VolumeVol. 56 • Number No. 4 • October - December 2018 Back
Validation of the Modified Filipino Version of the American Diabetes Association Diabetes Risk Test and the St. Luke’s Internal Medicine Diabetes Risk Test to Identify Population at Risk for Type 2 Diabetes Mellitus among Adults
Authors: Sweet Garllie Albert R. Tappan, Oliver Allan C. Dampil, Marie Sigourney S. Machacon, Sachi E. Yumul
DOI: 10.65564/pjim.136913410d
Date of Publication: December 2018
Abstract
Introduction: In 2017, the American Diabetes Association (ADA) have introduced and recommended a Diabetes Risk Test for immediate detection of diabetes mellitus. Given the growing number of diabetics worldwide and in our country, early diagnosis and control of diabetes is vital. This study aimed to validate the modified filipino version of the ADA Diabetes Risk Test and the SLIM (St. Luke’s Internal Medicine) Diabetes Risk Test.
Methods: Phase I of this study involved questionnaire formulation, forward-back-forward translation, pilot testing and cognitive debriefing, and initial validation process (content validity, face validity, and test-retest reliability). There were 30 participants in the pilot testing, six experts for content validity, 40 patients in face validity, and 30 subjects for the test-retest reliability.
Results: The modified filipino version of the ADA Diabetes Risk Test and the SLIM Diabetes Risk Test formulated were considered relevant by majority of the subjects from the pilot testing and face validity and had content validity score from experts ranging from 80-100%. Items 1-4, and 8 of the questionnaires showed a kappa of one (p-value of <0.001) while the rest of the questions had kappa scores ranging from 0.60 to 0.86.
Conclusion: The St. Luke’s Internal Medicine (SLIM) Diabetes Risk Test, a 12-item questionnaire, was developed from the modified Filipino version of the ADA Diabetes Risk test incorporating other risk factors for diabetes to cater for adult Filipino patients. Phase I of this study showed that this questionnaire has acceptable content validity with moderate to perfect test-retesting reliability. Phase II of this study testing the criterion validity to determine diagnostic accuracy is ongoing.
Keywords: risk, risk factors, type 2 diabetes mellitus, surveys and questionnaires, cross-sectional studies
References
- International Diabetes Federation. IDF Diabetes Atlas, 7th edition. Brussels, Belgium, 2015.
- Unite for Diabetes Philippines. Philippine Practice Guidelines on the Diagnosis & Management of Diabetes. Compendium of Philippine Medicine 16th Edition. 2013.
- Kasper DL, Fauci AS, Hauser SL, Longo D, Jameson JL, Loscalzo J. Harrison’s Principles of Internal Medicine. New York: McGraw-Hill Education, 2015, 19th edition.
- Dooley, KE and Chaisson, RE. Tuberculosis and diabetes mellitus: convergence of two Epidemics. Lancet Infect Dis. December 2009; 9(12):737-746. [PubMed: 19926034]
- Pickup, JC. Inflammation and Activated Innate Immunity in the Pathogenesis of Type 2 Diabetes. Diabetes Care. March 2004; 27(3):813-23.
- Workneh MH, Bjune GA, Yimer SA. Prevalence and associated factors of tuberculosis and diabetes mellitus comorbidity: A systematic review. PLoS ONE. 2017; 12(4): e0175925. [PubMed: 28430796]
- Alisjahbana B, van Crevel R, Sahiratmadja E, den Heijer M, Maya A, Istriana E, Danusantoso H, Ottenhoff TH, Nelwan RH, van der Meer JW. Diabetes mellitus is strongly associated with tuberculoses in Indonesia. International Journal of Tuberculosis and Lung Disease. June 2006; 10(6):696-700. [PubMed: 16776459]
- Lv J, Yu C, Guo Y, Bian Z, Yang L, Chen Y, Hu X, Hou W, Chen J, Chen Z, Qi L, Li L, China Kadoorie Biobank Collaborative Group. Adherence to a Healthy Lifestyle and the Risk of Type 2 Diabetes in Chinese Adults: A Prospective, Longitudinal Cohort Study. The Lancet Diabetes & Endocrinology. Nov. 2016; 4(S28). [PubMed: 28582543]
- Bang H, Edwards AM, Stat M, Bomback AS, Ballantyne CM, Brillon D, Callahan MA, Teutsch SM, Mushlin AI, Kern LM. Development and Validation of a Patient Self-Assessment Score for Diabetes Risk. Ann Intern Med. Dec. 1, 2009; 151(11): 775-783.
- American Diabetes Association. Diabetes Care. Jan. 2017; 40 (Supplement 1): S11-S24. https://doi.org/10.2337/dc17-S005.
- WHO expert consultation. 2004. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. The Lancet. 2004; 363(9403):157-163.
- Mamtani M, Kulkarni H, Dyer TD, Almasy L, Mahaney MC, Duggirala R, Comuzzie AG, Blangero J, Curran JE. Correction: Waist Circumference Independently Associates with the Risk of Insulin Resistance and Type 2 Diabetes in Mexican American Families. PLoS ONE. Nov. 1, 2013; 8(11). [PubMed: 23536864]
- Salinero-Fort MA, Burgos-Lunar C, Lahoz C, Mostaza JM, Abanades-Herranz JC, Laguna-Cuesta F, Estirado-de Cabo E, Garcia-Iglesias F, Gonzalez-Alegre T, Fernandez-Punero B, Montesano-Sanchez L, Vicent-Lopez D, Cornejo-del Rio V, Fernandez-Garcia PJ, Sanchez-Arroyo V, Sabin-Rodriguez C, Lopez-Lopez S, Patron-Barandio P, Gomez-Campelo P, and SPREDIA-2 Group. Performance of the Finnish Diabetes Risk Score and a Simplified Finnish Diabetes Risk Score in a Community-Based, Cross- Sectional Programme for Screening of Undiagnosed Type 2 Diabetes Mellitus and Dysglycaemia in Madrid, Spain: The SPREDIA-2 Study. PLoS ONE. 2016; 11(7): e0158489. [PubMed: 27441722]
- Omech B, Mwita JC, Tshikuka JG, Tsima B, Nkomazna O, and Amone-P’Olak K. Validity of the Finnish Diabetes Risk Score for Detecting Undiagnosed Type 2 Diabetes among General Medical Outpatients in Botswana. Hindawi Publishing Corporation. Journal of Diabetes Research. Volume 2016: 1-7; Article ID 4968350. [http://dx.doi.org/10.1155/2016/4968350]
- Dugee O, Janchiv O, Jousilahti P, Sakhiya A, Palam E, Nuorti JP, Peltonen M. Adapting existing diabetes risk scores for an Asian population: a risk score for detecting undiagnosed diabetes in the Mongolian population. BMC Public Health. 2015; 15:938.
- Li HY, Chang YC, Wei JN, Chuang LM. Validation of diabetes risk scores for predicting diabetes diagnosed by oral glucose tolerance test. Diabetes Care. 2010 Feb; 33(2):e26. [PMID: 20103552]
- Glümer C, Carstensen B, Sandbæk A, Lauritzen T, Jørgensen T, Borch-Johnsen K. A Danish Diabetes Risk Score for Targeted Screening. Diabetes Care. 2004 Mar; 27(3): 727-733.
- Ku GM, Kegels G. The performance of the Finnish Diabetes Risk Score, a modified Finnish Diabetes Risk Score and a simplified Finnish Diabetes Risk Score in community-based cross-sectional screening of undiagnosed type 2 diabetes in the Philippines. Prim Care Diabetes 2013; 7(4):249-59. [PMID: 23953706]