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1 型糖尿病患儿、青少年和年轻成人糖尿病知识测试的验证。

Validation of a diabetes knowledge test for Indian children, adolescents and young adults with type 1 diabetes mellitus.

机构信息

Department of Endocrinology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-226014, Uttar Pradesh, India.

Department of Endocrinology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-226014, Uttar Pradesh, India.

出版信息

Prim Care Diabetes. 2019 Jun;13(3):283-287. doi: 10.1016/j.pcd.2018.12.001. Epub 2018 Dec 21.

Abstract

INTRODUCTION

Diabetes knowledge has a large impact on glycemic control. There is a pressing need for creation of validated tests of knowledge for different ethnic groups.

OBJECTIVE

To create and validate a diabetes knowledge test (DKT) for young Indians with type 1 diabetes mellitus (T1DM).

METHODS

We created a 34 item Hindi language DKT, with basic (19-questions) and advanced (15-questions) components. It was administered to 77 consecutive patients who had previously received in-hospital diabetes education. We hypothesized that the test scores would be higher for patients residing in urban regions, for patients with higher maternal education, and those with lower HbA1c. Cronbach's alpha (α) was used to calculate the test reliability.

RESULTS

The DKT score was significantly higher in families with higher (>class 12th) maternal formal education compared with lower [70.0 (95% C.I. 67.2-73.5) vs 54.2 (95% C.I. 44.0-57.3), p<0.001] and urban residence compared with rural [68.5 (95% C.I. 63.4-70.6) vs 54.5 (95% C.I. 42.5-61.7), p<0.001]. It had negative correlation with HbA1c (r=-0.268, p=0.019). The Cronbach's α was 0.87 for the entire test, and for the basic and advanced components was 0.78 and 0.74 respectively.

CONCLUSION

The DKT India is a valid and reliable instrument to evaluate diabetes knowledge in Hindi speaking Indian children, adolescents and young adults with T1DM.

摘要

简介

糖尿病知识对血糖控制有很大影响。迫切需要为不同族裔群体创建经过验证的知识测试。

目的

为 1 型糖尿病(T1DM)的年轻印度人创建和验证糖尿病知识测试(DKT)。

方法

我们创建了一个包含 34 个项目的印地语 DKT,包括基础(19 个问题)和高级(15 个问题)部分。对 77 名连续住院接受糖尿病教育的患者进行了测试。我们假设,居住在城市地区、母亲受教育程度较高以及 HbA1c 较低的患者的测试分数会更高。我们使用克朗巴赫 α(α)来计算测试的可靠性。

结果

与受教育程度较低的家庭相比(>12 年级),具有较高(>12 年级)母亲正规教育的家庭的 DKT 得分明显更高[70.0(95%置信区间 67.2-73.5)与 54.2(95%置信区间 44.0-57.3),p<0.001],与城市居住相比,农村居住的家庭得分较低[68.5(95%置信区间 63.4-70.6)与 54.5(95%置信区间 42.5-61.7),p<0.001]。它与 HbA1c 呈负相关(r=-0.268,p=0.019)。整个测试的克朗巴赫 α 为 0.87,基础和高级部分的克朗巴赫 α 分别为 0.78 和 0.74。

结论

DKT India 是一种有效且可靠的工具,可用于评估讲印地语的 T1DM 印度儿童、青少年和年轻成年人的糖尿病知识。

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