Translation and Validation of Malay Version of the Simplified Diabetes Knowledge Test (DKT)

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Published: May 31, 2022
Keywords:
diabetes knowledge test (DKT), Validation, Malay version

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Mohd Aznan Md Aris
Department of Family Medicine, Kulliyyah of Medicine, UIAM Kuantan Campus, Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia
Hafizah Pasi
Department of Community Medicine, Kulliyyah of Medicine, UIAM Kuantan Campus, Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia
Mohd Shaiful Ehsan Shalihin
Department of Family Medicine, Kulliyyah of Medicine, UIAM Kuantan Campus, Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia
Umair Othman
Kulliyyah of Medicine, UIAM Kuantan Campus, Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia
Nur-Hidayah Abdul Rahim
Kulliyyah of Medicine, UIAM Kuantan Campus, Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia

Abstract

Introduction: Type 2 diabetes mellitus is a chronic disease which is highly prevalent in Malaysia. In managing di- abetes, the American Diabetes Association (ADA) and the International Diabetes Federation (IDF) have advocated self-management to be the basic component of diabetes care. However, an ongoing discussion, education and as- sessment of the patient’s diabetic knowledge should be implemented in the patient’s empowerment process. There are various assessment tools available worldwide but very few are available in the Malay language. This study is aimed to perform the Malay translation of the Simplified Diabetes Knowledge Test (DKT) questionnaire and validate it. Methods: Forward-backward translation procedure was used to translate the simplified version of the DKT ques- tionnaire. A total of 120 respondents with type 2 diabetes mellitus from a selected government health clinic were recruited to answer the questionnaire which consists of socio-demographic, diabetes characteristics and the 20-item Malay version of simplified DKT questionnaire. Reliability and construct validity were tested with Cronbach’s alpha coefficient and Exploratory Factor Analysis. Results: Factor analysis with Varimax rotation identified five meaningful domains for the final 18 items. The Cronbach’s alpha for the overall scale of the translated questionnaire was 0.573 with values of each five significant domain’s Cronbach’s alpha ranged from 0.370 to 0.564. Conclusion: The Ma- lay version of simplified DKT is valid and reliable to be used as a brief assessment of knowledge among Malaysian diabetic patients.

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How to Cite
Md Aris, M. A., Pasi, H., Shalihin, M. S. E., Othman, U., & Abdul Rahim, N.-H. (2022). Translation and Validation of Malay Version of the Simplified Diabetes Knowledge Test (DKT). Malaysian Journal of Medicine and Health Sciences, 18(3), 76–84. Retrieved from http://mjmhsojs.upm.edu.my/index.php/mjmhs/article/view/100
Issue
Vol. 18 No. 3 (2022)
Section
Original Articles

References

Ministry of Health Malaysia. Clinical Practice Guidelines: Management of Type 2 Diabetes Mellitus. Kuala Lumpur: Ministry of Health Malaysia; 2015.

Ministry of Health Malaysia. National Health and Morbidity Survey. Kuala Lumpur: Ministry of Health Malaysia; 2015.

Nordin N, Mohd Hairon S, Yaacob NM, Abdul Hamid A, Hassan N. Effects of Family Doctor Concept and Doctor-Patient Interaction Satisfaction on Glycaemic Control among Type 2 Diabetes Mellitus Patients in the Northeast Region of Peninsular Malaysia. Int J Environ Res Public Health. 2020 Mar 9;17(5):1765. doi: 10.3390/ijerph17051765.

Tomky D, Weaver T, Mulcahy K, Peeples M. Diabetes education outcomes: what educators are doing. Diabetes Educ. 2000;26(6):951-954. doi:10.1177/014572170002600607.

Anuar NE, Rahman NA, Nor NM, Rahman N, Haque M. Effect of diet counseling on knowledge, attitude and practice and quality of life of diabetic patients in Kuantan, Malaysia. Malaysian Journal of Public Health Medicine. 2016;16(3):156-166.

Berikai P, Meyer PM, Kazlauskaite R, Savoy B, Kozik K, Fogelfeld L. Gain in patients’ knowledge of diabetes management targets is associated with better glycemic control. Diabetes Care. 2007;30(6):1587-1589. doi:10.2337/dc06-2026.

Al-Qazaz, H., Hassali, M., Shafie, A., Sulaiman,

S. and Sundram, S. (2010), The 14-item Michigan Diabetes Knowledge Test: translation and validation study of the Malaysian version. Pract Diab Int, 27: 238-241a. https://doi.org/10.1002/pdi.1495

Collins GS, Mughal S, Barnett AH, Fitzgerald J, Lloyd CE. Modification and validation of the Revised Diabetes Knowledge Scale. Diabet Med. 2011;28(3):306-310. doi:10.1111/j.1464- 5491.2010.03190.x.

Ding CH, Teng CL, Koh CN. Knowledge of diabetes mellitus among diabetic and non-diabetic patients in Klinik Kesihatan Seremban. Med J Malaysia. 2006;61(4):399-404.

Hawthorne K, Tomlinson S. Pakistani moslems with Type 2 diabetes mellitus: effect of sex, literacy skills, known diabetic complications and place of care on diabetic knowledge, reported self- monitoring management and glycaemic control. Diabet Med. 1999;16(7):591-597. doi:10.1046/ j.1464-5491.1999.00102.x.

Kassahun T, Gesesew H, Mwanri L, Eshetie T. Diabetes related knowledge, self-care behaviours and adherence to medications among diabetic patients in Southwest Ethiopia: a cross-sectional survey. BMC Endocr Disord. 2016;16(1):28. doi:10.1186/s12902-016-0114-x.

Murata GH, Shah JH, Adam KD, et al. Factors affecting diabetes knowledge in Type 2 diabetic veterans. Diabetologia. 2003;46(8):1170-1178. doi:10.1007/s00125-003-1161-1.

Persell SD, Keating NL, Landrum MB, et al. Relationship of diabetes-specific knowledge to self-management activities, ambulatory preventive care, and metabolic outcomes. Prev Med. 2004;39(4):746-752. doi:10.1016/j. ypmed.2004.02.045.

Saadia Z, Rushdi S, Alsheha M, Saeed H, Rajab

M. A Study of Knowledge Attitude and Practices of Saudi Women Towards Diabetes Mellitus. A (KAP) Study in AlQassim Region. Internet J Health. 11(2). 1-7.

Simmons D, Mandell C, Fleming C, Gatland B, Leakehe L. Evaluation of a diabetes knowledge and behaviour (DKB) questionnaire. Asia Pac J Clin Nutr. 1994;3(4):193-200.

Speight J, Bradley C. The ADKnowl: identifying knowledge deficits in diabetes care. Diabet Med. 2001;18(8):626-633. doi:10.1046/j.1464- 5491.2001.00537.x.

Tharek Z, Ramli AS, Whitford DL, Ismail Z, Zulkifli MM, Ahmad Sharoni SK, et al. Relationship between self-efficacy, self-care behaviour and glycaemic control among patients with type 2 diabetes mellitus in the Malaysian primary care setting. BMC Fam Pract. 2018;19(1):39. Published 2018 Mar 9. doi:10.1186/s12875-018-0725-6.

Polly RK. Diabetes health beliefs, self-care behaviors, and glycemic control among older adults with non-insulin-dependent diabetes mellitus. Diabetes Educ. 1992;18(4):321-327. doi:10.1177/014572179201800411.

Rhee MK, Slocum W, Ziemer DC, Culler SD, Cook CB, Gallina DL, et al. Patient adherence improves glycemic control. Diabetes Educ. 2005;31(2):240-250. doi:10.1177/0145721705274927

Wang JS, Wang RH, Lin CC. Self-care behaviors, self-efficacy, and social support effect on the glycemic control of patients newly diagnosed with non-insulin-dependent diabetes mellitus. Kaohsiung J Med Sci. 1998;14(12):807-815.

Yamaoka K, Tango T. Efficacy of lifestyle education to prevent type 2 diabetes: a meta- analysis of randomized controlled trials. Diabetes Care. 2005;28(11):2780-2786. doi:10.2337/

diacare.28.11.2780

McCulloch B, McDermott R, Miller G, Leonard D, Elwell M, Muller R. Self-reported diabetes and health behaviors in remote indigenous communities in northern Queensland, Australia. Diabetes Care. 2003;26(2):397-403. doi:10.2337/ diacare.26.2.397.

Mulcahy K, Maryniuk M, Peeples M, Peyrot M, Tomky D, Weaver T, et al. Diabetes self-management education core outcomes measures. Diabetes Educ. 2003;29(5):. doi:10.1177/014572170302900509.

Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, et al. National Standards for diabetes self-management education. Diabetes care. 2011;34(Suppl 1):89–96. https://doi.org/10.2337/dc11-S089.

Abdullah A, Ng CJ, Liew SM, Ambigapathy S, V P, Chinna K. Prevalence of limited health literacy and its associated factors in patients with type 2 diabetes mellitus in Perak, Malaysia: a cross-sectional study. BMJ Open. 2020 Nov 14;10(11):e039864.

doi: 10.1136/bmjopen-2020-039864.

American Diabetes Association. Standards of Medical Care for Patients with Diabetes Mellitus. American Diabetes Association; 2003.

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. doi:10.1177/0145721715624968.

Fitzgerald JT, Funnell MM, Hess GE, Barr PA, Anderson RM, Hiss RG, et al. The reliability and validity of a brief diabetes knowledge test. Diabetes Care. 1998;21(5):706-710. doi:10.2337/ diacare.21.5.706.

Eigenmann C, Skinner T, Colagiuri R. Development and validation of a diabetes knowledge questionnaire. Practical Diabetes. 2011;28(4), 166-170. https://doi.org/10.1002/pdi.1586.

University of Michigan. The Michigan Diabetes Research and Center (MDRTC) Information. University of Michigan; 2017.

Ministry of Health Malaysia. Portal Rasmi Pejabat Kesihatan Negeri Pahang/Klinik Kesihatan. Pahang: Ministry of Health Malaysia; 2021.

Downing SM. Reliability: on the reproducibility of assessment data. Med Educ. 2004 Sep;38(9):1006-12. doi: 10.1111/j.1365-2929.2004.01932.x.

Tsang S, Royse CF, Terkawi AS. Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi J Anaesth. 2017 May;11(Suppl 1):S80-S89. doi: 10.4103/sja.SJA_203_17.

Siong TE, Noor MI, Azudin MN, Idris K. Nutrient composition of Malaysian foods. 4th Ed. Kuala Lumpur: Medical Research Malaysia; 1997.

Shahar S, Safii NS, Manaf ZA, Haron H. Atlas of Food Exchanges & Portion Sizes. 3rd Ed. Kuala Lumpur: MDC Publishder; 2009.

Whitehead AL, Julious SA, Cooper CL, Campbell MJ. Estimating the sample size for a pilot randomised trial to minimise the overall trial sample size for the external pilot and main trial for a continuous outcome variable. Stat Methods Med Res. 2016 Jun;25(3):1057-73. doi: 10.1177/0962280215588241.

Shalihin MSE, Md Aris MA, Nik Mohamed MH. Revised Version of Knowledge, Attitude and Practice of Medical Doctors on Smoking Cessation Guidelines Questionnaire. Malaysian Journal of Applied Sciences. 2020;5(1), 95-104. https://doi.org/10.37231/myjas.2020.5.1.237

Cronbach, L. J. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16:297–

https://doi.org/10.1007/BF02310555

Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ. 2011;2:53-55. Published 2011 Jun 27. doi:10.5116/ijme.4dfb.8dfd.

Costello AB, Osborne J. Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis. Practical Assessment, Research, and Evaluation. 2005;10(7). https://doi.org/10.7275/jyj1-4868.

Nagy MS. Using a single-item approach to measure facet job satisfaction. Journal of Occupational and Organizational Psychology. 2002;75(1):77–86.

Robinson MA. Using multi-item psychometric scales for research and practice in human resource management. Human Resource Management. 2018;57(3):739-750.

Postmes T, Haslam SA, Jans L. A single-item measure of social identification: reliability, validity, and utility. Br J Soc Psychol. 2013 Dec;52(4):597- 617. doi: 10.1111/bjso.12006. Epub 2012 Nov 4. PMID: 23121468.

Wanous JP, Reichers AE, Hudy MJ. Overall job satisfaction: How good are single-item measures? Journal of Applied Psychology. 1997;82(2):247– 252.

Tabachnick BG, Fidell LS (2013). Using multivariate statistics (6th Edition). Boston: Pearson Education.

Hair JF, Babin BJ, Anderson RE, Black WC. Multivariate Data Analysis. 8th Ed. Prentice Hall:Harlow Pearson Education Limited;2018.