A validation study of the spoken knowledge in low literacy in diabetes scale (SKILLD).
J Gen Intern Med
; 27(2): 207-12, 2012 Feb.
Article
em En
| MEDLINE
| ID: mdl-22005940
ABSTRACT
BACKGROUND:
In 2005 the Spoken Knowledge in Low Literacy in Diabetes scale (SKILLD) was introduced as a diabetes knowledge test. The SKILLD has not been validated since its introduction.OBJECTIVE:
To perform a validation analysis on the SKILLD. DESIGN ANDPARTICIPANTS:
Cross-sectional observational study of 240 patients with diabetes at an academic family practice center. MAINMEASURES:
SKILLD's correlation with an oral form of the Diabetes Knowledge Test (DKT) was used to assess criterion validity. A regression model tested construct validity, hypothesizing that SKILLD score was independently related to health literacy and education level. Content validity was tested using Cronbach's Alpha for inter-item relatedness and by comparing SKILLD items with the content of a National Institutes of Health (NIH) diabetes education website. We assessed inter-rater reliability and bias using Spearman correlation coefficients and sign-rank tests between interviewers scoring the same interview. KEYRESULTS:
The SKILLD demonstrated fair correlation with the DKT (Pearson's coefficient 0.54, 95% CI=0.49 to 0.66, p<0.001). Health literacy, education level, male gender, household income, and years with diabetes were independent predictors of SKILLD score in the regression model. Cronbach's Alpha for inter-item relatedness was 0.54. There were some topics on the NIH website not addressed by the SKILLD. The inter-rater correlation coefficient was 0.79 (95% CI 0.56 to 0.91, p<0.001).CONCLUSIONS:
The SKILLD is an adequate diabetes knowledge test and is appropriate for people of all literacy levels. However, it should be expanded to more completely evaluate diabetes knowledge.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Percepção da Fala
/
Conhecimentos, Atitudes e Prática em Saúde
/
Educação de Pacientes como Assunto
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Diabetes Mellitus
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Letramento em Saúde
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Estados Unidos