Diabetes & Metabolism Journal

Original Articles

Clinical Care/Education
Knowledge, Attitude, and Practice of Iranian Internists Regarding Diabetes: A Cross Sectional Study: Mahtab Niroomand, Seyedeh Najmeh Ghasemi, Hamidreza Karimi-Sari, Mohammad Hossein Khosravi; Diabetes Metab J. 2017;41(3):179-186. Published online June 2, 2017; DOI: https://doi.org/10.4093/dmj.2017.41.3.179

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Background

A number of studies investigated the general practitioners' and family physicians' knowledge, attitude, and practice (KAP) on diabetes. However, studies on internists' KAP on diabetes management are limited. This study aimed to investigate the Iranian internists' KAP on diabetes mellitus and its management.

Methods

A cross-sectional study was conducted on a random sample of internists who participated in the 26th annual congress of internists in Tehran, Iran. The level of KAP and affecting factor was evaluated by a validated instrument.

Results

One-hundred internists with the mean age of 41.98±9.26 years were evaluated. Totally, the physicians possessed 66.29%±19.5%, 50.44%±19.39%, and 64.5%±15.3% of the scores in KAP, respectively. The time since graduation in general medicine had significant negative correlation with their knowledge and practice, that was along with the subjects' age (P<0.05). The KAP level had not significant difference between subjects participated in a continuing medical education (CME) program during the last year compared to subjects did not participated (P>0.05). Attitude, and practice scores were significantly higher in physicians who were working at diabetes clinic (P<0.05), and attitude was more in physicians working at teaching hospitals compared to those who were not working (57.82 vs. 47.72, P=0.020).

Conclusion

According to our results, subjects' age and time since graduation in general medicine and specialty were inversely correlated by knowledge and practice. So internists with older age seems to be in priority for educational programs. And holding CME programs in current forms seems to be not suitable to increase the KAP regarding diabetes.

Citations

Citations to this article as recorded by

Primary care providers' knowledge, attitudes, and practices related to prediabetes in China: A cross-sectional study
Linhua Pi, Jianru Yan, Dongxue Fei, Ying Zheng, Xiajie Shi, Zhen Wang, Zhiguang Zhou
Frontiers in Public Health.2023;[Epub] CrossRef
Knowledge of physicians regarding the management of Type two Diabetes in a primary care setting: the impact of online continuous medical education
Zahra Emami, Azam Kouhkan, Alireza Khajavi, Mohammad E. Khamseh
BMC Medical Education.2020;[Epub] CrossRef

Development of Two Parallel Diabetes Knowledge Tests.: Wan Sub Shim, Seong Bin Hong, Yeon Sil Choi, Yun Jin Choi, Sook Hee Ahn, Kee Young Min, Eun Joo Kim, Ie Byung Park, Moonsuk Nam, Yong Seong Kim; Korean Diabetes J. 2006;30(6):476-486. Published online November 1, 2006; DOI: https://doi.org/10.4093/jkda.2006.30.6.476

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Abstract PDF

BACKGROUND
Knowledge evaluation about diabetes mellitus is necessary to self-manage diabetes effectively. We developed two parallel diabetes knowledge tests to meet a need for reliable knowledge assessment in diabetic patients. MATERIALS AND METHODS: The 75-items (59 items for general knowledge test, 16 items for insulin use subscale) were administered to 102 diabetic patients who visited Inha University Hospital. The items which had the appropriate difficulty (0.25~0.80) and good discrimination index (above 0.25) were selected. However, the items which are thought to be an important item for education were also selected even though they did not meet the criteria of reliability and discrimination index. Two parallel diabetes knowledge tests were developed after matching the selected appropriate items for similar contents. RESULTS: 102 patients fulfilled the tests and their mean age was 54.1 +/- 11.5 years. Mean percentage of correct questionnaires was 60.9 +/- 12.5% for general test and 45.9 +/- 19.5% for insulin use subscale. There were significant differences of scores between patients with high and low education level, between patients with high income per household and low income level per household, between patients with the history of diabetes education and without history of diabetes education, and between the old (> or = 50 yrs) and the young (< 50 yrs) age group. However, there was no significant difference of scores according to diabetes duration and complication or not. The selected two tests had a similar score. And their Cronbach alpha was appropriate (> 0.70) in both tests. CONCLUSIONS: We developed two parallel diabetes knowledge tests. These tests can be used as an important means in evaluating the diabetes knowledge and effect of education in diabetic patients.

Citations

Citations to this article as recorded by

Health literacy and diabetes self‐care activities: The mediating effect of knowledge and patient activation
Su Hyun Kim
International Journal of Nursing Practice.2021;[Epub] CrossRef
Factors influencing psychological insulin resistance in type 2 diabetes patients
Ji Hyeon Yu, Hye Young Kim, Sung Reul Kim, Eun Ko, Heung Yong Jin
International Journal of Nursing Practice.2019;[Epub] CrossRef
A new comprehensive diabetes health literacy scale: Development and psychometric evaluation
Eun-Hyun Lee, Young Whee Lee, Kwan-Woo Lee, Moonsuk Nam, So Hun Kim
International Journal of Nursing Studies.2018; 88: 1. CrossRef
Effect of a Simulated Education-based Hypoglycemia Scenario Using a High-fidelity Simulator on Acquisition and Retention of Diabetes Knowledge and Academic Self-efficacy in Nursing Students
Jiyoung Kim, Narae Heo
Journal of Korean Academic Society of Nursing Education.2017; 23(3): 319. CrossRef
Clinical Evaluation of OneTouch Diabetes Management Software System in Patients with Type 2 Diabetes Mellitus
Jung Min Kim, Hey Jean Lee, Keum Ok Kim, Jong Chul Won, Kyung Soo Ko, Byung Doo Rhee
Diabetes & Metabolism Journal.2016; 40(2): 129. CrossRef
Relationship Between Duration of Type 2 Diabetes and Self-Reported Participation in Diabetes Education in Korea
Jongnam Hwang, Jeffrey A. Johnson
Asia Pacific Journal of Public Health.2015; 27(2): NP311. CrossRef
Factors Influencing Diabetes Educational Needs in Patients with Diabetes Mellitus
Seon-Yeong Park, Pok-Ja Oh
Journal of the Korea Academia-Industrial cooperation Society.2014; 15(7): 4301. CrossRef
The Effect of the Experience of Diabetes Education on Knowledge, Self-Care Behavior and Glycosylated Hemoglobin in Type 2 Diabetic Patients
Seung Hei Moon, Young Whee Lee, Ok-Kyung Ham, Soo-Hyun Kim
The Journal of Korean Academic Society of Nursing Education.2014; 20(1): 81. CrossRef
Factors Affecting Highly Educated Elders' Diabetic Health Leader Attitude
Kiwol Sung, Jiran Nam, Mijin Yu
Journal of Korean Academy of Community Health Nursing.2014; 25(2): 119. CrossRef
Nutrition Knowledge, Dietary Attitude, and Dietary Behavior among Children and Adolescents with Type 1 Diabetes
Na-Yeon Noh, So-Young Nam, Hee-Suk Kang, Ji-Eun Lee, Soo-Kyung Lee
Korean Journal of Community Nutrition.2013; 18(2): 101. CrossRef
Effect of Diabetes Education Program on Glycemic Control and Self Management for Patients with Type 2 Diabetes Mellitus
Ji Hyun Kim, Sang Ah Chang
Korean Diabetes Journal.2009; 33(6): 518. CrossRef

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