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Table 3 Psychometric Properties of the OKAT by Item

From: The development of a reliable and valid instrument to measure the osteoporosis-related knowledge: validation of the Hungarian version of Osteoporosis Knowledge Assessment Tool (OKAT)

Item Number

Item Discrimination (%)

Item-total correlation

P value

Factor Loading

1. Osteoporosis leads to an increased risk of bone fractures.

12.42

0,7

< 0.001

0.61

2. Osteoporosis usually causes symptoms (e.g. pain) before fractures occur.

58.33

0.85

< 0.001

0.47

3. Having a higher peak bone mass at the end of childhood gives no protection against the development of osteoporosis in later life.

78.42

1.00

< 0.001

0.45

4. Osteoporosis is more common in men.

46.35

0.94

< 0.001

0.56

5. Cigarette smoking can contribute to osteoporosis.

44.95

0.83

< 0.001

0.43

6. White women are at highest risk of fracture as compared to other races.

66.67

1.00

< 0.001

0.43

7. A fall is just as important as low bone strength in causing fractures.

34.71

1.00

< 0.001

0.72

8. By age 80, the majority of women have osteoporosis.

51.61

0.84

< 0.001

0.47

9. From age 50, most women can expect at least one fracture before they die.

45.05

0.89

< 0.001

0.52

10. Any type of physical activity is beneficial for osteoporosis.

62.38

0.95

< 0.001

0.48

11. It is easy to tell whether I am at risk of osteoporosis by my clinical risk factors.

41.76

0.89

< 0.001

0.48

12. Family history of osteoporosis strongly predisposes a person to osteoporosis.

41.47

0.91

< 0.001

0.45

13. An adequate calcium intake can be achieved from two glasses of milk a day.

53.69

0.85

< 0.001

0.66

14. Sardines and broccoli are good sources of calcium for people who cannot take dairy products.

58.99

0.74

< 0.001

0.39

15. Calcium supplements alone can prevent bone loss.

50.54

1.00

< 0.001

0.38

16. Alcohol in moderation has little effect on osteoporosis.

39.04

0.87

< 0.001

0.71

17. A high salt intake is a risk factor for osteoporosis.

42.22

1.00

< 0.001

0.56

18. There is a small amount of bone loss in the ten years following the onset of menopause.

47.65

1.00

< 0.001

0.42

19. Hormone therapy prevents further bone loss at any age after menopause.

70.12

0.95

< 0.001

0.49

20. There are no effective treatments for osteoporosis available in “Hungary”a.

62.33

0.95

< 0.001

0.45

  1. a Originally Australia