02140nas a2200241   4500000000100000008004100001260002300042653002700065653001500092653001200107653002100119100001500140700001300155700001600168700001400184700001500198245013600213856007000349300000900419490000700428520143800435022002501873       2025                            d  bInforma UK Limited10aAttitude, and practice10aKAP Survey10aleprosy10acontent validity1 aMaulana AT1 aPutri AI1 aMengistu BS1 aWalker SL1 aPeters RMH00aDevelopment, validation and reliability of knowledge, attitudes and practice questionnaire for people affected by leprosy reactions  uhttps://www.tandfonline.com/doi/pdf/10.1080/17441692.2025.2501163  a1-170 v203 a<p>Leprosy reactions occur in 20–50% of people affected by leprosy. Previous studies have shown that lack of awareness and understanding of leprosy reactions among affected individuals and healthcare workers. This study aims to design and validate a knowledge, attitudes, and practices (KAP) questionnaire to assess understanding of leprosy reactions among leprosy-affected individuals. This study employed a sequential exploratory design in three phases. During interviews, affected individuals expressed dissatisfaction with the level of information provided by medical practitioners regarding leprosy reactions. People affected by leprosy reactions shared experiences of frustration, treatment barriers, and difficulties with daily activities during interviews and workshops. The pilot test with eight affected individuals let to the removal of one question, the addition of a new question, and adjustment to wording and instructions. Cronbach’s alpha was calculated based on data collected from 63 individuals. The overall Cronbach’s alpha was 0.71. The final KAP questionnaire consists of 39 questions, is considered clear and acceptable by users and can therefore be used to measure the KAP of individuals with leprosy reactions in Indonesia. KAP questionnaires have the potential to identify gaps in understanding of leprosy reactions and are expected to be helpful in assessing the effectiveness of interventions.</p>
  a1744-1692, 1744-1706