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研究生:郭御風
研究生(外文):Yu-Feng Kuo
論文名稱:糖尿病知識與糖尿病態度量表中文版之信效度檢定
論文名稱(外文):Psychometric Evaluation of the Simplified Diabetes Knowledge Scale and Attitudes towards Diabetes Scale in Taiwan: Translation and Validation
指導教授:陳香吟陳香吟引用關係
指導教授(外文):Hsiang-Yin Chen
口試委員:蕭斐元戈鈺
口試委員(外文):Fei-Yuan HsiaoYu Ko
口試日期:2020-07-03
學位類別:碩士
校院名稱:臺北醫學大學
系所名稱:藥學系(碩博士班)
學門:醫藥衛生學門
學類:藥學學類
論文種類:學術論文
論文出版年:2020
畢業學年度:108
語文別:英文
論文頁數:79
中文關鍵詞:糖尿病知識態度翻譯信度效度
外文關鍵詞:Diabetes mellitusKnowledgeAttitudeTranslationReliabilityValidation
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Graduate thesis certification…………...……………………………………………i
Delaying public access to thesis dissertations……………………………ii
English abstract…………….…………………………………………………………. iii
Chinese abstract…………….……………………………………………………v
Acknowledgments……………………………………………………………………. vii
Contents…………………….…………………………………………………………. ix
List of tables…………………………………………………………………………... xi
List of figures………………….……………………………………………………xii
Abbreviation and acronyms…………………….………………………………… xiii

Chapter 1. Introduction
1.1 Motivation and background……………………………………………..………1
1.2 Study purpose………………………………………………..…………….…2
Chapter 2. Literature review
2.1 Diabetes self-management education and support……………………………3
2.2 Diabetes knowledge related questionnaires……………………………………4
2.3 Diabetes attitudes related questionnaires……………………………7
2.4 Validity ……………………………………………………….…………………10
2.5 Reliability……………………………………………………….………………. 12
2.6 Factor analysis………………………………………………….…………….. 16
2.7 Instrument cross-cultural translation………………………..….…………18
Chapter 3. Methods
3.1 Study design………….…………………………………………………………22
3.2 Study sample………………………………………………………………25
3.3 Study instrument……………………………………………………………27
3.4 Statistical analysis……..…………..……………………………………………28
Chapter 4. Results
4.1 Cross-cultural translation and adaption ………………………………………31
4.2 Pilot test by experts and patients……………………………………………31
4.3 Demographics …………………………………………………….…………33
4.4 Reliability ………………………………………………………….…………37
4.5 Validity …………………………………………………………….………….37
Chapter 5. Discussion
5.1 Main findings…………………………………………………………………48
5.2 Revision and adaption of instruments………………………………………48
5.3 Comparison with previous studies……………………………………………49
5.4 Barriers between healthcare providers and patients……………51
5.5 Strength of present research ……………………………….…………………51
5.6 Limitation of present research…………………………………………………53
Chapter 6. Conclusion…………….…………………………………………………54
Reference……………………………………………………………………55
Appendices
Appendix 1 Revised Michigan diabetes knowledge scale - true/false version………59
Appendix 2 Diabetes care profile - attitudes toward diabetes scales……60
Appendix 3 Expert panel’s characteristics……………………………………62
Appendix 4 Modified simplified true/false version of revised diabetes knowledge scale…63
Appendix 5 Content validity of SDKS-M ………………………………64
Appendix 6 Content validity of DCP-ATDS-M …………………………………65
Appendix 7 SDKS-M and DCP-ATDS-M used in full psychometric test...66
Appendix 8 Certificate of TMU-Joint Institutional Review Board …………71
Appendix 9 Authorization to use simplified DKT true/false version questionnaire…73
Appendix 10 Authorization to use DCP-ATDS questionnaire ……………………74
Appendix 11 Code book of personal information…………………………75
Appendix 12 Code book of SDKS-M ….…………………………………………77
Appendix 13 Code book of DCP-ATDS-M….………………………...……78

Table 1 Diabetes knowledge related questionnaires………………………………6
Table 2 Diabetes attitude related questionnaires………………………………9
Table 3 Interpretation of Cronbach’s alpha………………………………15
Table 4 Demographic characteristics of participants in bilingual test……34
Table 5 Demographic characteristics of patients in full psychometric test……35
Table 6 Summary of validity and reliability evaluation of SDKS-M and DCP-ATDS-M….41
Table 7 Construct validity for SDKS-M and DCP-ATDS-M………………………42
Table 8. Distribution of items after EFA of SDKS-M…………………………45
Table 9. Distribution of items after EFA of DCP-ATDS-M……………………..46

Figure 1 Types of validity and reliability……………………………………13
Figure 2 Categories and definitions of content validity ………………………14
Figure 3 Five-steps for exploratory factor analysis……………………17
Figure 4 Flowchart of instrument cross-cultural translation ……………21
Figure 5 Study flowchart of cross-cultural translation for SDKS-M and DCP-ATDS-M…....24
Figure 6 Process of SDKS-M development and reliability test ……32
Figure 7(A) Scree plot of SDKS-M.……………………………………………….43
Figure 7(B) Scree plot of DCP-ATDS-M………………………………….43
Figure 8(A) Exploratory factor analysis for SDKS-M…………………………44
Figure 8(B) Exploratory factor analysis for DCP-ATDS-M…………………44
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