PMID- 33512977 OWN - NLM STAT- MEDLINE DCOM- 20211125 LR - 20230911 IS - 1932-751X (Electronic) IS - 1932-7501 (Linking) VI - 41 IP - 4 DP - 2021 Jul 1 TI - Development and Validation of the DiAbeTes Education Questionnaire (DATE-Q) to Measure Knowledge Among Diabetes and Prediabetes Patients Attending Cardiac Rehabilitation Programs. PG - 224-229 LID - 10.1097/HCR.0000000000000546 [doi] AB - PURPOSE: Knowledge assessment tools are highly useful in clinical practice, as they help health care teams to customize education and clinical care plans based on the needs of patients. The objective of this study was to develop and validate the DiAbeTes Education Questionnaire (DATE-Q) to measure knowledge among diabetes and prediabetes patients attending cardiac rehabilitation (CR). METHODS: Based on patient information needs, other validated tools and diabetes education standards and current practices, experts developed 20 items to comprise the first version of the DATE-Q. To establish content validity, they were reviewed by an expert panel (n = 12) and patients. Refined items were psychometrically tested in 84 diabetes and prediabetes patients attending CR. The internal consistency was assessed via regularized factor analysis and Cronbach alpha, and criterion validity with regard to patient education and family income. For interpretability analysis, the minimal clinically important difference (MCID) was estimated using distribution- and anchor-based methods. RESULTS: All items were appropriate for administration in this population according to experts and patients. Three factors were extracted and were generally internally consistent and well defined by the items. Criterion validity was supported by significant differences in mean scores by family income (P < .05). Results showed that increases in knowledge can moderately increase mean steps/d and peak oxygen uptake, with an MCID of 2.13. CONCLUSIONS: This study demonstrated preliminary validity of the DATE-Q. Future research is needed to assess other measurement properties to confirm the applicability of this tool in clinical and research settings. CI - Copyright (c) 2021 Wolters Kluwer Health, Inc. All rights reserved. FAU - Ghisi, Gabriela Lima de Melo AU - Ghisi GLM AD - Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Canada. FAU - Aultman, Crystal AU - Aultman C FAU - Konidis, Renee AU - Konidis R FAU - Foster, Evelyn AU - Foster E FAU - Sandison, Nicole AU - Sandison N FAU - Alavinia, Mohammad AU - Alavinia M FAU - Sarin, Michael AU - Sarin M FAU - Oh, Paul AU - Oh P LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Cardiopulm Rehabil Prev JT - Journal of cardiopulmonary rehabilitation and prevention JID - 101291247 SB - IM MH - *Cardiac Rehabilitation MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Prediabetic State MH - Psychometrics MH - Reproducibility of Results MH - Surveys and Questionnaires COIS- The authors declare no conflicts of interest. EDAT- 2021/01/30 06:00 MHDA- 2021/11/26 06:00 CRDT- 2021/01/29 15:08 PHST- 2021/01/30 06:00 [pubmed] PHST- 2021/11/26 06:00 [medline] PHST- 2021/01/29 15:08 [entrez] AID - 01273116-202107000-00003 [pii] AID - 10.1097/HCR.0000000000000546 [doi] PST - ppublish SO - J Cardiopulm Rehabil Prev. 2021 Jul 1;41(4):224-229. doi: 10.1097/HCR.0000000000000546.