{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T16:07:27Z","timestamp":1788883647840,"version":"build-2803163510"},"reference-count":131,"publisher":"Sociedade Brasileira de Pneumologia e Tisiologia","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.pt-br"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respir Res Clin Pract"],"abstract":"<jats:p>Objective: To describe the development and validation process of a questionnaire\nto assess the knowledge, attitudes, and practices of ICU health care professionals\nregarding patient-ventilator asynchrony. Methods: This was a knowledge, attitudes, and\npractices questionnaire development study. Item generation was guided by a literaturebased conceptual framework, followed by expert review to establish face and content\nvalidity. The instrument was refined through specialists in mechanical ventilation and\nquestionnaire design. The tenth version was piloted in Portuguese among ICU health\ncare professionals, including a 30-day test-retest assessment. Results: The final\nversion of the questionnaire comprised 24 items (knowledge, 14 items; attitudes, 4; and\npractices, 6). Of the 83 ICU health care professionals who consented to participate, 49\ncompleted at least 80% of the questionnaire twice and were included in the analysis.\nThe knowledge section showed acceptable internal consistency (Cronbach\u2019s alpha =\n0.73) and moderate test-retest reliability (intraclass correlation coefficient = 0.48; 95%\nCI, 0.24-0.67). Median knowledge scores were 71 [57-79] at test and 64 [50-79] at retest,\nout of 100 (p = 0.052). Attitude scores also showed good test-retest reliability (intraclass\ncorrelation coefficient = 0.68; 95% CI, 0.50-0.81) and a moderate correlation (r = 0.60; p\n&lt; 0.001), with median scores of 75 (out of 100) in both rounds. Practice item responses\nwere generally consistent between test and retest. Conclusions: We developed a\nquestionnaire to assess knowledge, attitudes, and practices related to patient-ventilator\nasynchrony among ICU health care professionals, with evidence of face and content\nvalidity, internal consistency, and test-retest reliability<\/jats:p>","DOI":"10.36416\/1806-3756\/e20260010","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T15:10:07Z","timestamp":1788880207000},"page":"e20260010","source":"Crossref","is-referenced-by-count":0,"title":["Patient-ventilator asynchrony knowledge, attitudes, and practices among ICU health care professionals: questionnaire development"],"prefix":"10.36416","author":[{"given":"Mayson","family":"L A Sousa","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/049c9xv68","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabia","family":"Diniz-Silva","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/036rp1748","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade de S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"R Wilson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"22288","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"ref0","unstructured":"1. 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