Rouhollah Rouhandeh - Department of Biostatistics, School of Paramedics, Gerash University of Medical Sciences, Gerash, Iran.
Sajad Pouryousef - Department of Nursing, School of Paramedics, Gerash University of Medical Sciences, Gerash, Iran.
Sedigheh Yeganeh - Gerash Amir-al-Momenin Medical and Educational Center, Gerash University of Medical Sciences, Gerash, Iran.
Esmail Parsayee Manesh - Department of Nursing, School of Nursing, Gerash University of Medical Sciences, Gerash, Iran.
Tayebeh Bahmani - Department of Operating Room, School of Allied Medical Science, Fasa University of Medical Sciences, Fasa, Iran.
Ahmad Reza Simin - Student Research Committee, Gerash University of Medical Sciences, Gerash, Iran.
Misagh Mashi - Student Research Committee, Gerash University of Medical Sciences, Gerash, Iran.
Samira Daneshvar Dehnavi - Shaheed Rajaei Cardiovascular Medical and Research Center, Tehran, Iran.

Background: Social distancing is an effective way to prevent the spread of COVID-۱۹ and its new variants. This study aims to develop the Attitude & Practice towards Social Distancing (APSD) Questionnaire and evaluate its validity and reliability during the COVID-۱۹ pandemic in Iran. Materials and Methods: This mixed-method study, used Waltz’s ۴-step method to develop the APSD questionnaire. The initial items were formulated based on a semi-structured interview with the participants and social distancing guidelines. After confirming the face validity and content validity of the questionnaire, it was distributed among the participants online. Its internal consistency was assessed by calculating the Cronbach’s alpha (α). The exploratory factor analysis and confirmatory factor analysis (CFA) were carried out in SPSS software, version ۱۶ and AMOS version ۲۴. Finally, the reliability was evaluated using the test-retest method. Results: The preliminary draft with ۳۳ items (۱۵ for the attitude and ۱۸ for the practice) were answered by ۶۲۳ participants. After CFA, the final draft consisted of ۷ items and three factors (CVR=۰.۷۷, CVI=۰.۹۲, α=۰.۷۳) for the attitude subscale, and ۸ items and three factors for the practice subscale (CVR=۱, CVI=۰.۹۸, α=۰.۷۶). Conclusion: The ۱۵-item APSD questionnaire is a valid and reliable tool to evaluate the status of social distancing during the COVID-۱۹ pandemic in Iran.

Attitude, Practice, COVID-۱۹, Social distancing