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Validation of a New Diabetic Retinopathy Knowledge and Attitudes Questionnaire in People with Diabetic Retinopathy and Diabetic Macular Edema
PURPOSE: A validated questionnaire assessing diabetic retinopathy (DR)- and diabetic macular edema (DME)-related knowledge (K) and attitudes (A) is lacking. We developed and validated the Diabetic Retinopathy Knowledge and Attitudes (DRKA) questionnaire and explored the association between K and A a...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Association for Research in Vision and Ophthalmology
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7533728/ https://www.ncbi.nlm.nih.gov/pubmed/33062395 http://dx.doi.org/10.1167/tvst.9.10.32 |
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author | Fenwick, Eva K. Man, Ryan E. K. Gan, Alfred T. L. Aravindhan, Amudha Tey, Ching Siong Soon, Hasita Jian Tai Ting, Daniel S. W. Yeo, San I. Y. Lee, Shu Yen Tan, Gavin Wong, Tien Y. Lamoureux, Ecosse L. |
author_facet | Fenwick, Eva K. Man, Ryan E. K. Gan, Alfred T. L. Aravindhan, Amudha Tey, Ching Siong Soon, Hasita Jian Tai Ting, Daniel S. W. Yeo, San I. Y. Lee, Shu Yen Tan, Gavin Wong, Tien Y. Lamoureux, Ecosse L. |
author_sort | Fenwick, Eva K. |
collection | PubMed |
description | PURPOSE: A validated questionnaire assessing diabetic retinopathy (DR)- and diabetic macular edema (DME)-related knowledge (K) and attitudes (A) is lacking. We developed and validated the Diabetic Retinopathy Knowledge and Attitudes (DRKA) questionnaire and explored the association between K and A and the self-reported difficulty accessing DR-related information (hereafter referred to as Access). METHODS: In this mixed-methods study, eight focus groups with 36 people with DR or DME (mean age, 60.1 ± 8.0 years; 53% male) were conducted to develop content (phase 1). In phase 2, we conducted 10 cognitive interviews to refine item phrasing. In phase 3, we administered 28-item K and nine-item A pilot questionnaires to 200 purposively recruited DR/DME patients (mean age, 59.0 ± 10.6 years; 59% male). The psychometric properties of DRKA were assessed using Rasch and classical methods. The association between K and A and DR-related Access was assessed using univariable linear regression of mean K/A scores against Access. RESULTS: Following Rasch-guided amendments, the final 22-item K and nine-item A scales demonstrated adequate psychometric properties, although precision remained borderline. The scales displayed excellent discriminant validity, with K/A scores increasing as education level increased. Compared to those with low scores, those with high K/A scores were more likely to report better access to DR-related information, with K scores of 0.99 ± 0.86 for no difficulty; 0.79 ± 1.05 for a little difficulty; and 0.24 ± 0.85 for moderate or worse difficulty (P < 0.001). CONCLUSIONS: The psychometrically robust 31-item DRKA questionnaire can measure DR- and DME-related knowledge and attitudes. TRANSLATIONAL RELEVANCE: The DRKA questionnaire may be useful for interventions to improve DR-related knowledge and attitudes and, in turn, optimize health behaviors and health literacy. |
format | Online Article Text |
id | pubmed-7533728 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Association for Research in Vision and Ophthalmology |
record_format | MEDLINE/PubMed |
spelling | pubmed-75337282020-10-13 Validation of a New Diabetic Retinopathy Knowledge and Attitudes Questionnaire in People with Diabetic Retinopathy and Diabetic Macular Edema Fenwick, Eva K. Man, Ryan E. K. Gan, Alfred T. L. Aravindhan, Amudha Tey, Ching Siong Soon, Hasita Jian Tai Ting, Daniel S. W. Yeo, San I. Y. Lee, Shu Yen Tan, Gavin Wong, Tien Y. Lamoureux, Ecosse L. Transl Vis Sci Technol Article PURPOSE: A validated questionnaire assessing diabetic retinopathy (DR)- and diabetic macular edema (DME)-related knowledge (K) and attitudes (A) is lacking. We developed and validated the Diabetic Retinopathy Knowledge and Attitudes (DRKA) questionnaire and explored the association between K and A and the self-reported difficulty accessing DR-related information (hereafter referred to as Access). METHODS: In this mixed-methods study, eight focus groups with 36 people with DR or DME (mean age, 60.1 ± 8.0 years; 53% male) were conducted to develop content (phase 1). In phase 2, we conducted 10 cognitive interviews to refine item phrasing. In phase 3, we administered 28-item K and nine-item A pilot questionnaires to 200 purposively recruited DR/DME patients (mean age, 59.0 ± 10.6 years; 59% male). The psychometric properties of DRKA were assessed using Rasch and classical methods. The association between K and A and DR-related Access was assessed using univariable linear regression of mean K/A scores against Access. RESULTS: Following Rasch-guided amendments, the final 22-item K and nine-item A scales demonstrated adequate psychometric properties, although precision remained borderline. The scales displayed excellent discriminant validity, with K/A scores increasing as education level increased. Compared to those with low scores, those with high K/A scores were more likely to report better access to DR-related information, with K scores of 0.99 ± 0.86 for no difficulty; 0.79 ± 1.05 for a little difficulty; and 0.24 ± 0.85 for moderate or worse difficulty (P < 0.001). CONCLUSIONS: The psychometrically robust 31-item DRKA questionnaire can measure DR- and DME-related knowledge and attitudes. TRANSLATIONAL RELEVANCE: The DRKA questionnaire may be useful for interventions to improve DR-related knowledge and attitudes and, in turn, optimize health behaviors and health literacy. The Association for Research in Vision and Ophthalmology 2020-09-30 /pmc/articles/PMC7533728/ /pubmed/33062395 http://dx.doi.org/10.1167/tvst.9.10.32 Text en Copyright 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. |
spellingShingle | Article Fenwick, Eva K. Man, Ryan E. K. Gan, Alfred T. L. Aravindhan, Amudha Tey, Ching Siong Soon, Hasita Jian Tai Ting, Daniel S. W. Yeo, San I. Y. Lee, Shu Yen Tan, Gavin Wong, Tien Y. Lamoureux, Ecosse L. Validation of a New Diabetic Retinopathy Knowledge and Attitudes Questionnaire in People with Diabetic Retinopathy and Diabetic Macular Edema |
title | Validation of a New Diabetic Retinopathy Knowledge and Attitudes Questionnaire in People with Diabetic Retinopathy and Diabetic Macular Edema |
title_full | Validation of a New Diabetic Retinopathy Knowledge and Attitudes Questionnaire in People with Diabetic Retinopathy and Diabetic Macular Edema |
title_fullStr | Validation of a New Diabetic Retinopathy Knowledge and Attitudes Questionnaire in People with Diabetic Retinopathy and Diabetic Macular Edema |
title_full_unstemmed | Validation of a New Diabetic Retinopathy Knowledge and Attitudes Questionnaire in People with Diabetic Retinopathy and Diabetic Macular Edema |
title_short | Validation of a New Diabetic Retinopathy Knowledge and Attitudes Questionnaire in People with Diabetic Retinopathy and Diabetic Macular Edema |
title_sort | validation of a new diabetic retinopathy knowledge and attitudes questionnaire in people with diabetic retinopathy and diabetic macular edema |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7533728/ https://www.ncbi.nlm.nih.gov/pubmed/33062395 http://dx.doi.org/10.1167/tvst.9.10.32 |
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