Michigan Diabetes Knowledge Test - Validation of Modified Version among Czech Students of Nursing

Oct 5, 2026

Uploaded by Kurz

Michigan Diabetes Knowledge Tool (MDKT) was developed to measure knowledge for managing Diabetes Mellitus and is used globally in both original and modified forms for patients, nurses, and nursing students. The study focuses on psychometric testing of the modified MDKT. A quantitative design applies descriptive statistics, Classical Test Theory, Item Response Theory, and reliability estimation in a convenient sample of 133 nursing students in 2018–2019 Czech data collection.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages9

Reading Time23 min

AccessFree to download

Abstract

Introduction

Existing diabetes knowledge tests

Methods

Results

Conclusions

KontAK t / Journal of nursing and social sciences related to health and illness Original research article Michigan diabetes knowledge test: validation of modified version among Czech students of nursing Pavla Kudlová 1 *, Ilona Kočvarová 2 , Petr Soukup 3 1 Tomas Bata University in Zlín, Faculty of Humanities, Institute of Health Sciences, Zlín, Czech Republic 2 Tomas Bata University in Zlín, Faculty of Humanities, Research Center, Zlín, Czech Republic 3 Charles University, Faculty of Social Sciences, Department of Sociology, Prague, Czech Republic Abstract Michigan Diabetes Knowledge Tool (MDKT) was developed to test the level of knowledge in managing Diabetes Mellitus. It is widely used as an original (for patients) and modified tool (for nurses or nursing students) around the world. Objectives: The aim is psychometric testing of the modified MDKT. Methods: This quantitative study uses descriptive statistics, Classical Test Theory (CTT), Item Response Theory (ITT), and reliability estimation within the convenient sample of students of nursing (N = 133). Data collection took place in 2018–2019 at a selected Czech University. Results: Using the MDKT only enables us to differentiate within a narrow spectrum of students whose knowledge is sub-average to average. The analysis has suggested the possibility of reducing the test while maintaining its psychometric parameters. Conclusions: The test is reliable, however too simple for our convenient sample of third-year nursing students, but this result cannot be generalised. Future investigations may lead to possible modifications, for example creating a more difficult version of the test and its revalidation. Keywords: Classical Test Theory; Item Response Theory; Michigan Diabetes Knowledge Test (MDKT); Nursing students; Reliability; Validity Introduction The development of our current society has shown an increasing prevalence of diabetes mellitus (DM) . Thus it is necessary to pay greater attention to this problem at the scientific level. Education is one of the ways to do this, as it can be focused (among others) on nursing professionals (World Health Organization, 2020). Knowledge of diabetology needs to be tested, albeit within the course of study or the course of nursing practice. To this end, it is necessary to have a valid and reliable tool, usually a didactic test. In this study we use the terms test or tool, usually reflecting the Michigan Diabetes Knowledge Test. We consider both terms to be acceptable in this context. The preparation and validation of tests is one of the classic disciplines, not only in teacher education, but also in all the other fields where amassed knowledge, skills, competences, or other constructs connected to human activity must be validated. It is the same in nonmedical health care subjects, where reliable knowledge-monitoring tools are necessary, typically on entering, during, and at the end of a study program, but also continuously during practice. Within our review, carried out for the period of 1983–2020 in 5 scientific electronic databases, 2 most frequently used standardized tools for the assessment of nurses’ knowledge of DM were identified. The tools had been repeatedly used to assess the knowledge of nurses working in various clinical conditions/areas. The first tool – the Diabetes Knowledge Test (DKT) by Scheiderich et al. (1983) contained 33 items. In 1989 it was [extended by Drass et al. to 45 items. This 45-item version has](extended by Drass et al. to 45 items. This 45-item version has)[ ](extended by Drass et al. to 45 items. This 45-item version has)been reviewed several times in compliance with the contemporary guidelines in diabetology. These modifications began to be referred to as the Modified Diabetes Basic Knowledge Test (MDBKT) . For example, the MDBKT was used to assess nurses’ knowledge in the studies by Chan and Zang (2007) and Yacoub et al. (2014, 2015) . The second tool is the Michi

FAQs

What is the Michigan Diabetes Knowledge Tool (MDKT) used for?

The MDKT measures knowledge needed for managing Diabetes Mellitus and is used in original form and in modified versions for nurses and nursing students.

What is the main objective of this study?

The objective is psychometric testing of the modified MDKT.

Which psychometric methods were used to validate the modified MDKT?

The study uses descriptive statistics, Classical Test Theory (CTT), Item Response Theory (ITT), and reliability estimation.

Oct 5, 2026

Uploaded by Kurz