Knowledge of Diabetic Patients in Al-Kut City According to Revised Michigan Diabetes Knowledge Test

Összefoglaló. Bevezetés: Magyarországon a KSH szerint több mint 1 millió ismert cukorbeteg él. A diabetes karbantartásához elengedhetetlen a betegek tudásának, készségeinek és önhatékonyságának növelése és fenntartása. A legelterjedtebb diabetes-betegségismeretteszt a 23 kérdéses Michigan Diabetes Knowledge Test. Első 14 tétele általános tudást mér, például az ételek tápanyagtartalmával és a vércukorszint-változás okaival kapcsolatban. További 9 kérdése az inzulinhasználatról szól. Célkitűzés: Célunk ennek a tesztnek a magyar nyelvű validálása, valamint összefüggéseinek vizsgálata szociodemográfiai és betegségváltozókkal. Módszer: Keresztmetszeti kérdőíves kutatásunkban a tesztcsomagot 129, inzulint használó, 2-es típusú diabeteses beteg töltötte ki (84 nő, átlagéletkor: 59,67; szórás: 12,6) elsősorban online, betegszervezeteken keresztül. Eredmények: A betegségismeret-teszt belső konzisztenciája 0,603, ami elfogadható érték. A 23 kérdés helyes kitöltési arányának átlaga 81,66%, ami az amerikai arányokhoz hasonló, más kutatások speciális csoportjaihoz képest azonban kifejezetten magas érték. A válaszadók a ketoacidosis fogalmát, az egyes ételek tápanyag-összetevőit és az elfogyasztott ételek vércukorszintre gyakorolt hatását illető kérdésekre tudták a választ a legkevésbé. A magyar teszt a szakirodalomnak megfelelő gyenge, negatív irányú összefüggésben áll az életkorral, és pozitív a kapcsolata az inzulinhasználat hosszával, valamint a napi vércukorszintmérés és inzulinbeadás számával. A betegségismeretet függetlenül egyedül a napi vércukorszintmérés mennyisége jósolta meg. A teszt konvergens validitását mutatja gyenge, de szignifikáns összefüggése az egészségértést mérő Brief Health Literacy Screening kérdésekkel. Következtetés: A magyar nyelvű Diabetes Betegségismeret Teszt alkalmas a diabetesszel élők tudásszintjének felmérésére. Mintánkban a betegségismeret magas szintje az inzulint használók megfelelő edukációjával függhet össze. Ugyanakkor eredményeink felhívják a figyelmet a betegek diétával kapcsolatos magasabb szintű tudásának szükségességére. Orv Hetil. 2021; 162(22): 870–877. Summary. Introduction: According to the Hungarian Central Statistical Office, more than 1 million diabetic patients live in Hungary. It is essential to enhance and sustain the knowledge, skills and self-efficacy of patients. The most widely used measurement of illness knowledge is the 23-item Michigan Diabetes Knowledge Test (DKT). Its first 14 items measure general knowledge: the nutritional value of food, and causes of change in blood glucose level. Its further 9 items are about insulin usage. Objective: To examine the reliability and the validity of the Hungarian version of DKT2 as well as its association with sociodemographic and illness-related variables. Methods: In our cross-sectional quantitative study, 129 patients (84 women, mean age: 59.67; SD = 12.6) diagnosed with type 2 diabetes mellitus using insulin therapy filled in a questionnaire online. Results: The α coefficient for the test is 0.603, which is acceptable. The mean of the correct answer rate is 81.66%, which resembles the American results, but it is higher than that of other specific groups. Problem areas for our patients included interpreting ketoacidosis, the nutritional value of foods and the effect of foods on blood glucose level. The score of the Hungarian test – in accordance with the literature – correlates negatively with age, positively with the year of insulin-usage and with the number of daily insulin intake and of blood glucose measurement. Illness knowledge was independently predicted only by the number of daily blood glucose measurement. The convergent validity of the Hungarian test is supported by its weak but significant association with Brief Health Literacy Screen questions. Conclusion: The Hungarian DKT2 properly measures the illness knowledge of diabetic patients. Their high level of knowledge can be traced back to the speciality of the subjects as well as to the overall education of insulin users. Nevertheless, our results draw attention to the necessity of enhancing the level of dietetic knowledge of patients. Orv Hetil. 2020; 162(22): 870–877.

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Translation and Validation of Malay Version of the Simplified Diabetes Knowledge Test

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v17i1.927 ◽

2018 ◽

Vol 17 (1) ◽

Author(s):

Mohd Aznan Bin Md Aris ◽

Umair Bin Othman ◽

Nur-Hidayah Bt Abdul Rahim ◽

Hafizah Bt Pasi

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Factor Analysis ◽

Type 2 Diabetes Mellitus ◽

Diabetic Patients ◽

Diabetes Knowledge ◽

Cronbach’S Alpha ◽

Knowledge Test ◽

Cronbach's Alpha

Introduction: Type 2 diabetes mellitus is a non-communicating disease with an increasing trend in Malaysia. One of the most important aspects in the selfmanagement of diabetes mellitus is the assessment of knowledge among diabetes patients. This study aimed to translate and validate the Malay version of Modified Diabetes Knowledge Test (DKT) questionnaire. Methods: A standard back-to-back translation procedure was used to translate the simplified version of the DKT questionnaire from the original version. A total of 120 outpatients with type 2 diabetes mellitus from the government primary care clinic were selected to answer the questionnaire which consists of socio-demographic and diabetes characteristics questions as well as the 20-item DKT questions. Reliability and validity were tested with Cronbach’s alpha and Exploratory Factor Analysis. Results: The Cronbach’s alpha for the translated questionnaire was acceptable (α=0.573) with the Cronbach’s alpha excluding each item ranged from 0.517 to 0.602. Factor analysis with Varimax rotation identified 6 domains for the 18 items, with 2 to 6 items in each domain. Conclusion: This version of simplified DKT is proven to be valid and reliable, and can be used with caution as a brief assessment of knowledge among diabetic patients specifically tailored for Malaysian population.

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Abstract #287: Assessment of Diabetes Knowledge Using Michigan Brief Diabetes Knowledge Test Among Patiants with Type 2 Diabetes Mellitus

Endocrine Practice ◽

10.1016/s1530-891x(20)44995-x ◽

2016 ◽

Vol 22 ◽

pp. 77

Author(s):

Turki Almalki ◽

Naif Almalki ◽

Khaled Alswat

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Diabetes Knowledge ◽

Knowledge Test

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Factors Associated with Knowledge of Diabetes in Patients with Type 2 Diabetes Using the Diabetes Knowledge Test Validated with Rasch Analysis

PLoS ONE ◽

10.1371/journal.pone.0080593 ◽

2013 ◽

Vol 8 (12) ◽

pp. e80593 ◽

Cited By ~ 11

Author(s):

Eva K. Fenwick ◽

Jing Xie ◽

Gwyn Rees ◽

Robert P. Finger ◽

Ecosse L. Lamoureux

Keyword(s):

Type 2 Diabetes ◽

Rasch Analysis ◽

Diabetes Knowledge ◽

Knowledge Test ◽

Factors Associated

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Exploring Diabetes Educators’ Core Competencies in the Kingdom of Saudi Arabia

Current Diabetes Reviews ◽

10.2174/1573399817666210430125505 ◽

2021 ◽

Vol 17 ◽

Author(s):

Talal Alharbi ◽

Gayle McLelland ◽

Nikos Thomacos

Keyword(s):

Saudi Arabia ◽

Core Competencies ◽

Diabetes Education ◽

Perceived Competence ◽

The Self ◽

Diabetes Knowledge ◽

Cross Sectional Survey ◽

Kingdom Of Saudi Arabia ◽

Knowledge Test ◽

Diabetes Educators

Background: Diabetes education provided by qualified and competent diabetes educators (DEs) is effective in reducing risks of diabetes complications. Globally, the DE workforce comprises a mixture of professions, with the majority being nurses. It is necessary to regularly assess DEs’ competence and knowledge to ensure that quality diabetes education is being delivered. Objective: This study explored the self-perceived competence and the diabetes knowledge of DEs in the Kingdom of Saudi Arabia (KSA). Methods: This study explored the self-perceived competence and the diabetes knowledge of DEs in the Kingdom of Saudi Arabia (KSA), using a quantitative, cross-sectional survey, administered at 20 diabetes centres. A total of 368 DEs were invited to participate in the study. Results: Surveys were completed by 324 DEs (response rate = 88%), 84% (n=271) were nurses. From a possible overall range between 63-252, the mean (M) was 168.59 and standard deviation (SD) was (35.6) hence perceived competence of the DEs was low, Of a maximum possible score of 45 for the diabetes knowledge test, response scores ranged from 9 to 40, with M = 26.2 (6.0). Perceived competence and diabetes knowledge varied depending on age, nationality, educational qualification, primary profession, and whether or not the DE held a specialised diabetes qualification. Conclusion: DEs in the KSA need to develop and enhance their competence and knowledge in order to provide quality diabetes care and education. The low perceived competence and scores in the knowledge test show that intervention measures are needed to regularly assess and improve the core competencies of DEs. Further research is required to identify DEs’ barriers to having sufficient competencies and knowledge.

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Applicability of the Spoken Knowledge in Low Literacy Patients with Diabetes in Brazilian elderly

Einstein (São Paulo) ◽

10.1590/s1679-45082016ao3747 ◽

2016 ◽

Vol 14 (4) ◽

pp. 513-519 ◽

Cited By ~ 5

Author(s):

Jonas Gordilho Souza ◽

◽

Daniel Apolinario ◽

José Marcelo Farfel ◽

Omar Jaluul ◽

...

Keyword(s):

Health Literacy ◽

Internal Consistency ◽

Functional Health ◽

Public Healthcare ◽

Diabetic Patients ◽

Diabetes Knowledge ◽

Low Literacy ◽

Portuguese Version ◽

Patients With Diabetes

ABSTRACT Objective To translate, adapt and evaluate the properties of a Brazilian Portuguese version of the Spoken Knowledge in Low Literacy Patients with Diabetes, which is a questionnaire that evaluate diabetes knowledge. Methods A cross-sectional study with type 2 diabetes patients aged ≥60 years, seen at a public healthcare organization in the city of Sao Paulo (SP). After the development of the Portuguese version, we evaluated the psychometrics properties and the association with sociodemographic and clinical variables. The regression models were adjusted for sociodemographic data, functional health literacy, duration of disease, use of insulin, and glycemic control. Results We evaluated 129 type 2 diabetic patients, with mean age of 75.9 (±6.2) years, mean scholling of 5.2 (±4.4) years, mean glycosylated hemoglobin of 7.2% (±1.4), and mean score on Spoken Knowledge in Low Literacy Patients with Diabetes of 42.1% (±25.8). In the regression model, the variables independently associated to Spoken Knowledge in Low Literacy Patients with Diabetes were schooling (B=0.193; p=0.003), use of insulin (B=1.326; p=0.004), duration of diabetes (B=0.053; p=0.022) and health literacy (B=0.108; p=0.021). The determination coefficient was 0.273. The Cronbach a was 0.75, demonstrating appropriate internal consistency. Conclusion This translated version of the Spoken Knowledge in Low Literacy Patients with Diabetes showed to be adequate to evaluate diabetes knowledge in elderly patients with low schooling levels. It presented normal distribution, adequate internal consistency, with no ceiling or floor effect. The tool is easy to be used, can be quickly applied and does not depend on reading skills.

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