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ArticleAdvances in experimental medicine and biology2026

Cultural Adaptation and Psychometric Properties of the Greek Version of the Diabetes Attitude Scale (DAS-3).

Maria Botsari, Petros Galanis, Dimos Mastrogiannis, Sotirios Plakas, Ourania Govina, Eugenia Vlachou, Alexandra Mantoudi, Theodoula Adamakidou, Afroditi Zartaloudi, Stelios Parissopoulos and 4 more

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Article in Advances in experimental medicine and biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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14 authors.

Maria BotsariGeneral Hospital of Athens, G. Gennimatas, Athens, Greece.
Petros GalanisNational and Kapodistrian University of Athens, Athens, Greece.
Dimos MastrogiannisGeneral Department of Lamia, University of Thessaly, Volos, Greece.
Sotirios PlakasDepartment of Nursing, University of West Attica, Athens, Greece.
Ourania GovinaDepartment of Nursing, University of West Attica, Athens, Greece.
Eugenia VlachouDepartment of Nursing, University of West Attica, Athens, Greece.
Alexandra MantoudiDepartment of Nursing, University of West Attica, Athens, Greece.
Theodoula AdamakidouDepartment of Nursing, University of West Attica, Athens, Greece.
Afroditi ZartaloudiDepartment of Nursing, University of West Attica, Athens, Greece.
Stelios ParissopoulosDepartment of Nursing, University of West Attica, Athens, Greece.
Paraskevi ApostolaraDepartment of Nursing, University of West Attica, Athens, Greece.
Triantafyllia Evdoxia MastrogianniGeneral Hospital of Athens, G. Gennimatas, Athens, Greece.
Fani BotsariAgia Olga General Hospital, Athens, Greece.
Marianna MantzorouDepartment of Nursing, University of West Attica, Athens, Greece. mantzorou@uniwa.gr.

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6 · The paper itself

Abstract

The knowledge and attitudes of nurses caring for patients with diabetes mellitus should be regularly evaluated using reliable and valid instruments to identify any knowledge gaps and address any negative attitudes, allowing for the implementation of targeted skill development. The aim of this study was to test the validity and reliability of the Greek translation of the Diabetes Attitudes Scale (DAS-3) questionnaire. A total of 278 conveniently selected undergraduate nursing students participated in the survey and were administered a questionnaire of sociodemographic and clinical data, the Diabetes Knowledge Test tool and the DAS-3. Factor analysis revealed 4 factors explaining 50% of the variability of the DAS-3; the value of strict glucose control (Cronbach's α = 0.86), the need for special training (Cronbach's α = 0.63), the psychosocial impact of diabetes (Cronbach's α = 0.68), and finally the respect for patient autonomy (Cronbach's α = 0.65). The overall Cronbach's alpha internal consistency coefficient found for the DAS-3 questionnaire was 0.75 indicating good internal reliability. The values of the Pearson correlation coefficients in test-retest assessment varied for the four factors from 0.71 to 0.90 and reflected a moderate to very strong correlation. The good reliability and validity of the DAS-3 contribute to the evaluation of the attitudes of health professionals towards diabetes, becoming a future motivation for improving educational programs.

Indexed as

Attitude of Health PersonnelDiabetes MellitusHealth Knowledge, Attitudes, PracticePsychometricsStudents, NursingAdultFemaleGreeceHumansMaleReproducibility of ResultsSurveys and QuestionnairesTranslationsYoung AdultAttitudesDiabetes mellitusKnowledgeValidation

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