1.Diabetes knowledge among patients with type 2 diabetes at the University of Santo Tomas Hospital using the Filipino version of Michigan Diabetes Knowledge Test (Filipino-DKT).
Ma. Felisse Carmen S. GOMEZ ; Maria Honolina S. GOMEZ
Philippine Journal of Internal Medicine 2022;60(1):19-31
Background: A well-informed patient with Type 2 diabetes may be more compliant with treatment. This study aims to evaluate the diabetes-related knowledge and socio demographic determinants of patients seen at University of Santo Tomas Hospital through a translated and validated Filipino-DKT questionnaire.
Methods: Standard translation procedure was used to produce the Filipino version of the DKT2. A convenience sample of 112 outpatients with Type 2 diabetes was identified for six months at the University of Santo Tomas Hospital, Philippines. All data were collected using the Filipino-DKT and a demographic questionnaire.
Results: The Filipino-DKT demonstrated an acceptable Cronbach's alpha of 0.70 and an acceptable average inter-item correlation of 0.40 (p<0.001). The test-retest reliability was excellent, with a Pearson coefficient r of 1.00 (p<0.001). Our study demonstrated that of the 112 patients with diabetes who answered the general knowledge test, the majority had average knowledge of 78.64%, while 16.07% had poor knowledge. A total of 55 participants on insulin answered the second part of Filipino-DKT that measures insulin knowledge. Surprisingly, 56% of the subjects on insulin had poor knowledge, and only 7% had good knowledge. Results showed that the majority (56%) had poor knowledge. Participants who reported poor control of their diabetes (HbA1c >7%) also reported lower levels of knowledge about diabetes and insulin use. There was no association between duration of diabetes, family history of diabetes, and type of diabetes with knowledge of diabetes.
Conclusion: The Filipino diabetic knowledge of diabetes is poor and not related to age, sex, and duration of diabetes. Filipino-DKT is an acceptable, reliable, and valid measure of diabetes knowledge used in our clinical practice and research.
Diabetes Knowledge ; Translation ; Validation
2.The effect of mySugrTM mobile app on diabetes self-management in Filipino patients with Type 2 diabetes mellitus: A prospective single-arm interventional study.
Maria Honolina S. Gomez ; Nenuel Angelo B. Luna ; Dionise Ysabelle V. Bawal ; Marilyn Katrina C. Caro ; Ma. Felisse Carmen S. Gomez
Philippine Journal of Internal Medicine 2024;62(3):131-139
OBJECTIVE
To evaluate the effect of mySugrTM app on diabetes self-management, HbA1c level and its acceptability among app users with type 2 diabetes (T2DM).
METHODSA prospective, single-arm interventional study in 70 adult Filipino patients with T2DM and HbA1c ≥ 8.0%. Participants used the basic mySugrTM mobile app for 12 weeks. The Modified Behavior Score Instrument and the Diabetes Self-Management Questionnaire (DSMQ) pre- and post-intervention measured its impact on diabetes self-management while the Mobile Application rating Scale (MARS) assessed the quality of the app.
RESULTSThere was a significant increased adherence to the diabetes self-care behaviors. DSMQ showed that only 12% of the participants had poor self-care behaviors at week 12 particularly in physical activity and diet. The baseline median HbA1c [9.55% (8.43-11.30)] and estimated HbA1c [8.9% (8.3-10.9)] declined significantly after week 12, [8.0% (8.0-8.43)] and [7.2% (6.5-8.1)] respectively with a very significant p value of (p < 0.00001). About 42% of patients achieved an HbA1c level of ≤7%. MARS confirmed the app’s good quality and acceptability.
CONCLUSIONMobile application such as mySugrTM mobile app can be a viable tool for improved self-care behavior and help in achieving good glycemic control among patients with poorly controlled T2DM even as early as 12 weeks. The app has good quality and acceptability.
Human ; Diabetes Mellitus, Type 2
3.painDETECT Questionnaire Filipino version: Transcultural adaptation and validation in two widely spoken regional languages (Tagalog and Cebuano)
Ma. Felisse Carmen S. Gomez ; Maria Faye Anne S. Gomez ; Maria Honolina S. Gomez ; Jocelyn C. Que ; Raymond L. Rosales
Neurology Asia 2019;24(1):21-30
Background & Objective: Chronic pain impacts the quality of life of patients, with neuropathic
pain causing profound negative sequelae. Assessment of pain whether nociceptive or neuropathic is
important to provide appropriate treatment. The objective of this study is to translate and validate the
pain-DETECT Questionnaire (PDQ) to two widely spoken regional languages in Filipino. Methods:
The PDQ, a self-administered questionnaire, was translated from English into the Filipino version,
painDETECT Tagalog (PDQ-Tag) and painDETECT Cebuano (PDQ-Ceb). One hundred Filipino
patients suffering from pain for at least three months were recruited in the out-patient clinics of a
hospital and completed the questionnaire. The investigators, blinded to the subjects PDQ-Tag and
PDQ-Ceb scores, examined the subjects using the standard clinical and neurological examination.
The PDQ-Tag and PDQ-Ceb, scores were validated. Both questionnaires were administered to the
same patient twice, two days apart by the same investigator. Results: Seventy subjects completed
the (PDQ-Tag) and thirty subjects the (PDQ-Ceb). The sensitivity and specificity of PDQ-Tag were
both 80% for an upper limit cut-off value of ≥ 17. The sensitivity and specificity of PDQ-Ceb were
62.5% and 80% respectively, for an upper limit cut-off value ≥ 18.0. Both questionnaires were reliable
[Cronbach’s alpha coefficient: 0.78 (PDQ-Tag) and 0.70 (PDQ-Ceb), good test-retest stability with
intra-class correlation coefficient: 0.93 for PDQ-Tag and 0.99 for PDQ-Ceb]. Cohen’s kappa were
0.64 and 0.61 for PDQ-Ceb and PDQ-Tag respectively, with P value<0.001 indicating a significant
agreement on the assessment of neuropathic pain.
Conclusion: PDQ-Tag and PDQ-Ceb are reliable and valid self-administered screening tools to detect
neuropathic pain among Filipinos.