The development and validation of Perceived Adherence Lifestyle Modification Questionnaire (PALM-Q) among type 2 diabetes mellitus patients

The aim of this study was to develop and validate a questionnaire identifying the perceived adherence status among T2DM patients. This study used the exploratory sequential mixed method. Phase 1 of the study involved nine experts from the related field for the content validation, seven diabetes pati...

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Main Authors: Noraishah Mohamed Nor, Nor Azwani Mohd Shukri, Suriati Sidek
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Human Nutrition & Metabolism
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666149722000299
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author Noraishah Mohamed Nor
Nor Azwani Mohd Shukri
Suriati Sidek
author_facet Noraishah Mohamed Nor
Nor Azwani Mohd Shukri
Suriati Sidek
author_sort Noraishah Mohamed Nor
collection DOAJ
description The aim of this study was to develop and validate a questionnaire identifying the perceived adherence status among T2DM patients. This study used the exploratory sequential mixed method. Phase 1 of the study involved nine experts from the related field for the content validation, seven diabetes patients for the cognitive interview and 50 diabetes patients for pilot testing. In Phase 2, we collected 355 diabetes patients for construct validity assessment. Whereas 155 diabetes patients for the criterion validity and cut-off point development. The initial items pool was 43 items with five sections: section A; demographic data; section B; knowledge, section C; barrier and section D; motivation. Using the Rash Measurement Model (RMM), the item reliability obtained was 0.7, which indicates a good reliability value. Furthermore, the criterion validity between the PALM-Q and HbA1c results found a good negative correlation of −0.6. The questionnaire is able to categorize the perceived adherence level into three categories: presume perceived adherence, unpredictable perceived adherence, and perceived non-adherence. The PALM-Q is valid and reliable as a useful screening tool to assess the perceived adherence to lifestyle changes.
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spelling doaj.art-91678848c1f944799064479a579b313d2022-12-22T02:58:56ZengElsevierHuman Nutrition & Metabolism2666-14972022-12-0130200166The development and validation of Perceived Adherence Lifestyle Modification Questionnaire (PALM-Q) among type 2 diabetes mellitus patientsNoraishah Mohamed Nor0Nor Azwani Mohd Shukri1Suriati Sidek2Department of Nutrition Sciences, Kulliyyah of Allied Health Sciences, International Islamic University Malaysia, 25200, Kuantan Pahang, Malaysia; Corresponding author.Department of Nutrition Sciences, Kulliyyah of Allied Health Sciences, International Islamic University Malaysia, 25200, Kuantan Pahang, MalaysiaDepartment of Psychology, Kulliyyah of Islamic Revealed Knowledge and Human Sciences, International Islamic University, Jalan Gombak, 53100, Selangor, MalaysiaThe aim of this study was to develop and validate a questionnaire identifying the perceived adherence status among T2DM patients. This study used the exploratory sequential mixed method. Phase 1 of the study involved nine experts from the related field for the content validation, seven diabetes patients for the cognitive interview and 50 diabetes patients for pilot testing. In Phase 2, we collected 355 diabetes patients for construct validity assessment. Whereas 155 diabetes patients for the criterion validity and cut-off point development. The initial items pool was 43 items with five sections: section A; demographic data; section B; knowledge, section C; barrier and section D; motivation. Using the Rash Measurement Model (RMM), the item reliability obtained was 0.7, which indicates a good reliability value. Furthermore, the criterion validity between the PALM-Q and HbA1c results found a good negative correlation of −0.6. The questionnaire is able to categorize the perceived adherence level into three categories: presume perceived adherence, unpredictable perceived adherence, and perceived non-adherence. The PALM-Q is valid and reliable as a useful screening tool to assess the perceived adherence to lifestyle changes.http://www.sciencedirect.com/science/article/pii/S2666149722000299LifestyleAdherenceQuestionnaireDiabetesValidityRasch
spellingShingle Noraishah Mohamed Nor
Nor Azwani Mohd Shukri
Suriati Sidek
The development and validation of Perceived Adherence Lifestyle Modification Questionnaire (PALM-Q) among type 2 diabetes mellitus patients
Human Nutrition & Metabolism
Lifestyle
Adherence
Questionnaire
Diabetes
Validity
Rasch
title The development and validation of Perceived Adherence Lifestyle Modification Questionnaire (PALM-Q) among type 2 diabetes mellitus patients
title_full The development and validation of Perceived Adherence Lifestyle Modification Questionnaire (PALM-Q) among type 2 diabetes mellitus patients
title_fullStr The development and validation of Perceived Adherence Lifestyle Modification Questionnaire (PALM-Q) among type 2 diabetes mellitus patients
title_full_unstemmed The development and validation of Perceived Adherence Lifestyle Modification Questionnaire (PALM-Q) among type 2 diabetes mellitus patients
title_short The development and validation of Perceived Adherence Lifestyle Modification Questionnaire (PALM-Q) among type 2 diabetes mellitus patients
title_sort development and validation of perceived adherence lifestyle modification questionnaire palm q among type 2 diabetes mellitus patients
topic Lifestyle
Adherence
Questionnaire
Diabetes
Validity
Rasch
url http://www.sciencedirect.com/science/article/pii/S2666149722000299
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