[Development on the Diabetes Self-management Knowledge, Attitude, and Behavior Assessment Scale (DSKAB)]

Area of Science:

• Diabetes self-management research
• Health psychology
• Scale development and validation

Background:

• Effective diabetes self-management is crucial for patient outcomes.
• Existing assessment tools may not fully capture cultural nuances in diverse populations.
• Developing culturally relevant instruments is essential for accurate assessment.

Purpose of the Study:

• To develop and validate the Diabetes Self-management Knowledge, Attitude, and Behavior Scale (DSKAB).
• To adapt the scale for the Chinese population, considering social and cultural factors.
• To ensure the scale possesses good validity and reliability.

Main Methods:

• Literature review, expert interviews, and Delphi method to identify core indexes.
• Development of a primary scale through expert consultation (n=24).
• Pilot study with community-dwelling diabetes patients (n=27) for scale refinement.

Main Results:

• Two rounds of Delphi method achieved high expert consensus (positive coefficients 83%-100%).
• The final Diabetes Self-management Knowledge, Attitude, and Behavior Scale (DSKAB) comprises 98 items across knowledge, attitude, and behavior subscales.
• Statistical indicators (authoritative and harmonious coefficients) met scientific requirements.

Conclusions:

• The developed Diabetes Self-management Knowledge, Attitude, and Behavior Scale (DSKAB) is valid and reliable for the Chinese population.
• The Delphi method and pilot study ensured the scale's scientific rigor and cultural appropriateness.
• The scale provides a foundation for effective assessment of diabetes self-management in its target demographic.