Development of Hypoglycemia Prevention Knowledge, Attitude and Practice Questionnaire for Homebound Elderly Patients with Diabetes Mellitus and its reliability and validity
10.3760/cma.j.cn115682-20240710-03843
- VernacularTitle:居家老年糖尿病患者低血糖预防知信行问卷的编制及信效度检验
- Author:
Xinzheng ZHANG
1
;
Shiming TANG
;
Qiuqin CHENG
Author Information
1. 浙江中医药大学附属第一医院（浙江省中医院）血液科，杭州 310003
- Publication Type:Journal Article
- Keywords:
Aged;
Home bound;
Diabetes mellitus;
Hypoglycemia prevention;
Questionnaire;
Reliability and validity
- From:
Chinese Journal of Modern Nursing
2025;31(12):1636-1642
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop the Hypoglycemia Prevention Knowledge, Attitude and Practice Questionnaire for Homebound Elderly Patients with Diabetes Mellitus to inform the development of targeted interventions for caregivers.Methods:The first draft of the questionnaire was formed through literature analysis, group discussion, semi-structured interviews, Delphi expert consultation and pre-testing based on the theory of knowledge, attitude and practice. Convenience sampling was applied to select homebound elderly diabetic patients within the Shangcheng District of Hangzhou City from August to September 2022, and the questionnaire was subjected to item analysis, reliability test and exploratory factor analysis. Patients within Gongshu District of Hangzhou City were selected from October to November 2022 for questionnaire survey and validation factor analysis.Results:The questionnaire included 31 entries in three dimensions of knowledge, attitude, and practice. The content validity index was 0.96 at the questionnaire level and 0.83 to 1.00 at the entry level. The overall Cronbach's α coefficient for the questionnaire was 0.933, the folded reliability was 0.836, and the retest reliability was 0.913. The exploratory factor analysis cumulative variance contribution was 68.917% and the validation factor analysis showed a good model fit.Conclusions:The Hypoglycemia Prevention Knowledge, Attitude and Practice Questionnaire for Homebound Elderly Patients with Diabetes Mellitus is scientific and practical and can be used to investigate the hypoglycemia prevention knowledge, attitude and practice among homebound elderly diabetic patients.
