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Psychometric Study of Patient Knowledge Test

  1. Judith Garrard, PhD,
  2. Judy Ostrom Joynes, RN, MA,
  3. Lucy Mullen, RN, BS,
  4. LeAnn McNeil, RN, MS,
  5. Carolé Mensing, RN, MA,
  6. Catherine Feste, BA and
  7. Donnell D Etzwiler, MD
  1. School of Public Health, University of Minnesota Minneapolis, Minnesota
  2. International Diabetes Center Minneapolis, Minnesota
  1. Address correspondence and reprint requests to Judy Ostrom Joynes, International Diabetes Center, 5000 West 39th Street, Minneapolis, MN 55416.

Abstract

The results of a psychometric study of the Test of Patient Knowledge are reported. The 50-item, multiple-choice test, developed by Etzwiler and associates at the International Diabetes Center, consists of a total score and seven subscores based on seven nonoverlapping content categories: nutrition, insulin, general knowledge, methods of control, pattern control, exercise, and complications. The results described herein provide evidence for the validity of the test (content, concurrent, and discriminant validity), a high level of reliability (Cronbach's α = .88), readability for the layperson at the 7th- to 8th-grade level, and sensitivity to instructional gains. The literature on psychometric research with other tests of patient knowledge of diabetes is reviewed and compared with the results of this study.

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