Objectives: The objective is developing an instrument to assess the perception, awareness and social support for his risk patients
with diabetes and hypertension towards chronic kidney diseases using cognitive interview. Methods: The items of PASS instrument
were identified after extensive literature review and with the experts. Think aloud method of cognitive interview was used for the
field staff and patients with diabetes and hypertension. Results: Six field staff and five patients with diabetes and hypertension were
involved. Revised version of PASS instrument with 40 item instrument with 5 point likert scale was found to be a simple, user
friendly, easily comprehensive version which takes about 30-40 minutes for an individual to respond. Conclusion: This
multidimensional PASS instrument is based on health belief mode and its items comprises perception, awareness related to various
aspects of chronic kidney diseases and its risk factors.
Keywords: Cognitive interview, Chronic Kidney diseases, Perception,
Awareness, Social Support