Differential Relationships Between Diabetes Knowledge Scales and Diabetes Outcomes

Overview

Journal Diabetes Educ

Publisher Sage Publications

Specialties Endocrinology
Nursing

Date 2017 Jun 10

PMID 28595504

Citations 4

Authors

Aprill Z Dawson

Rebekah J Walker

Leonard E Egede

Affiliations

Soon will be listed here.

Abstract

Background Diabetes affects more than 29 million people in the US and requires daily self-management in addition to knowledge of the disease. Three knowledge assessments used are the Michigan Brief Diabetes Knowledge Test (DKT), Starr County Diabetes Knowledge Questionnaire (DKQ), and Kaiser DISTANCE Survey (DISTANCE). Purpose The purpose of the study was to test the discriminate validity of 3 diabetes knowledge scales and determine which is best associated with diabetes self-care and glycemic control. Methods Three hundred sixty-one adults with type 2 diabetes were recruited from primary care clinics. Four analyses were conducted to investigate the validity and relationships of the scale: alpha statistic to test internal validity, factor analysis to determine how much of the variance was explained, Pearson's correlation between the 3 scales, and Pearson's correlation between each scale, self-care, and outcomes. Results The DKQ had an alpha of 0.75, the DKT had an alpha of 0.49, and DISTANCE had an alpha of 0.36. The DKQ was significantly correlated with glycemic control. The DKT scale was significantly associated with general diet, the DISTANCE survey was significantly associated with exercise, and both DKT and DISTANCE were significantly associated with foot care. Conclusion Correlations among the 3 scales were modest, suggesting the scales are not measuring the same underlying construct. These findings indicate that researchers should carefully select scales appropriate for study goals or to appropriately capture the information being sought to inform practice.

Citing Articles

Association of Patients' Knowledge on the Disease and Its Management with Indicators of Disease Severity and Individual Characteristics in Patients with Chronic Obstructive Pulmonary Disease (COPD): Results from COSYCONET 2.

Fischer C, Siakavara M, Alter P, Vogelmeier C, Speicher T, Pott H Patient Prefer Adherence. 2024; 18:2383-2393.

PMID: 39650575 PMC: 11624521. DOI: 10.2147/PPA.S488165.

Basic Determinants of Disease Knowledge in COPD Patients: Results from COSYCONET.

Fischer C, Jorres R, Alter P, Trudzinski F, Yildirim O, Bals R Patient Prefer Adherence. 2022; 16:1759-1770.

PMID: 35923660 PMC: 9342657. DOI: 10.2147/PPA.S367284.

LitKDM2 study: the impact of health Literacy and knowledge about the disease on the metabolic control of type 2 diabetes mellitus.

de Abreu I, Baia C, Silva J, Santos A, Oliveira M, Castro F Acta Diabetol. 2022; 59(6):819-825.

PMID: 35305157 DOI: 10.1007/s00592-022-01875-2.

Level of diabetes knowledge among adult patients with diabetes using diabetes knowledge test.

Zowgar A, Siddiqui M, Alattas K Saudi Med J. 2018; 39(2):161-168.

PMID: 29436565 PMC: 5885093. DOI: 10.15537/smj.2017.2.21343.

References

Weaver R, Hemmelgarn B, Rabi D, Sargious P, Edwards A, Manns B . Association between participation in a brief diabetes education programme and glycaemic control in adults with newly diagnosed diabetes. Diabet Med. 2014; 31(12):1610-4. DOI: 10.1111/dme.12513. View

Godfrey C, Harrison M, Lysaght R, Lamb M, Graham I, Oakley P . Intervention strategies that support self-care activities: an integrative study across disease/impairment groupings. JBI Libr Syst Rev. 2016; 8(33):1304-1350. DOI: 10.11124/01938924-201008330-00001. View

Rashed O, Al Sabbah H, Younis M, Kisa A, Parkash J . Diabetes education program for people with type 2 diabetes: An international perspective. Eval Program Plann. 2016; 56:64-8. DOI: 10.1016/j.evalprogplan.2016.02.002. View

Osborn C, Bains S, Egede L . Health literacy, diabetes self-care, and glycemic control in adults with type 2 diabetes. Diabetes Technol Ther. 2010; 12(11):913-9. PMC: 3000637. DOI: 10.1089/dia.2010.0058. View

Krousel-Wood M, Islam T, Webber L, Re R, Morisky D, Muntner P . New medication adherence scale versus pharmacy fill rates in seniors with hypertension. Am J Manag Care. 2009; 15(1):59-66. PMC: 2728593. View

Chrvala C, Sherr D, Lipman R . Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Educ Couns. 2015; 99(6):926-43. DOI: 10.1016/j.pec.2015.11.003. View

Bains S, Egede L . Associations between health literacy, diabetes knowledge, self-care behaviors, and glycemic control in a low income population with type 2 diabetes. Diabetes Technol Ther. 2011; 13(3):335-41. PMC: 3690006. DOI: 10.1089/dia.2010.0160. View

Iqbal N, Morgan C, Maksoud H, Idris I . Improving patients' knowledge on the relationship between HbA1c and mean plasma glucose improves glycaemic control among persons with poorly controlled diabetes. Ann Clin Biochem. 2008; 45(Pt 5):504-7. DOI: 10.1258/acb.2008.008034. View

Beard E, Clark M, Hurel S, Cooke D . Do people with diabetes understand their clinical marker of long-term glycemic control (HbA1c levels) and does this predict diabetes self-care behaviours and HbA1c?. Patient Educ Couns. 2009; 80(2):227-32. DOI: 10.1016/j.pec.2009.11.008. View

10.

Al-Adsani A, Moussa M, Al-Jasem L, Abdella N, Al-Hamad N . The level and determinants of diabetes knowledge in Kuwaiti adults with type 2 diabetes. Diabetes Metab. 2009; 35(2):121-8. DOI: 10.1016/j.diabet.2008.09.005. View

11.

Fitzgerald J, Funnell M, HESS G, Barr P, Anderson R, HISS R . The reliability and validity of a brief diabetes knowledge test. Diabetes Care. 1998; 21(5):706-10. DOI: 10.2337/diacare.21.5.706. View

12.

Didarloo A, Shojaeizadeh D, Alizadeh M . Impact of Educational Intervention Based on Interactive Approaches on Beliefs, Behavior, Hemoglobin A1c, and Quality of Life in Diabetic Women. Int J Prev Med. 2016; 7:38. PMC: 4785788. DOI: 10.4103/2008-7802.176004. View

13.

Funnell M, Brown T, Childs B, Haas L, Hosey G, Jensen B . National standards for diabetes self-management education. Diabetes Care. 2010; 33 Suppl 1:S89-96. PMC: 2797385. DOI: 10.2337/dc10-S089. View

14.

Tavakol M, Dennick R . Making sense of Cronbach's alpha. Int J Med Educ. 2016; 2:53-55. PMC: 4205511. DOI: 10.5116/ijme.4dfb.8dfd. View

15.

Toobert D, Hampson S, Glasgow R . The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care. 2000; 23(7):943-50. DOI: 10.2337/diacare.23.7.943. View

16.

Huxley C, Sturt J, Dale J, Walker R, Caramlau I, OHare J . Is it possible to predict improved diabetes outcomes following diabetes self-management education: a mixed-methods longitudinal design. BMJ Open. 2015; 5(11):e008781. PMC: 4636624. DOI: 10.1136/bmjopen-2015-008781. View

17.

Tseng H, Liao S, Wen Y, Chuang Y . Stages of change concept of the transtheoretical model for healthy eating links health literacy and diabetes knowledge to glycemic control in people with type 2 diabetes. Prim Care Diabetes. 2016; 11(1):29-36. DOI: 10.1016/j.pcd.2016.08.005. View

18.

Shane-McWhorter L, McAdam-Marx C, Lenert L, Petersen M, Woolsey S, Coursey J . Pharmacist-provided diabetes management and education via a telemonitoring program. J Am Pharm Assoc (2003). 2015; 55(5):516-26. DOI: 10.1331/JAPhA.2015.14285. View

19.

Al-Qazaz H, Sulaiman S, Hassali M, Shafie A, Sundram S, Al-Nuri R . Diabetes knowledge, medication adherence and glycemic control among patients with type 2 diabetes. Int J Clin Pharm. 2011; 33(6):1028-35. DOI: 10.1007/s11096-011-9582-2. View

20.

Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V . Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380(9859):2095-128. PMC: 10790329. DOI: 10.1016/S0140-6736(12)61728-0. View