ADAPTATION OF DIABETES KNOWLEDGE QUESTIONNAIRE FOR SOUTH ASIAN COUNTRIES CONTEXT
DOI:
https://doi.org/10.22159/ijpps.2017v9i12.22222Keywords:
Measure, Outcome, Patient education, PharmacistAbstract
Objective: To adapt diabetes knowledge questionnaire (DKQ) which would be suitable for assessing diabetes knowledge of subjects with type 1 and type 2 diabetes of the South Asian region.
Methods: For content validation of DKQ, Delphi survey of 111 opinion leaders was conducted during the South Asian Federation of Endocrine Societies (SAFES) summit in Hyderabad. The participants are endocrinologists, diabetologists, physicians, primary care physicians and researchers from India, Srilanka, Bangladesh, Nepal, and Pakistan. Participants were asked to indicate their opinion on each of the 15 questions of DKQ as whether to include it in modified DKQ on five points Likert's scale. Participants were also requested to provide their critical comments for modification, opinion, and applicability of DKQ. The consensus was considered to be reached when 67% of participants indicated agree or strongly agree, comments regarding modification, opinion, and applicability of DKQ. Data was analyzed using descriptive statistics with IBM SPSS 19.0 version.
Results: Final resultant modified DKQ comprises 13 multiple choice questions common in subjects with type-1 and type-2 diabetes, eg. blood glucose levels, diet, exercise, lifestyle, treatment, self-monitoring of blood glucose, sick day, complications, annual medical checkups; 4 multiple choice questions for subjects taking oral medication and/ or insulin only, eg. monitoring, hypoglycemia, traveling precautions, precautions for adverse drug / drug-drug reactions and 1 multiple choice question (sick day) for subjects with type 1 diabetes only.
Conclusion: Modified DKQ can be utilized for evaluating diabetes knowledge outcome of subjects with diabetes of the South Asian region. Rigorous re-validation of modified DKQ will be carried out.
Downloads
References
Corabian P, Harstall C. Patient diabetes education in the management of adult type 2 diabetes. Alberta: Alberta Heritage Foundation Med Res 2001:IHTA:23.
Peeples M, Mulcahy K, Tomky D, Weaver T. The conceptual framework of the national diabetes education outcomes system (NDEOS). Diabetes Educ 2001;27:547-62.
International Diabetes Federation. International Standards For Diabetes Education. 3rd edn Brussels: IDF; 2009.
Majumdar SR, Johnson JA, Bowker SL, Booth GL, Dolovich L, Ghali W, et al. A canadian consensus for the standardized evaluation of quality improvement interventions in type 2. Diabetes Can J Diabetes 2005;29:220-9.
Sigurdardottir AK, Jonsdottir H, Benediktsson R. Outcomes of educational interventions in type 2 diabetes: WEKA data-mining analysis. Patient Educ Couns 2007;67:21-31.
Colagiuri R, Girgis S, Eigenmann C, Gomez M, Griffiths R. National evidence-based guidelines for patient education in type 2 diabetes. Diabetes Australia NHMRC, Canberra; 2009. Available from: http://docplayer.net/7530199-National-evidence-based-guideline-for-patient-education-in-type-2-diabetes.html. [Last accessed 04 Aug 2017]
Glasgow RE, Osteen VL. Evaluating diabetes education. Are we measuring the most important outcomes? Diabetes Care 1992;15:1423–32.
Home P, Coles J, Goldacre M, Manson A, Wikinson Ee. Health Outcome Indicators: Diabetes. Report of a working group to the Department of Health. National Centre for Health Outcomes, Oxford; 1999.
Naqib J. Patient education for effective diabetes self-management: report, recommendations and examples of good practice. London: Diabetes UK; 2002.
Scientific Advisory Committee of the Medical Outcomes Trust. Assessing health status and quality-of-life instruments: attributes and review criteria. Qual Life Res 2002;11:193-205.
Ellis SE, Speroff T, Dittus RS, Brown A, Pichert JW, Elasy TA. Diabetes patient education: a meta-analysis and meta-regression. Patient Educ Couns 2004;52:97-105.
Mokkink LB, Terwee CB, Knol DL, Stratford PW, Alonso J, Patrick DL, et al. Protocol of the COSMIN study: COnsensus-based standards for the selection of health measurement instruments. BMC Med Res Methodol 2006;6:2.
Eigenmann C, Colagiuri R. Outcomes, and indicators for diabetes education: a national consensus position. Canberra: Diabetes Australia; 2007.
Colagiuri R, Eigenmann C. A national consensus on outcomes and indicators for diabetes patient education. Diabet Med 2009;26:442-6.
Eigenmann CA, Skinner T, Colagiuri R. Development and validation of a diabetes knowledge questionnaire. Practical Diabetes Int 2011;28:166-70.
Eigenmann CA, Colagiuri R, Skinner TC, Trevena L. Are current psychometric tools suitable for measuring outcomes of diabetes education? Diabet Med 2009;26:425-36.
Duffield C. The delphi technique. Aust J Adv Nurs 1988;6:41-5.
Likert RA. Technique for the measurement of Attitudes. Arch Psychol 1932;140:5-55.
Tomky DM, Weaver TW, Mulcahy K, Peeples MM. Diabetes education outcomes: what educators are doing. Diabetes Educ 2000;26:951-4.
Koopman DJEM, van der Bijl JJ. The use of self-efficacy enhancing methods in diabetes education in the Netherlands. Sch Inq Nurs Pract 2001;15:249-57.
Mulcahy K, Maryniuk M, Peeples M, Peyrot M, Tomky D, Weaver T, et al. Diabetes self-management education core outcome measures. Diabetes Educ 2003;29:768-803.
Mensing C, Boucher C, Cypress C, Weinger K, Mulcahy K, Barta P, et al. National standards for diabetes self-management education. Diabetes Care 2003;26(Suppl 1):S149-56.
Heisler M, Piette JD, Spencer M, Kieffer E, Vijan S. The relationship between knowledge of recent HbA1c values and diabetes care understanding and self-management. Diabetes Care 2005;28:816-22.
Persell SD, Keating NL, Landrum MB, Landon BE, Ayanain JZ, Borbas C, et al. Relationship of diabetes-specific knowledge to self-management activities, ambulatory preventive care, and metabolic outcomes. Prev Med 2004;39:746-52.
Kanchana Dussa, Parimalakrishnan S, Rakesh Sahay. Assessment of diabetes knowledge using diabetes knowledge questionnaire among people with type 2 diabetes mellitus. Asian J Pharm Clin Res 2015;8:254-6.
Kanchana Dussa, Parimalakrishnan S, Rakesh Sahay, M Vishnuvardhanrao. Impact of pharmaceutical care on economic, clinical and humanistic outcomes in patients with diabetes mellitus type II. Int J Chem Phys Sci 2017;10:29-38.
Renuga E, Ramakrishnan SR, Vanitha Rani N, Thennarasu P, Kannan G. Impact of continuous patient counselling of knowledge, attitudes, and practices and medication adherence of diabetic patients attending outpatient pharmacy services. Asian J Pharm Clin Res 2016;9:364-9.
Published
How to Cite
Issue
Section
