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Reliability and Validity of the Spoken Knowledge in Low Literacy in Diabetes in Measuring Diabetes Knowledge Among Hispanics With Type 2 Diabetes
The Science of Diabetes Self-Management and Care ( IF 3.9 ) Pub Date : 2020-07-16 , DOI: 10.1177/0145721720941409
Jie Hu 1 , Karen A Amirehsani 2 , Thomas P McCoy 2 , Debra C Wallace 2 , Sheryl L Coley 2 , Fei Zhan 2
Affiliation  

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.

中文翻译:

低文化水平的糖尿病口语知识在测量西班牙裔 2 型糖尿病患者糖尿病知识方面的信度和效度

目的 本研究的目的是检验糖尿病低读写能力口语知识 (SKILLD) 量表在测量西班牙裔 2 型糖尿病 (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共招募了 111 名西班牙裔 T2DM 参与者。使用了西班牙语版本的 SKILLD。西班牙技能的内部一致性可靠性和探索性因素分析 (EFA) 进行了检查。检查 SKILLD 评分与糖尿病自我保健活动总结 (SDSCA) 评分的 Spearman 等级相关性,以获取收敛效度以及 A1C 水平和糖尿病病程的证据。结果 平均技能得分为 35.1% (SD = 23.4%)。每个 SKILLD 项目的正确响应范围为 4.5% 到 56.8%。通过内部一致性估计的可靠性是足够的(Kuder-Richardson 20 = 0.706)。技能项目的全民教育适度表明可以保留 1 个因素。SKILLD 评分与糖尿病自我护理活动的 Spearman 等级相关性对足部自我护理显着且呈正相关。较高的 SKILLD 分数与糖尿病病程、使用胰岛素、受教育程度高、是否参加过糖尿病课程或父母患有糖尿病显着相关。结论 西班牙 SKILLD 在该西班牙裔 T2DM 样本中显示出可接受的信度和足够的效度。SKILLD 分数表明该样本中的糖尿病知识较低。需要针对西班牙裔的低识字需求进行以患者为中心的糖尿病教育。技能项目的全民教育适度表明可以保留 1 个因素。SKILLD 评分与糖尿病自我护理活动的 Spearman 等级相关性对足部自我护理显着且呈正相关。较高的 SKILLD 分数与糖尿病病程、使用胰岛素、受教育程度高、是否参加过糖尿病课程或父母患有糖尿病显着相关。结论 西班牙 SKILLD 在该西班牙裔 T2DM 样本中显示出可接受的信度和足够的效度。SKILLD 分数表明该样本中的糖尿病知识较低。需要针对西班牙裔的低识字需求进行以患者为中心的糖尿病教育。技能项目的全民教育适度表明可以保留 1 个因素。SKILLD 评分与糖尿病自我护理活动的 Spearman 等级相关性对足部自我护理显着且呈正相关。较高的 SKILLD 分数与糖尿病病程、使用胰岛素、受教育程度高、是否参加过糖尿病课程或父母患有糖尿病显着相关。结论 西班牙 SKILLD 在该西班牙裔 T2DM 样本中显示出可接受的信度和足够的效度。SKILLD 分数表明该样本中的糖尿病知识较低。需要针对西班牙裔的低识字需求进行以患者为中心的糖尿病教育。较高的 SKILLD 分数与糖尿病病程、使用胰岛素、受教育程度高、是否参加过糖尿病课程或父母患有糖尿病显着相关。结论 西班牙 SKILLD 在该西班牙裔 T2DM 样本中显示出可接受的信度和足够的效度。SKILLD 分数表明该样本中的糖尿病知识较低。需要针对西班牙裔的低识字需求进行以患者为中心的糖尿病教育。较高的 SKILLD 分数与糖尿病病程、使用胰岛素、受教育程度高、是否参加过糖尿病课程或父母患有糖尿病显着相关。结论 西班牙 SKILLD 在该西班牙裔 T2DM 样本中显示出可接受的信度和足够的效度。SKILLD 分数表明该样本中的糖尿病知识较低。需要针对西班牙裔的低识字需求进行以患者为中心的糖尿病教育。
更新日期:2020-07-16
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