Measures of Diabetic Patient Knowledge, Attitudes, and Behavior Regarding Self-Care

Summary Report

by Kent H. Marquis, John E. Ware

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Abstract

The study sought measures of diabetic patient compliance behavior, knowledge, and attitudes that experts rated important. A literature review uncovered no relevant measures with known reliability and validity, so the study designed and tested new measures. Questionnaires were administered to about 500 patients from four treatment facilities. Retest questionnaires, interviews with people who knew the patient, medical records, and patient skill demonstrations provided measurement evaluation data. Evaluations indicated that there are still response biases and errors in the newly developed behavior measures, indicated a need for comprehensive validity studies of the knowledge measures, and suggested a set of variables important for further attitude measurement development. Levels of compliance were uncorrelated across prescribed activities; future measurement and theory will need to take this complexity into account.

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