Validation of Diabetes Knowledge Questionnaire (DKQ) in the Taiwanese Population — Concurrent Validity with Diabetes-Specific Quality of Life Questionnaire Module
Meng-Hsueh Hsieh,1 Yu-Ching Chen,2 Chun-Heng Ho,1,* Chung-Ying Lin2– 5,* 1Department of Industrial Design, College of Planning and Design, National Cheng Kung University, Tainan, Taiwan; 2Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan...
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Dove Medical Press
2022-08-01
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Series: | Diabetes, Metabolic Syndrome and Obesity |
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Online Access: | https://www.dovepress.com/validation-of-diabetes-knowledge-questionnaire-dkq-in-the-taiwanese-po-peer-reviewed-fulltext-article-DMSO |
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author | Hsieh MH Chen YC Ho CH Lin CY |
author_facet | Hsieh MH Chen YC Ho CH Lin CY |
author_sort | Hsieh MH |
collection | DOAJ |
description | Meng-Hsueh Hsieh,1 Yu-Ching Chen,2 Chun-Heng Ho,1,* Chung-Ying Lin2– 5,* 1Department of Industrial Design, College of Planning and Design, National Cheng Kung University, Tainan, Taiwan; 2Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan; 3Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan; 4Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; 5Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan*These authors contributed equally to this workCorrespondence: Chung-Ying Lin, Institute of Allied Health Sciences, Department of Public Health, Department of Occupational Therapy, Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Email cylin36933@gs.ncku.edu.tw Chun-Heng Ho, Department of Industrial Design, College of Planning and Design, National Cheng Kung University, Tainan, Taiwan, Email hoch@gs.ncku.edu.twPurpose: Diabetes knowledge is important for people with type 2 diabetes mellitus (DM) to improve their health. Therefore, it is important to validate an instrument for assessing diabetes knowledge. The present study aimed to validate the 24-item Diabetes Knowledge Questionnaire (DKQ).Patients and Methods: The 24-item DKQ and Diabetes-specific Quality of Life Module (DMQoL) were administered to 425 patients (mean±SD age=58.4± 11.6) with type 2 DM.Results: The 24-item DKQ was first examined for its factor structure using exploratory factor analysis (EFA). Items with low factors loadings were removed and 18 items were retained to make a DKQ-18. In DKQ-18, five factors were identified, which were named as diabetes etiology and symptoms (F1), intermediate nursing (F2), complications (F3), diet and treatment (F4), and elementary nursing (F5). The DKQ-18 had satisfactory internal consistency (Cronbach’s α= 0.732 and McDonald’s ω=0.748), good known-group validity (participants with a higher level of education showed better score in DKQ-18; participants with HbA1c ≤ 7 had better score in DKQ-18 compared to group of HbA1c level > 8.5), acceptable test–retest reliability (r=0.69), adequate responsiveness (DKQ-18 can detect knowledge change), and concurrent validity with DMQoL.Conclusion: The DKQ-18 is a valid measure for assessing diabetes knowledge. The DKQ-18 could evaluate participants’ diabetes knowledge and improve their diabetes knowledge and self-care through a diabetes team and serve as a tool to evaluate the knowledge of participants with type 2 DM.Keywords: diabetes mellitus, knowledge, diabetes care, self-care, psychometrics |
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spelling | doaj.art-443437cf27dd44b9b47a2748b7bcc6dc2023-08-02T06:34:14ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072022-08-01Volume 152391240377210Validation of Diabetes Knowledge Questionnaire (DKQ) in the Taiwanese Population — Concurrent Validity with Diabetes-Specific Quality of Life Questionnaire ModuleHsieh MHChen YCHo CHLin CYMeng-Hsueh Hsieh,1 Yu-Ching Chen,2 Chun-Heng Ho,1,* Chung-Ying Lin2– 5,* 1Department of Industrial Design, College of Planning and Design, National Cheng Kung University, Tainan, Taiwan; 2Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan; 3Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan; 4Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; 5Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan*These authors contributed equally to this workCorrespondence: Chung-Ying Lin, Institute of Allied Health Sciences, Department of Public Health, Department of Occupational Therapy, Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Email cylin36933@gs.ncku.edu.tw Chun-Heng Ho, Department of Industrial Design, College of Planning and Design, National Cheng Kung University, Tainan, Taiwan, Email hoch@gs.ncku.edu.twPurpose: Diabetes knowledge is important for people with type 2 diabetes mellitus (DM) to improve their health. Therefore, it is important to validate an instrument for assessing diabetes knowledge. The present study aimed to validate the 24-item Diabetes Knowledge Questionnaire (DKQ).Patients and Methods: The 24-item DKQ and Diabetes-specific Quality of Life Module (DMQoL) were administered to 425 patients (mean±SD age=58.4± 11.6) with type 2 DM.Results: The 24-item DKQ was first examined for its factor structure using exploratory factor analysis (EFA). Items with low factors loadings were removed and 18 items were retained to make a DKQ-18. In DKQ-18, five factors were identified, which were named as diabetes etiology and symptoms (F1), intermediate nursing (F2), complications (F3), diet and treatment (F4), and elementary nursing (F5). The DKQ-18 had satisfactory internal consistency (Cronbach’s α= 0.732 and McDonald’s ω=0.748), good known-group validity (participants with a higher level of education showed better score in DKQ-18; participants with HbA1c ≤ 7 had better score in DKQ-18 compared to group of HbA1c level > 8.5), acceptable test–retest reliability (r=0.69), adequate responsiveness (DKQ-18 can detect knowledge change), and concurrent validity with DMQoL.Conclusion: The DKQ-18 is a valid measure for assessing diabetes knowledge. The DKQ-18 could evaluate participants’ diabetes knowledge and improve their diabetes knowledge and self-care through a diabetes team and serve as a tool to evaluate the knowledge of participants with type 2 DM.Keywords: diabetes mellitus, knowledge, diabetes care, self-care, psychometricshttps://www.dovepress.com/validation-of-diabetes-knowledge-questionnaire-dkq-in-the-taiwanese-po-peer-reviewed-fulltext-article-DMSOdiabetes mellitusknowledgediabetes careself-scarepsychometrics |
spellingShingle | Hsieh MH Chen YC Ho CH Lin CY Validation of Diabetes Knowledge Questionnaire (DKQ) in the Taiwanese Population — Concurrent Validity with Diabetes-Specific Quality of Life Questionnaire Module Diabetes, Metabolic Syndrome and Obesity diabetes mellitus knowledge diabetes care self-scare psychometrics |
title | Validation of Diabetes Knowledge Questionnaire (DKQ) in the Taiwanese Population — Concurrent Validity with Diabetes-Specific Quality of Life Questionnaire Module |
title_full | Validation of Diabetes Knowledge Questionnaire (DKQ) in the Taiwanese Population — Concurrent Validity with Diabetes-Specific Quality of Life Questionnaire Module |
title_fullStr | Validation of Diabetes Knowledge Questionnaire (DKQ) in the Taiwanese Population — Concurrent Validity with Diabetes-Specific Quality of Life Questionnaire Module |
title_full_unstemmed | Validation of Diabetes Knowledge Questionnaire (DKQ) in the Taiwanese Population — Concurrent Validity with Diabetes-Specific Quality of Life Questionnaire Module |
title_short | Validation of Diabetes Knowledge Questionnaire (DKQ) in the Taiwanese Population — Concurrent Validity with Diabetes-Specific Quality of Life Questionnaire Module |
title_sort | validation of diabetes knowledge questionnaire dkq in the taiwanese population mdash concurrent validity with diabetes specific quality of life questionnaire module |
topic | diabetes mellitus knowledge diabetes care self-scare psychometrics |
url | https://www.dovepress.com/validation-of-diabetes-knowledge-questionnaire-dkq-in-the-taiwanese-po-peer-reviewed-fulltext-article-DMSO |
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