Last update:

   11-Nov-2026
 

Arch Hellen Med, 44(1), January-February 2027, 83-87

ORIGINAL PAPER

Translation and validation of the Diabetes Knowledge Questionnaire-Revised into Greek
in patients with type 2 diabetes mellitus

Ε. Lykoudi,1 Ε. Vlachou,1 Ε. Dokoutsidou,1 Κ. Iliopoulou,2 Ο. Govina,1 Ν. Margari1
1Department of Nursing, University of West Attica, Athens
2Second Department of Internal Medicine, "Thriasio" General Hospital, Elefsina, Attica, Greece

OBJECTIVE The translation and psychometric evaluation of the Diabetes Knowledge Questionnaire-Revised (DKQ-R) into the Greek language, in order to assess the level of knowledge of patients with type 2 diabetes mellitus (T2DM).

METHOD A cross-sectional study was conducted on a convenience sample of 30 patients with T2DM, with a mean age of 61.2 years. Data collection took place during December 2024 and January 2025. To assess the reliability, the test-retest method was used; Cohen's kappa (κ) and intraclass correlation coefficients (ICC) were calculated. Spearman correlation coefficients were calculated to check the validity. The two-sided level of statistical significance was set at 0.05.

RESULTS The Spearman correlation coefficient between the DKQ-R score and the educational level was 0.40 (p-value=0.03) in the first measurement and 0.44 (p-value=0.02) in the second. Thus, a higher level of education was associated with more knowledge. Therefore, both correlations were positive and statistically significant. The ICC between the initial and repeated measurements was 0.968 (95% confidence interval: 0.933–0.985, p<0.001). The KR-20 values were 0.662 and 0.655, respectively.

CONCLUSIONS The Greek version of the DKQ-R proved to be reliable and valid, making it a useful tool for assessing the knowledge of patients with T2DM.

Key words: Diabetes mellitus type 2, Knowledge, Psychometric validation, Reliability, Translation.


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