<?xml version="1.0" encoding="utf-8"?>
<doi_batch xmlns="http://www.crossref.org/schema/4.3.6" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:jats="http://www.ncbi.nlm.nih.gov/JATS1" xmlns:ai="http://www.crossref.org/AccessIndicators.xsd" xmlns:fr="http://www.crossref.org/fundref.xsd" version="4.3.6" xsi:schemaLocation="http://www.crossref.org/schema/4.3.6 https://www.crossref.org/schemas/crossref4.3.6.xsd">
  <head>
    <doi_batch_id>_1793849982</doi_batch_id>
    <timestamp>20261105033942000</timestamp>
    <depositor>
      <depositor_name>Rovedar</depositor_name>
      <email_address>Daryoushbabazadeh@gmail.com</email_address>
    </depositor>
    <registrant>Rovedar</registrant>
  </head>
  <body>
    <journal>
      <journal_metadata>
        <full_title>Small Animal Advances</full_title>
        <abbrev_title>Small Anim. Adv.</abbrev_title>
        <issn media_type="electronic">2821-2363</issn>
      </journal_metadata>
      <journal_issue>
        <publication_date media_type="online">
          <month>10</month>
          <day>03</day>
          <year>2026</year>
        </publication_date>
        <journal_volume>
          <volume>5</volume>
        </journal_volume>
        <issue>3</issue>
      </journal_issue>
      <journal_article xmlns:jats="http://www.ncbi.nlm.nih.gov/JATS1" xmlns:ai="http://www.crossref.org/AccessIndicators.xsd" publication_type="full_text" metadata_distribution_opts="any">
        <titles>
          <title>Pet-keepers’ Knowledge, Attitudes, Practices and Perceptions of Rabies in Accra, Ghana: A Principal Component Analysis Approach</title>
        </titles>
        <contributors>
          <person_name contributor_role="author" sequence="first" language="en">
            <given_name>Paa Kobina</given_name>
            <surname>Turkson</surname>
            <ORCID>https://orcid.org/0000-0002-5319-2021</ORCID>
          </person_name>
          <person_name contributor_role="author" sequence="additional" language="en">
            <given_name>David Gyau</given_name>
            <surname>Sarpong</surname>
            <ORCID>https://orcid.org/0009-0006-9125-0751</ORCID>
          </person_name>
        </contributors>
        <jats:abstract xmlns:jats="http://www.ncbi.nlm.nih.gov/JATS1">
          <jats:p>Introduction: Rabies is a major health issue in Ghana; therefore, its control and prevention rely on the knowledge, attitudes, practices, and perceptions (KAPP) of pet keepers. The present study aimed to identify key KAPP factors for rabies among pet owners using principal component analysis (PCA) and to develop predictive models for KAPP.Materials and methods: This study surveyed 315 pet keepers at a veterinary hospital in Accra, Ghana, using a KAPP questionnaire about rabies from August 2024 to August 2025. The questionnaire measured knowledge (11 items), attitudes (4 items), practices (5 items), and perceptions (13 items) of rabies. Respondents were then categorized as having high or low knowledge, positive or negative attitudes, good or poor practices, and favorable or unfavorable perceptions, depending on whether their scores fell above or below the established threshold. The PCA grouped correlated questionnaire items into broader, independent themes called components. Bartlett's and KMO analyses confirmed data suitability for PCA, Cronbach's alpha assessed questionnaire reliability, binary logistic regression analyzed the predictors of KAPP outcomes, and Cox and Snell and Nagelkerke R-squared evaluated model explanatory power and fit.Results: For knowledge, 15 indicators (11 knowledge questions plus rabies-related demographic variables) were entered into PCA, and the analysis grouped them into 6 distinct themes that together explained 54% of the total variation in responses. Eight attitude indicators (including four attitude questions and rabies-related demographics) were entered into PCA, which grouped them into four themes explaining 63% of response variation. For practices, 9 indicators were reduced to 4 components, explaining 60% of the total variance, and for perceptions, 17 indicators were reduced to 7 components, explaining 60% of the total variance. The Cox and Snell values (0.71-0.75) indicated that the models explained 75% of the variation in KAPP. The Nagelkerke values (0.96-1.00) indicated a strong model fit, meaning the predictors accounted for nearly all the variability in the outcomes.Conclusion: The present study identified important indicators needing prioritization to improve KAPP of pet owners and to help enhance rabies prevention and control in Accra, Ghana.</jats:p>
        </jats:abstract>
        <publication_date media_type="online">
          <month>09</month>
          <day>30</day>
          <year>2026</year>
        </publication_date>
        <pages>
          <first_page>30</first_page>
          <last_page>41</last_page>
        </pages>
        <fr:program name="fundref"/>
        <ai:program xmlns:ai="http://www.crossref.org/AccessIndicators.xsd" name="AccessIndicators">
          <ai:license_ref>https://creativecommons.org/licenses/by/4.0</ai:license_ref>
        </ai:program>
        <doi_data>
          <doi>10.58803/saa.v5i3.60</doi>
          <resource>https://saa.rovedar.com/index.php/SAA/article/view/60</resource>
          <collection property="crawler-based">
            <item crawler="iParadigms">
              <resource>https://saa.rovedar.com/index.php/SAA/article/download/60/79</resource>
            </item>
          </collection>
          <collection property="text-mining">
            <item>
              <resource mime_type="application/pdf">https://saa.rovedar.com/index.php/SAA/article/download/60/79</resource>
            </item>
          </collection>
        </doi_data>
        <citation_list>
          <citation key="2550">
            <unstructured_citation>Centers for disease control and prevention (CDC). Workshop summary: One Health zoonotic diseases prioritization for multi-sectorial engagement in Ghana. Accra, Ghana, 2018. Available at: https://www.cdc.gov/one-health/media/pdfs/ghana-508.pdf</unstructured_citation>
          </citation>
          <citation key="2551">
            <unstructured_citation>Apanga PA, Awoonor-Williams JK, Acheampong M, and Adam MA. A presumptive case of human rabies: A rare survival case in rural Ghana. Front Public Health. 2016; 4: 256. DOI: 10.3389/fpubh.2016.00256</unstructured_citation>
          </citation>
          <citation key="2552">
            <unstructured_citation>World health organization (WHO). WHO expert consultation on rabies: Third report. Geneva: WHO; 2018. Available at: https://iris.who.int/handle/10665/272364</unstructured_citation>
          </citation>
          <citation key="2553">
            <unstructured_citation>Hampson K, Coudeville L, Lembo T, Sambo M, Kieffer A, Attlan M, et al. Estimating the global burden of endemic canine rabies. PLoS Negl Trop Dis. 2015; 9(4): e0003709. DOI: 10.1371/journal.pntd.0003709</unstructured_citation>
          </citation>
          <citation key="2554">
            <unstructured_citation>Awuni B, Tarkang E, Manu E, Amu H, Ayanore MA, Aku FY, et al. Dog owners’ knowledge about rabies and factors influencing vaccination in Ghana. Trop Med Infect Dis. 2019; 4(3): 115. DOI: 10.3390/tropicalmed4030115</unstructured_citation>
          </citation>
          <citation key="2555">
            <unstructured_citation>Cleaveland S, Lankester F, Townsend S, Lembo T, and Hampson K. Rabies control and elimination: A test case for One Health. Vet Rec. 2014; 175(8): 188-193. DOI: 10.1136/vr.g4996</unstructured_citation>
          </citation>
          <citation key="2556">
            <unstructured_citation>Turkson PK. Spatiotemporal investigation of animal rabies in Ghana. Vet Med Sci. 2023; 9(6): 2559-2565. DOI: 10.1002/vms3.1282</unstructured_citation>
          </citation>
          <citation key="2557">
            <unstructured_citation>Emikpe BO, Asare DA, Tasiame W, Segbaya S, Takyi PN, and Allegye-Cudjoe E. Rabies control in Ghana: Stakeholders interventions, challenges and opportunities. Health Sci Rep. 2024; 7: e70112. DOI: 10.1002/hsr2.70112</unstructured_citation>
          </citation>
          <citation key="2558">
            <unstructured_citation>Ghana health service. Ghana launches national rabies prevention campaign in Accra. 2023. Available at: https://www.riwaghana.org/node/56</unstructured_citation>
          </citation>
          <citation key="2559">
            <unstructured_citation>Abdul-Tawah A. Rabies situation in Ghana: The human perspective. Disease Surveillance Department, Ghana Health Service; 2023. Available at: https://ghs.gov.gh/</unstructured_citation>
          </citation>
          <citation key="2560">
            <unstructured_citation>Sharma MV. Knowledge, attitude and practice survey in health care: How does it matter?. J Adv Lung Health. 2024; 4(1): 2-3. DOI. 10.4103/jalh.jalh_52_23</unstructured_citation>
          </citation>
          <citation key="2561">
            <unstructured_citation>Mohammad Basir MF, Ibrahim MI, Wan Mohamad WMZ, Mohd Fuzi NMH, Rosli AS, Rahman MSA, et al. The determinants of rabies knowledge, attitudes and practices among dog owners in the Northern-Eastern region of Peninsular Malaysia: A multivariable analysis. One Health Outlook. 2025; 7: 16. DOI: 10.1186/s42522-025-00137-9</unstructured_citation>
          </citation>
          <citation key="2562">
            <unstructured_citation>World health organization, and Stop TB partnership. Advocacy, communication and social mobilization for TB Control: A guide to developing knowledge, attitude and practice survey. 2008. Available at https://iris.who.int/handle/10665/43790</unstructured_citation>
          </citation>
          <citation key="2563">
            <unstructured_citation>Lavrakas PJ, editor. Encyclopedia of survey research methods. SAGE Publications, 2008. DOI: 10.4135/9781412963947</unstructured_citation>
          </citation>
          <citation key="2564">
            <unstructured_citation>Andrade C, Menon V, Ameen S, and Kumar Praharaj S. Designing and conducting knowledge, attitude and practice surveys in psychiatry. Practical guidance. Indian J Psychol Med. 2020; 42 (5): 478-481. DOI: 10.1177/0253717620946111</unstructured_citation>
          </citation>
          <citation key="2565">
            <unstructured_citation>Tettey MK. Knowledge, attitudes, beliefs and practices of dog owners: Relevance for control of rabies in the Tamale Municipality in the Northern region of Ghana. Master of Public Health thesis. School of Public Health, University of Ghana, Ghana. 1998. Available at: https://ugspace.ug.edu.gh/items/b72df0f5-b03e-468b-8191-94f0e6d0ca0b</unstructured_citation>
          </citation>
          <citation key="2566">
            <unstructured_citation>Turkson PK, and Wi-Afedzi J. Dog rabies in the Western Region of Ghana: Survey of knowledge, attitudes, practices and perceptions. J Vet Med Anim Sci. 2020; 3(1): 1016. Available at: https://www.meddocsonline.org/journal-of-veterinary-medicine-and-animal-sciences/dog-rabies-in-the-western-region-of-ghana-survey-of-knowledge-attitudes-practices-and-perceptions.pdf</unstructured_citation>
          </citation>
          <citation key="2567">
            <unstructured_citation>Vetsi O, Gyamfi E, and Sarfo-Twerefour EY. Assessment of knowledge, attitude, perception, and practices on rabies disease in the Ga East Municipality, Ghana. Asian J Res Infect Dis. 2021; 6(2): 26-36. DOI: 10.9734/AJRID/2021/v6i230192</unstructured_citation>
          </citation>
          <citation key="2568">
            <unstructured_citation>Suu-Ire RD, Sarpong A, Mudoga E, Asumah S, Sasu BK, Ziekah MY, et al. Rabies: Knowledge, attitudes and practices in the Suhum municipality in Ghana. One Health Implement Res. 2022; 2(2): 56-67. DOI: 10.20517/ohir.2022.04</unstructured_citation>
          </citation>
          <citation key="2569">
            <unstructured_citation>Abdulai A, Agbolosu AA, and Saimpogbil CG. Assessment of KAP of dog owners on rabies in Sunyani. J Appl Health Sci Med. 2025; 5(8): 1-13. DOI: 10.58614/jahsm581</unstructured_citation>
          </citation>
          <citation key="2570">
            <unstructured_citation>Dwaah PK, Awua-Boateng NY, Squire SA, Osei E, Kando D, Dunu RE, et al . Community knowledge and risk perception toward rabies in Ghana. Trop Med Infect Dis. 2026; 11: 63. DOI: 10.3390/tropicalmed11030063</unstructured_citation>
          </citation>
          <citation key="2571">
            <unstructured_citation>Muleme J, Kankya C, Ssempebwa JC, Mazeri S, and Muwonge A. A framework for integrating qualitative and quantitative data in knowledge, attitude and practice studies: A case study of pesticide use in Eastern Uganda. Front Public Health. 2017; 5: 318. DOI: 10.3389/fpubh.2017.00318</unstructured_citation>
          </citation>
          <citation key="2572">
            <unstructured_citation>Turkson PK, Coppson CND, and Turkson AJ. Principal Component Analysis of indicators of clients’ satisfaction from veterinary services delivery in a small animal hospital in Accra, Ghana. Small Anim Adv. 2025; 4(4): 20-24. DOI: 10.58803/saa.v4i4.45</unstructured_citation>
          </citation>
          <citation key="2573">
            <unstructured_citation>Lounis M, Zarif M, Zeroug Z, Brahimi SSF, and Meddour Z. Rabies in the endemic region of Algeria: knowledge, attitude and practices (KAP) survey among university students. Animals. 2024; 14(15): 2193. DOI: 10.3390/ani14152193</unstructured_citation>
          </citation>
          <citation key="2574">
            <unstructured_citation>Kaiser HF, and Rice J. Little Jiffy, Mark Iv. Educ Psychol Meas. 1974; 34(1): 111-117. DOI: 10.1177/001316447403400115</unstructured_citation>
          </citation>
          <citation key="2575">
            <unstructured_citation>Kaiser H. An index of factorial simplicity. Psychometrika. 1974; 39(1): 31-36. DOI: 10.1007/BF02291575</unstructured_citation>
          </citation>
          <citation key="2576">
            <unstructured_citation>Bartlett MS. A note on the multiplying factors for various χ2 Approximations. J R Stat Soc Series B Stat Method. 1954; 16(2): 296-298. DOI: 10.1111/j.2517-6161.1954.tb00174.x</unstructured_citation>
          </citation>
          <citation key="2577">
            <unstructured_citation>Cox DR, and Snell EJ. Analysis of binary data. 2nd ed. Chapman &amp; Hall/CRC monographs on statistics and applied probability. CRC Press, 2018. DOI: 10.1201/9781315137391</unstructured_citation>
          </citation>
          <citation key="2578">
            <unstructured_citation>Nagelkerke NJD. A note on a general definition of the coefficient of determination. Biometrika. 1991; 78(3): 691-692. DOI: 10.1093/biomet/78.3.691</unstructured_citation>
          </citation>
          <citation key="2579">
            <unstructured_citation>Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951; 16(3): 297-334. DOI: 10.1007/BF02310555</unstructured_citation>
          </citation>
          <citation key="2580">
            <unstructured_citation>Bland JM, and Altman DG. Cronbach's alpha. BMJ. 1997; 314(7080): 572. DOI: 10.1136/bmj.314.7080.572</unstructured_citation>
          </citation>
          <citation key="2581">
            <unstructured_citation>Mallery P, and George D. SPSS for windows step by step. Allyn &amp; Bacon, Inc., 2000. Available at: https://dl.acm.org/doi/abs/10.5555/557542</unstructured_citation>
          </citation>
          <citation key="2582">
            <unstructured_citation>Stoltzfus JC. Logistic regression: A brief primer. Acad Emerg Med. 2011; 18(10): 1099-1104. DOI: 10.1111/j.1553-2712.2011.01185.x</unstructured_citation>
          </citation>
          <citation key="2583">
            <unstructured_citation>Tiwari HK, O’Dea M, Robertson ID, and Vanak AB. Knowledge, attitudes and practices (KAP) towards rabies and free roaming dogs (FRD) in Shirsuphal village in Western India. A community-based cross-sectional study. Plos Negl Trop Dis. 2019; 13(1): e0007120. DOI: 10.1371/journal.pntd.0007120</unstructured_citation>
          </citation>
        </citation_list>
      </journal_article>
    </journal>
  </body>
</doi_batch>
