Reliability and Validity of the Spoken Knowledge in Low Literacy in Diabetes in Measuring Diabetes Knowledge Among Hispanics With Type 2 Diabetes.

IF 3.9 Q1 Health Professions

Diabetes Educator Pub Date : 2020-10-01 Epub Date: 2020-07-16 DOI:10.1177/0145721720941409

Jie Hu, Karen A Amirehsani, Thomas P McCoy, Debra C Wallace, Sheryl L Coley, Fei Zhan

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引用次数: 5

Abstract

Purpose: The purpose of the study was to examine the reliability and validity of the Spoken Knowledge in Low Literacy in Diabetes (SKILLD) scale in measuring diabetes knowledge among Hispanics with type 2 diabetes (T2DM).

Methods: A total of 111 Hispanic participants with T2DM were recruited from clinics and churches in the Southeastern US. The Spanish version of the SKILLD was used. Internal consistency reliability and exploratory factor analysis (EFA) were examined for the Spanish SKILLD. Spearman rank correlations of SKILLD scores with the Summary of Diabetes Self-Care Activities (SDSCA) scores were inspected for evidence of convergent validity along with A1C level and duration of diabetes.

Results: The average SKILLD score was 35.1% (SD = 23.4%). The correct response for each SKILLD item ranged from 4.5% to 56.8%. The estimated reliability via internal consistency was adequate (Kuder-Richardson 20 = 0.706). EFA of the SKILLD items modestly indicated 1 factor could be retained. Spearman rank correlations of SKILLD scores with diabetes self-care activities were significant and positive for foot self-care. Higher SKILLD scores were significantly correlated with duration of diabetes, using insulin, having a high education level, ever attending a diabetes class, or having a parent with diabetes.

Conclusion: The Spanish SKILLD showed acceptable reliability and adequate validity in this sample of Hispanics with T2DM. SKILLD scores indicated low diabetes knowledge in this sample. Patient-centered diabetes education tailored to low literacy needs of Hispanics is needed.

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西班牙裔2型糖尿病患者糖尿病知识的信度和效度分析

目的:本研究的目的是检验低读写能力糖尿病患者口语知识量表(skill)在测量西班牙裔2型糖尿病患者(T2DM)糖尿病知识方面的信度和效度。方法:从美国东南部的诊所和教堂招募了111名患有2型糖尿病的西班牙裔参与者。使用了西班牙语版的skill。内部一致性、信度和探索性因子分析(EFA)对西班牙语skill进行了检验。对skill评分与糖尿病自我护理活动总结(SDSCA)评分的Spearman秩相关性进行检验，以证明A1C水平和糖尿病持续时间具有趋同效度。结果:平均skill得分为35.1% (SD = 23.4%)。每个skill项目的正确回答范围从4.5%到56.8%。通过内部一致性估计的信度是足够的(Kuder-Richardson 20 = 0.706)。技能项目的EFA适度表明1个因素可以保留。技能得分与糖尿病自我保健活动的Spearman秩相关显著，足部自我保健为正相关。较高的skill分数与糖尿病持续时间、使用胰岛素、受教育程度高、参加过糖尿病课程或父母中有糖尿病患者显著相关。结论:西班牙语skill在西班牙裔2型糖尿病患者中显示出可接受的可靠性和足够的效度。skill得分表明该样本中糖尿病知识较低。以患者为中心的糖尿病教育需要针对低识字率的西班牙裔。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes Educator 医学-内分泌学与代谢

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Diabetes Educator (TDE) is the official journal of the American Association of Diabetes Educators (AADE). It is a peer-reviewed journal intended to serve as a reference source for the science and art of diabetes management. TDE publishes original articles that relate to aspects of patient care and education, clinical practice and/or research, and the multidisciplinary profession of diabetes education as represented by nurses, dietitians, physicians, pharmacists, mental health professionals, podiatrists, and exercise physiologists.