Validity and Reliability of the Arabic Translation of Diabetes Knowledge Test (DKT1)
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Abstract
Introduction: Diabetes Knowledge Test (DKT1) is a tool to assess patients’ diabetes knowledge and lifestyle. It comprises two subscales: the DKT1-general and DKT1-insulin-use. This study aimed to translate the DKT1 into Arabic and tested its validity and reliability in the Saudi population. Methods: This single-centre, cross-sectional study examined diabetes-related knowledge and lifestyle of Saudi patients with diabetes who used anti-diabetic medication and/or insulin. The participants’ mean scores for the two subscales of DKT1 were compared according to their type and duration of diabetes, medication use, and levels of education. Internal consistency tests and factor analysis were applied to examine the reliability and validity of the subscales, respectively. Results: In total, 400 individuals with diabetes (mean age 43.8±16.1 years) were enrolled. Of these, 44.2% had type 1 diabetes, and 51% were men. The Arabic version of DKT1 received internal consistency scores with coefficient alpha (95% confidence interval) values of 0.541 (0.472–0.604) and 0.741 (0.699–0.785) for the DKT1-general and DKT1-insulin-use subscales, respectively. The validity test showed that the participants with type 1 diabetes attained marginally higher score in the DKT1-general subscale and significantly higher score in the DKT1-insulin-use subscale than those with type 2 diabetes. Additionally, the scores increased with higher levels of education and longer durations of the disorder. Conclusion: The Arabic translation of DKT1 is an acceptable tool which can be used to measure the effectiveness of diabetes education programmes and would help to identify patient’s education needs.
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Al-Odayani AN, Alsharqi OZ, Ahmad AM, Khalaf Ahmad AM, Al-Borie HM, Qattan AM. Children’s glycemic control: Mother’s knowledge and socioeconomic status. Glob J Health Sci. 2013;5(6):214-26.
[Google Scholar][CrossRef][Pubmed]
Al-Herbish AS, El-Mouzan MI, Al-Salloum AA, Al-Qurachi MM, Al-Omar AA. Prevalence of type 1 diabetes mellitus in Saudi Arabian children and adolescents. Saudi Med J. 2008;29(9):1285-8.
[Google Scholar][CrossRef][Pubmed]
Alqurashi KA, Aljabri KS, Bokhari SA. Prevalence of diabetes mellitus in a Saudi community. Ann Saudi Med. 2011;31(1):19-23.
International Diabetes Federation. IDF Diabetes Atlas. 9th ed. Brussels, Belgium: International Diabetes Federation; 2019 [cited 2020 Jul 14]. Available from: https://www.diabetesatlas.org/.
Etzwiler DD, Robb JR. Evaluation of programmed education among juvenile diabetics and their families. Diabetes. 1972;21(9):967-71.
Buckloh LM, Lochrie AS, Antal H, Milkes A, Canas JA, Hutchinson S, et al. Diabetes complications in youth: Qualitative analysis of parents’ perspectives of family learning and knowledge. Diabetes Care. 2008;31(8):1516-20.
Price KJ, Wales J, Eiser C, Knowles J, Heller S, Freeman J, et al. Does an intensive self-management structured education course improve outcomes for children and young people with type 1 diabetes? The Kids In Control OF Food (KICk-OFF) cluster randomised controlled trial protocol. BMJ Open. 2013;3(1):e002429.
Knowles J, Waller H, Eiser C, Heller S, Roberts J, Lewis M, et al. The development of an innovative education curriculum for 11–16 yr old children with type 1 diabetes mellitus (T1DM). Pediatr Diabetes. 2006;7(6):322-8.
Pereira DA, Costa NMSC, Sousa ALL, Jardim PCBV, Zanini CRDO. The effect of educational intervention on the disease knowledge of diabetes mellitus patients. Rev Lat Am Enfermagem. 2012;20(3):478-85.
Norris SL, Lau J, Smith SJ, Schmid CH, Engelgau MM. Self-management education for adults with type 2 diabetes: A meta-analysis of the effect on glycemic control. Diabetes Care. 2002;25(7):1159-71.
Reaney M, Zorzo EG, Golay A, Hermanns N, Cleall S, Petzinger U, et al. Impact of Conversation Map™ education tools versus regular care on diabetes-related knowledge of people with type 2 diabetes: A randomized, controlled study. Diabetes Spectr. 2013;26(4):236-45.
Bhutani G, Kalra S, Lamba S, Verma PK, Saini R, Grewal M. Effect of diabetic education on the knowledge, attitude and practices of diabetic patients towards prevention of hypoglycemia. Indian J Endocrinol Metab. 2015;19(3):383-6.
Mensing C, Boucher J, Cypress M, Weinger K, Mulcahy K, Barta P, et al. National standards for diabetes self-management education. Diabetes Care. 2005;28 Suppl 1:S72-9.
Clement S. Diabetes self-management education. Diabetes Care. 1995;18(8):1204-14.
Lorenz RA, Bubb J, Davis D, Jacobson A, Jannasch K, Kramer J, et al. Changing behavior. Practical lessons from the Diabetes Control and Complications Trial. Diabetes Care. 1996;19(6):648-52.
Silverstein J, Klingensmith G, Copeland K, Plotnick L, Kaufman F, Laffel L, et al. Care of children and adolescents with type 1 diabetes: A statement of the American Diabetes Association. Diabetes Care. 2005;28(1):186-212.
National Institute for Clinical Excellence UK (NICE). Type 1 diabetes: Diagnosis and management of type 1 diabetes in children, young people and adults. 2004. Available from: http://www.nice.org.uk/pdf/CG015NICEguideline.pdf
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):706-10.
Al Qahtani L, Alqarni A, Mohamud MS, Masuadi E, Aldhubayee M. Michigan Diabetes Knowledge Test: Translation and validation study of the Arabic version. Int J Acad Sci Res. 2016;4:121-5.
Alghodaier H, Jradi H, Mohammad NS, Bawazir A. Validation of a diabetes numeracy test in Arabic. Plos One. 2017;12(5):e0175442.
Alhaiti AH, Alotaibi AR, Jones LK, DaCosta C, Lenon GB. Psychometric evaluation of the revised Michigan Diabetes Knowledge Test (V.2016) in Arabic: Translation and validation. J Diabetes Res. 2016, Article ID 9643714, 7 pages.
Al Dawish MA, Robert AA, Braham R, Al Hayek AA, Al Saeed A, Ahmed RA, et al. Diabetes mellitus in Saudi Arabia: A review of the recent literature. Curr Diabetes Rev. 2016;12(4):359-68.
Nunnally JC, Bernstien IH. Psychometric Theory. 3rd ed. New York: McGraw-Hill; 1994.
İdİz C, Çelİk S, Bağdemİr E, Dİşsİz M, Satman İ. Turkish adaptation of Michigan diabetes research and training center’s revised Diabetes Knowledge Test and determination of factors affecting the knowledge level of diabetic individuals. Turk J Endocrinol Metab. 2020;24(1):38-46.
Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, et al. Principles of good practice for the translation and cultural adaptation process for Patient-Reported Outcomes (PRO) measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health. 2005;8(2):94-104.
Hashim MJ, Mustafa H, Ali H. Knowledge of diabetes among patients in the United Arab Emirates and trends since 2001: a study using the Michigan Diabetes Knowledge Test. EMHJ. 2016;22(10):742-748.
Almalki TM, Almalki NR, Balbaid K, Alswat K. Assessment of diabetes knowledge using the Michigan brief Diabetes Knowledge Test among patients with type 2 diabetes mellitus. J Endocrinol Metab. 2018;7(6):185-9.