Research Article
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Developing a Diabetes Knowledge Scale for Adults and its Psychometric Properties

Year 2022, , 711 - 718, 28.09.2022
https://doi.org/10.33808/clinexphealthsci.1014888

Abstract

Objective: This study was conducted to develop and test the psychometric properties of a “Diabetes Knowledge Scale for Adults.”
Methods: The sample for this research of methodological design consisted of 500 individuals, ages 18-90, who had presented at a state hospital in Istanbul during the period October 2018-April 2019 with or without a diagnosis of diabetes. Data for the study were collected with a “Sociodemographic Characteristics Descriptive Questionnaire” and the “Diabetes Knowledge Scale for Adults (DKSA).” The validity of the scale was evaluated with the content validity index and construct validity testing (exploratory, confirmatory factor analyses). Its reliability was assessed with KR-20 internal consistency analysis, item-total correlation testing, the item discrimination, item difficulty indexes, and test-retest analysis.
Results: The content validity index for the 28-item scale was found to be 0.92. The exploratory factor analysis revealed five subscales that explained 62.15% of scale variance. The results of the confirmatory factor analysis, GFI= 0.88 CFI= 0.93, AGFI= 0.86, SRMR= 0.01 and χ²/ df = 2.43, confirmed a good and acceptable level of goodness of fit for the scale. The scale’s KR-20 reliability coefficient was 0.94, item-total correlations were above .45 and the correlation between the test-retests administered two weeks apart was found to be r=0.99
Conclusion: DKSA is a valid and reliable scale that can be used to determine the knowledge level of between the ages of 18-90 adults about diabetes.

Supporting Institution

This article is derived from Kübra Erenel Yavuz's Master's thesis.

References

  • Saeedi P, Salpea P, Karuranga S, Petersohn I, Malanda B, Gregg EW, Unvin N, Wild SH, Williams R. Mortality attributable to diabetes in 20–79 years old adults, 2019 estimates: Results from the International Diabetes Federation Diabetes Atlas. Diabetes Res Clin Pract. 2020; 162, 108086.
  • Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, Karsidag K, Genc S, Telci A, Canbaz B, Turker F, Yilmaz T, Cakir B, Tuomiletho J. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013; 28 (2):169–180.
  • Burki T. Country in Focus: diabetes prevalence on the rise in Turkey. Lancet Diabetes Endocrinol. 2016; 4 (5):391.
  • Al-Qazaz HK, Sulaiman SA, Hassali MA, Shafie AA, Sundram S, Al-Nuri R, Saleem F. al. Diabetes knowledge, medication adherence and glycemic control among patients with type 2 diabetes. Int J Clin Pharm. 2011; 33 (6):1028–1035.
  • Zowgar AM, Siddiqui MI, Alattas KM. Level of diabetes knowledge among adult patients with diabetes using diabetes knowledge test. Suadi Med J. 2018; 39(2):161-168
  • Cosansu G. Diabetes: a global pandemic disease. Okmeydanı Tıp Dergisi, 2015; 31(Additional Issue):1-6.
  • Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 diabetes and quality of life. World J Diabetes. 2017;8(4): 120-171.
  • Dussa K, Parımalakrıshnan S, Sahay R. Assessment of diabetes knowledge using diabetes knowledge questionnaire among people with type 2 diabetes mellitus. Asian J Pharm Clin Res. 2015; 8 (2): 254-256
  • Fitzgerald JT, Funnell MM, Anderson RM, Nwankwo R, Stansfield RB, Piatt GA. Validation of the revised brief diabetes knowledge test (DKT2). Diabetes Educ. 2016; 42(2): 178-187.
  • Collins GS, Mughal S, Barnett AH, Fitzgerald JT, Lloyd CE. Modification and validation of the Revised Diabetes Knowledge Scale. Diabet Med. 2011; 28: 306-310.
  • Eigenmann CA, Skinner T, Colagiuri R. Development and validation of a diabetes knowledge questionnare. Practice Diabetes Int. 2011;28(4): 166-170.
  • Garcia AA, Villagomez ET, Brown SA, Kouzekanani K, Hanis CL. The Starr County Diabetes Education Study: Development of the Spanish-language diabetes knowledge questionnaire. Diabetes care. 2001; 24(1): 16-21.
  • Olgun N, Yalın H, Demir H. Diagnosis and risk determination of diabetes dealing with diabetes. The Journal of Turkish Family Physician, 2016; 2 (2): 41-49.
  • Erdogan S, Nahcivan N, Esin MN. Research Process in Nursing, Application and Critical. 2th ed. Nobel Medicine Book Houses; 2014. Data collection methods and tools & reliability and validity of data collection tools; P.195-232
  • Fitzgerald JT, Funnell MM, Hess GE, Barr PA, Anderson RM, Hiss RG, Davis WK. The reliability and validity of a brief diabetes knowledge test. Diabetes care, 1998; 21(5): 706-710.
  • Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? critique and recommendations. Res Nurs Health. 2006; (29): 489–497.
  • Buyukozturk S, Cakmak EK, Akgun OE, Karadeniz S, Demirel F. In education scientific research methods. 30 th ed. Pegem Academy Publishing; 2021.
  • Buyukozturk S. Data analysis handbook for social sciences, statistics, research design, SPSS applications and interpretation. 28th ed. Pegem Academy Publishing; 2020.
  • Whitehead D. Nursing and Midwifery Research: Methods and Appraisal for Evidence-Based Practice. 4th ed. Australia: Elseiver; 2013.
  • Schneider Z, Whitehead D. Nursing and midwifery research: Methods and appraisal for evidence based practice. 5th ed. Australia: Elsevier; 2016.
  • Cokluk O, Sekercioğlu G, Buyukozturk S. Multivariate statistics for social sciences: SPSS and LISREL applications. 5th ed. Ankara: Pegem Akademi; 2018.
  • Karakoc FY, Donmez L. Basic principles of scale development. World of medical education, 2014; 40: 39-40.
  • Ilhan M, Cetin B. Comparing the analysis results of the structural equation models (SEM) conducted using LISREL and AMOS. Journal of measurement and evaluation in education and psychology, 2014; 5(2): 26-42.
  • Karagoz Y. SPSS – AMOS – META applied istatistical analysis. 2th ed. Ankara: Nobel Academic Publishing; 2019.
  • Hasancebi B, Terzi Y, Kuçuk Z. Distractor analysis based on item difficulty index and item discrimination index. Journal of Gumushane University Graduate School of Natural and Applied Sciences, 2020;10 (1): 224-240.
Year 2022, , 711 - 718, 28.09.2022
https://doi.org/10.33808/clinexphealthsci.1014888

Abstract

References

  • Saeedi P, Salpea P, Karuranga S, Petersohn I, Malanda B, Gregg EW, Unvin N, Wild SH, Williams R. Mortality attributable to diabetes in 20–79 years old adults, 2019 estimates: Results from the International Diabetes Federation Diabetes Atlas. Diabetes Res Clin Pract. 2020; 162, 108086.
  • Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, Karsidag K, Genc S, Telci A, Canbaz B, Turker F, Yilmaz T, Cakir B, Tuomiletho J. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013; 28 (2):169–180.
  • Burki T. Country in Focus: diabetes prevalence on the rise in Turkey. Lancet Diabetes Endocrinol. 2016; 4 (5):391.
  • Al-Qazaz HK, Sulaiman SA, Hassali MA, Shafie AA, Sundram S, Al-Nuri R, Saleem F. al. Diabetes knowledge, medication adherence and glycemic control among patients with type 2 diabetes. Int J Clin Pharm. 2011; 33 (6):1028–1035.
  • Zowgar AM, Siddiqui MI, Alattas KM. Level of diabetes knowledge among adult patients with diabetes using diabetes knowledge test. Suadi Med J. 2018; 39(2):161-168
  • Cosansu G. Diabetes: a global pandemic disease. Okmeydanı Tıp Dergisi, 2015; 31(Additional Issue):1-6.
  • Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 diabetes and quality of life. World J Diabetes. 2017;8(4): 120-171.
  • Dussa K, Parımalakrıshnan S, Sahay R. Assessment of diabetes knowledge using diabetes knowledge questionnaire among people with type 2 diabetes mellitus. Asian J Pharm Clin Res. 2015; 8 (2): 254-256
  • Fitzgerald JT, Funnell MM, Anderson RM, Nwankwo R, Stansfield RB, Piatt GA. Validation of the revised brief diabetes knowledge test (DKT2). Diabetes Educ. 2016; 42(2): 178-187.
  • Collins GS, Mughal S, Barnett AH, Fitzgerald JT, Lloyd CE. Modification and validation of the Revised Diabetes Knowledge Scale. Diabet Med. 2011; 28: 306-310.
  • Eigenmann CA, Skinner T, Colagiuri R. Development and validation of a diabetes knowledge questionnare. Practice Diabetes Int. 2011;28(4): 166-170.
  • Garcia AA, Villagomez ET, Brown SA, Kouzekanani K, Hanis CL. The Starr County Diabetes Education Study: Development of the Spanish-language diabetes knowledge questionnaire. Diabetes care. 2001; 24(1): 16-21.
  • Olgun N, Yalın H, Demir H. Diagnosis and risk determination of diabetes dealing with diabetes. The Journal of Turkish Family Physician, 2016; 2 (2): 41-49.
  • Erdogan S, Nahcivan N, Esin MN. Research Process in Nursing, Application and Critical. 2th ed. Nobel Medicine Book Houses; 2014. Data collection methods and tools & reliability and validity of data collection tools; P.195-232
  • Fitzgerald JT, Funnell MM, Hess GE, Barr PA, Anderson RM, Hiss RG, Davis WK. The reliability and validity of a brief diabetes knowledge test. Diabetes care, 1998; 21(5): 706-710.
  • Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? critique and recommendations. Res Nurs Health. 2006; (29): 489–497.
  • Buyukozturk S, Cakmak EK, Akgun OE, Karadeniz S, Demirel F. In education scientific research methods. 30 th ed. Pegem Academy Publishing; 2021.
  • Buyukozturk S. Data analysis handbook for social sciences, statistics, research design, SPSS applications and interpretation. 28th ed. Pegem Academy Publishing; 2020.
  • Whitehead D. Nursing and Midwifery Research: Methods and Appraisal for Evidence-Based Practice. 4th ed. Australia: Elseiver; 2013.
  • Schneider Z, Whitehead D. Nursing and midwifery research: Methods and appraisal for evidence based practice. 5th ed. Australia: Elsevier; 2016.
  • Cokluk O, Sekercioğlu G, Buyukozturk S. Multivariate statistics for social sciences: SPSS and LISREL applications. 5th ed. Ankara: Pegem Akademi; 2018.
  • Karakoc FY, Donmez L. Basic principles of scale development. World of medical education, 2014; 40: 39-40.
  • Ilhan M, Cetin B. Comparing the analysis results of the structural equation models (SEM) conducted using LISREL and AMOS. Journal of measurement and evaluation in education and psychology, 2014; 5(2): 26-42.
  • Karagoz Y. SPSS – AMOS – META applied istatistical analysis. 2th ed. Ankara: Nobel Academic Publishing; 2019.
  • Hasancebi B, Terzi Y, Kuçuk Z. Distractor analysis based on item difficulty index and item discrimination index. Journal of Gumushane University Graduate School of Natural and Applied Sciences, 2020;10 (1): 224-240.
There are 25 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Kübra Yavuz 0000-0003-4952-0157

Saime Erol 0000-0001-7752-605X

Publication Date September 28, 2022
Submission Date October 26, 2021
Published in Issue Year 2022

Cite

APA Yavuz, K., & Erol, S. (2022). Developing a Diabetes Knowledge Scale for Adults and its Psychometric Properties. Clinical and Experimental Health Sciences, 12(3), 711-718. https://doi.org/10.33808/clinexphealthsci.1014888
AMA Yavuz K, Erol S. Developing a Diabetes Knowledge Scale for Adults and its Psychometric Properties. Clinical and Experimental Health Sciences. September 2022;12(3):711-718. doi:10.33808/clinexphealthsci.1014888
Chicago Yavuz, Kübra, and Saime Erol. “Developing a Diabetes Knowledge Scale for Adults and Its Psychometric Properties”. Clinical and Experimental Health Sciences 12, no. 3 (September 2022): 711-18. https://doi.org/10.33808/clinexphealthsci.1014888.
EndNote Yavuz K, Erol S (September 1, 2022) Developing a Diabetes Knowledge Scale for Adults and its Psychometric Properties. Clinical and Experimental Health Sciences 12 3 711–718.
IEEE K. Yavuz and S. Erol, “Developing a Diabetes Knowledge Scale for Adults and its Psychometric Properties”, Clinical and Experimental Health Sciences, vol. 12, no. 3, pp. 711–718, 2022, doi: 10.33808/clinexphealthsci.1014888.
ISNAD Yavuz, Kübra - Erol, Saime. “Developing a Diabetes Knowledge Scale for Adults and Its Psychometric Properties”. Clinical and Experimental Health Sciences 12/3 (September 2022), 711-718. https://doi.org/10.33808/clinexphealthsci.1014888.
JAMA Yavuz K, Erol S. Developing a Diabetes Knowledge Scale for Adults and its Psychometric Properties. Clinical and Experimental Health Sciences. 2022;12:711–718.
MLA Yavuz, Kübra and Saime Erol. “Developing a Diabetes Knowledge Scale for Adults and Its Psychometric Properties”. Clinical and Experimental Health Sciences, vol. 12, no. 3, 2022, pp. 711-8, doi:10.33808/clinexphealthsci.1014888.
Vancouver Yavuz K, Erol S. Developing a Diabetes Knowledge Scale for Adults and its Psychometric Properties. Clinical and Experimental Health Sciences. 2022;12(3):711-8.

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