Bukhsh Allah, Lee Shaun Wen Huey, Pusparajah Priyia, Khan Amer Hayat, Khan Tahir Mehmood
School of Pharmacy, Monash University, Bandar Sunway, Malaysia.
Jeffrey Cheah School of Medicine and Health Sciences, Monash University, Bandar Sunway, Malaysia.
Front Public Health. 2017 Jun 27;5:139. doi: 10.3389/fpubh.2017.00139. eCollection 2017.
Patient education is a key element in the treatment of diabetes. Assessment of diabetes knowledge is important for optimum treatment. For the assessment of diabetes knowledge, validated tool is essential. None of such validated tool is available in Urdu language. Therefore, the aim of this study was to translate and examine the psychometric properties of the 24-item Urdu version of Diabetes Knowledge Questionnaire (DKQ) among type 2 diabetes patients.
Standard "forward-backward" process was used to translate DKQ into Urdu language. Later, it was validated on a convenience sample of 130 patients with type 2 diabetes, between July and September 2016. Internal consistency was assessed by reliability analysis, one-way analysis of variance was applied for known group validity and multivariate linear logistic regression was applied for identifying significant predictors for patients' DKQ score.
Good internal consistency was observed for DKQ (Cronbach's α = 0.702). The mean HbA1c of the patients was 8.55% (±1.91). DKQ scores of patients' with "good glycemic control" (14.22 ± 2.4) were observed significantly higher ( < 0.05) than patients with "poor glycemic control" (12.56 ± 2.75). Multiple linear regression revealed that patients' HbA1c (OR -0.17, CI -1.111, -0.023) and patients' education (OR 0.17, CI -0.032, 0.758) were significant predictors for DKQ sum score.
Urdu version of the DKQ is a valid and reliable instrument for adequate estimation of disease knowledge and its association with glycemic control in type 2 diabetes patients in Pakistan.
患者教育是糖尿病治疗的关键要素。评估糖尿病知识对于优化治疗至关重要。对于糖尿病知识的评估，经过验证的工具必不可少。乌尔都语中尚无此类经过验证的工具。因此，本研究的目的是翻译并检验24项乌尔都语版糖尿病知识问卷（DKQ）在2型糖尿病患者中的心理测量特性。
采用标准的“前后”流程将DKQ翻译成乌尔都语。随后，于2016年7月至9月在130例2型糖尿病患者的便利样本上进行了验证。通过可靠性分析评估内部一致性，应用单因素方差分析进行已知组效度检验，并应用多元线性逻辑回归确定患者DKQ得分的显著预测因素。
DKQ具有良好的内部一致性（Cronbach's α = 0.702）。患者的平均糖化血红蛋白为8.55%（±1.91）。观察到“血糖控制良好者”的DKQ得分（14.22 ± 2.4）显著高于（< 0.05）“血糖控制不佳者”（12.56 ± 2.75）。多元线性回归显示，患者的糖化血红蛋白（OR -0.17，CI -1.111，-0.023）和患者的教育程度（OR 0.17，CI -0.032，0.758）是DKQ总分的显著预测因素。
乌尔都语版DKQ是一种有效且可靠的工具，可用于充分评估巴基斯坦2型糖尿病患者的疾病知识及其与血糖控制的关联。
