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Alternatively, clinicians may use the knowledge instrument for quality improvement efforts, where the goal would be to measure patients' understanding of the key facts during the decision making process and increase scores over time.
Therefore, the aim of this study was to evaluate the validity and reliability of the Diabetes, Hypertension and Hyperlipidemia (DHL) knowledge instrument for assessing the knowledge of patients with type 2 diabetes in Malaysia.
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The DHL knowledge instrument was developed for the community-based Cardiovascular Risk Factors Intervention Strategies (CORFIS) trial.
This indicates that the knowledge instrument was easy for patients to answer, which was further substantiated by the mean baseline knowledge score of 74.4(14.9)%.
Face validity for the knowledge instrument was assessed by a local group radiation safety specialists and nursing leaders.
The DHL knowledge instrument shows good promise to be adopted as an instrument for assessing diabetic patients' knowledge concerning their disease conditions and medications in Malaysia.
The psychometric analysis showed that the DHL knowledge instrument has a satisfactory difficulty factor and shows good promise to be adopted as an instrument for assessing patients' knowledge about diabetes and its medications as well as other cardiovascular metabolic risk factors in Malaysia.
This indicates that the knowledge instrument was moderately easy.
The pharmacists answered the DHL knowledge instrument once only.
This content knowledge instrument consisted of 23 multiple-choice questions.
More than half (36/59, or 60%) of the knowledge instruments were created anew for the study.
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