Evidence map›Paper›PMID 37358494›Full record

ArticleTranslational vision science & technology2023

Linguistic and Cultural Validation of the Diabetic Retinopathy Knowledge and Attitudes Scale (DRKA) in a Chinese Population.

Weiwei Jiang, Eva K Fenwick, Ecosse L Lamoureux, Zizhong Zhang, Yu Feng, Yufeng Wang, Xianrong Yang

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Article in Translational vision science & technology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Weiwei JiangInner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Eva K FenwickSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Ecosse L LamoureuxSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Zizhong ZhangGraduate Office, Changzhi Medical College, Changzhi, China.
Yu FengInner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Yufeng WangInner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Xianrong YangDepartment of Ophthalmology, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To linguistically and culturally adapt the 31-item Singaporean Diabetic Retinopathy Knowledge and Attitudes (DRKA) questionnaire for a Chinese population and assess its reliability and validity using classical and modern psychometric theory. Methods: A total of 230 patients with diabetic retinopathy (DR) were recruited, and of these, 202 valid responses were analyzed. Rasch analysis and classical test theory (CTT) methods were used to analyze the fit statistics of the Knowledge (n = 22 items) and Attitudes (n = 9 items) scales, including the functionality of the response categories, fit statistics, person and item reliability and separation, unidimensionality, targeting, differential item functioning (DIF), internal consistency, convergent validity, and known-group validity. Results: After revision, both the Knowledge and Attitudes scales were unidimensional and had good measurement precision (Person Separation Index = 2.18 and 1.72) and internal consistency (Cronbach's α = 0.83 and 0.82). While the items in the Knowledge scale aptly targeted participants' ability level, targeting of the Attitudes scale was slightly suboptimal, with items too easy on average for participants' ability level. There were no issues with DIF and item fit, and the scales showed good known-group validity (scores increased as education level increased) and convergent validity (high correlation with the DRKA Practice questionnaire). Conclusions: After a thorough language and cultural verification process, the Chinese version of the DRKA is culturally appropriate and has good psychometric performance. Translational Relevance: The DRKA questionnaire may be useful to assess patients' DR-related knowledge and attitude level, as well as inform specific education interventions and optimize patients' ability to manage their condition.

Indexed as

Diabetes MellitusDiabetic RetinopathyAttitudeHumansLanguageLinguisticsReproducibility of Results

Identifiers

PMID37358494
PMCPMC10297779

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.