Validation of diabetes mellitus patient behavior questionnaire in primary health care service

Ginanjar Zukhruf Saputri, Akrom Akrom, Haafizah Dania, Okta Muthia S


In Indonesia  has rising diabetes mellitus (DM) prevalence, especially in primary health care with government insurance called BPJS. Adherence behavior to treatment of  diabetes mellitus  was   factors to achieve blood glucose level as a Goal Therapy of  DM. In a previous study has developed a questionnaire as measurement instrument for DM-Hypertension and DM-Dyslipidemia patients  behavior in hospitals.  DM patient condition was different between in primary health care and hospital related to  comorbid. This study aims to develop and validation a questionnaire as measurement instrument for knowledge and adherence behavior of DM patients in primary health care. Cross sectional study design was conducted in diabetes mellitus patient. Inclusion criteria were patients in the age group 18 – 65 years, diagnosed with DM , receiving at least 1 oral antidiabetic medication. Questionnaire questions for behavioral item  were developed based on  Diabetes Mellitus management guidelines and references to previous studies. Evaluation and validation by expert was carried out on diabetes mellitus experts and clinical psychologists. The pilot study was conducted on 10 healthy patients and 10  patients with diabetes who enrolled inclusion criteria. Questionnaire validation test was conducted with 41 DM outpatient  at PKU Muhammadiyah Hospital in Yogyakarta. Collecting data by interviewing patients based on questionnaire. Statistical analysis was performed using SPSS with Pearson correlation coefficients for validation test  and Cronbach alpha  coefficients for reliability test of the questionnaire. Adherence behavior questionnaire consists of 12 question items, which are divided into 3 domains: cognitive, affective, and psychomotor domains. Validation results showed 12 valid items where the pearson correlation value was > 0.308 (n = 41). Cronbach alpha as reliability test results showed 0.78. This result showed a questionnaire were valid and reliable in  Diabetes Mellitus patients. This instrument would be use in primary health care for measuring adherence behavior of DM patients. 

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International Journal of Public Health Science (IJPHS)
p-ISSN: 2252-8806, e-ISSN: 2620-4126

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