
Background: Dietary regimens contribute to the health of people in both Ayurveda and contemporary public health. Ayurvedic science recognizes Ahara (Food) as essential fundamental principle. Although biomedical field advances, there is a need for attention towards nutrition and dietary guidelines to improve global health and to provide a preventive approach towards Non-Communicable Diseases. Objective: To develop and validate Knowledge, Attitude and Practice (KAP) questionnaire on Ahara Vidhi Vidhana for assessing dietary behaviors and ultimately promoting preventive health. Methodology: The cross-sectional methodological study was conducted in three phases. Phase I includes item generation through literature review and from expert input. Phase II was content and face validation using expert evaluation and a pilot study with validity measured by Item-level and Scale-level Content Validity Index (I-CVI, S-CVI). Phase III assessed reliability through internal consistency using Cronbach’s alpha values ≥ 0.7 indicating acceptable range of internal consistency reliability. Construct validity was evaluated using Karl Pearson’s correlation coefficient test. Results: Final version of questionnaire comprised of total 57 items distributed across 11 domains, subdivided into three subscales: Knowledge, Attitude and Practice. Overall Scale-level Content Validity Index (S-CVI) was 0.91, indicating acceptable content validity. Internal consistency reliability was satisfactory with overall Cronbach’s alpha of 0.75. Subscale reliability coefficients were 0.81 for Knowledge, 0.755 for Attitude and 0.717 for Practice. Construct validity was acceptable collectively with convergent and divergent validity. Conclusion: The Knowledge Attitude and Practice Questionnaire on Ahara Vidhi Vidhana is a newly developed and validated tool for assessment and evaluation of dietary KAP among working women. Its use in clinical as well as other research can help to evaluate education to improve dietary practices as explained by Ahara Vidhi Vidhana. Future studies should focus on including different populations and incorporate test-retest reliability to ensure stability of the tool
References
Dangayach R, Vyas M, Dwivedi RR. Concept of Ahara in relation to Matra, Desha, Kala and their effect on health. Ayu. 2010 Jan;31(1):101–5. Available from: https://doi.org/10.4103/0974-8520.68194
Zarei F, Dehghani A, Ratansiri A, Ghaffari M, Raina SK, Halimi A, Rakhshanderou S, Isamel SA, Amiri P, Aminafshar A, Mosavi Jarrahi A. ChecKAP: A checklist for reporting a knowledge, attitude, and practice (KAP) study. Asian Pac J Cancer Prev. 2024 Jul;25(7):2573–7. Available from: https://doi.org/10.31557/APJCP.2024.25.7.2573
Yadavaji Trikamaji (editor). Charaka Samhita of Charaka, Sutrasthana, chapter 28, verse no.45, Reprint edition, Varanasi; Chaukhambha Orientalia; 2008;181.
Yadavaji Trikamaji (editor). Charaka Samhita of Charaka, Sutrasthana, chapter 11, verse no.52, Reprint edition, Varanasi; Chaukhambha Orientalia; 2008;140.
Bhisagacharya Harisastri Paradakara Vaidya (editor). Astangahrdayam of Vagbhata, Sutrasthana, chapter 7, verse no.35, Reprint edition, Varanasi; Chaukhambha Orientalia; 2017;74.
Yadavaji Trikamaji (editor). Charaka Samhita of Charaka, Vimanasthana, chapter 1, verse no.24, Reprint edition, Varanasi; Chaukhambha Orientalia; 2008;236.
Yadavaji Trikamaji (editor). Charaka Samhita of Charaka, Vimanasthana, chapter 1, verse no.24 (1-9), Reprint edition, Varanasi; Chaukhambha Orientalia; 2008;236.
Yadavaji Trikamaji (editor). Susruta Samhita of Susruta, Sutrasthana, chapter 46, verse no.3, Reprint edition, Varanasi; Chaukhambha Orientalia; 2014;214.
Badran IB. Knowledge, attitude and practice the three pillars of excellence and wisdom: a place in the medical profession. East Mediterr Health J. 1995;1(1). Available from: https://www.emro.who.int/emhj-volume-1-1995/volume-1-issue-1/article1.html
Park DI. Development and validation of a knowledge, attitudes and practices questionnaire on COVID-19 (KAP COVID-19). Int J Environ Res Public Health. 2021 Jul;18(14):7493. Available from: https://doi.org/10.3390/ijerph18147493
Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007 Aug;30(4):459–67. Available from: https://doi.org/10.1002/nur.20199
Fu E, White MA, Hughto JMW, Steiner B, Willis EA. Development of the physical activity tracking preference questionnaire. Int J Exerc Sci. 2019;12(5):297–309. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6541209/
Hathurusinghe HMPW, Suganthan N, Sujanitha V, Rajeshkannan N. A study on knowledge, attitude and practices towards the COVID-19 pandemic among the non-COVID-19 patients at Outpatient Department in a Teaching Hospital, Northern Sri Lanka. J Family Med Prim Care. 2021 Oct;10(10):3772–9. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8653462/
Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007 Aug;30(4):459–67. Available from: https://pubmed.ncbi.nlm.nih.gov/17654487/
Bergman I, Franke Föyen L, Gustavsson A, Van den Hurk W. Test–retest reliability, practice effects and estimates of change: A study on the Mindmore digital cognitive assessment tool. Scand J Psychol. 2025 Feb;66(1):1–14. Available from: https://doi.org/10.1111/sjop.13054
Asmare K, Birhanu Y, Wako Z. Knowledge, attitude, practice towards breast self-examination and associated factors among women in Gondar town, Northwest Ethiopia, 2021: A community-based study. BMC Womens Health. 2022 May;22(1):174. Available from: https://doi.org/10.1186/s12905-022-01764-4
Thakur B, Kumari P, Saini K, Singh B. Role of fundamentals of Ayurveda in life style care in the context of non-communicable disease. Journal of Ayurveda and Holistic Medicine (JAHM). 2023;11(2). Available from: https://doi.org/10.70066/jahm.v11i2.647
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Durge Sushma Prakash, Sandeep S Sagare, Mr. Alex M Carvalho

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors retain the copyright of their work and grant the Journal of Ayurveda and Holistic Medicine (JAHM) the right of first publication. All published articles are licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) license, which permits non-commercial sharing, use, distribution, and adaptation with proper attribution and the same license terms.
JAHM ensures free, irrevocable, worldwide access to its content. Users may copy, distribute, display, and share published works for non-commercial purposes with appropriate credit to the author(s) and the journal. Limited printed copies for personal, non-commercial use are allowed under the same license.
If a submission is not accepted for publication, the author(s) will be notified.
By submitting, authors confirm that the work is original, that all listed authors have contributed and approved it, and that it does not infringe any third-party rights or duplicate work submitted elsewhere.