Assessing and testing the reliability of mini self-care practices questionnaire among type 2 diabetic patients attending rural health training centre, Kanchipuram, Tamil Nadu

Preethi Selvaraj, Ramkumar Boopathirajan


Background: India is the diabetic capital of the world with nearly 31.7 million people suffering from the disease in 2000 which is projected to become 79.4 million in the year 2030. The incidence of diabetes in India is around 8.8%. This study aims at developing a mini questionnaire to quickly assess the self-care practices among the diabetic patients attending rural health training centre and also to educate the diabetic patients about self-care practices and dietary pattern they need to follow.

Methods: The study design is a community based cross-sectional study. All diabetic patients who visited rural health training centre attached to a private medical college aged 40 years and above in the period of June to July 2019 were included in our study. Institutional ethical clearance was taken before commencing the study. Construction of mini self-care practices questionnaire (MSCPQ) comprised of two phases. Trained medical students collected the data by interview method using semi-structured, pre-tested questionnaire.

Results: The reliability of the MSCPQ using Cronbach’s alpha came to be 0.82 and the intra class correlation coefficient was 0.81; 95% CI (0.763-0.853) (p=<0.001). Around sixty six percent are having their health check-up regularly. Most (43%) of the study participants check their blood sugars monthly.

Conclusions: Even though there are various factors contributing in facilitating self-care activities in patients living with diabetes, the role of health care physicians in educating about self-care practices are indispensable.


Self-care, Diabetes, Questionnaire, Reliability

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IDF Diabetes Atlas. 6th ed. Available at: Accessed on 13 November 2019.

Global report on diabetes. World Health Organization. Geneva: World Health Organization; 2016. Available at: 10665/204871/1/9789241565257_eng.pdf. Accessed on 2 February 2017.

Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metabol Disorder. 2013;12(1):14.

Padma K, Bele DS, Bodhare TN, Valsangkar S. Evaluation of knowledge and self-care practices in diabetic patients and their role in disease management. Natl J Community Med. 2012;3:3–6.

Rajasekharan D, Kulkarni V, Unnikrishnan B, Kumar N, Holla R, Thapar R. Self-care activities among patients with diabetes attending a tertiary care hospital in Mangalore Karnataka, India. Ann Med Health Sci Res. 2015;5(1):59-64.

Lock K, Pomerleau J, Causer L, Altmann DR, McKee M. The global burden of disease attributable to low consumption of fruit and vegetables: Implications for the global strategy on diet. Bull World Health Organ. 2005;83:100–8.

Gopichandran SV, Lyndon MK, Angel PB, Manayalil BP, Blessy KR, Alex RG, et al. Diabetes self-care activities: a community-based survey in urban southern India. Natl Med J India. 2012;25(1):1-14.

Guo XH, Yuan L, Lou QQ, Shen L, Sun ZL, Zhao F, et al. A nationwide survey of diabetes education, self-management and glycemic control in patients with type 2 diabetes in China. Chin Med J (Engl). 2012;125:4175–80.

Maheshwari RU, Sowmiya KR, Kavin S. Self-care practices among type II diabetics attending primary health centre, Thiruvallur district, Tamil Nadu. Int J Community Med Public Health. 2017;4:2745-9.

Saeed N, Zafar J, Atta A. Frequency of patients with diabetes taking proper foot care according to international guidelines and its impact on their foot health. J Pak Med Assoc. 2010;60:732–5.

Chiwanga FS, Njelekela MA. Diabetic foot: prevalence, knowledge, and foot self-care practices among diabetic patients in Dar es Salaam, Tanzania– a cross-sectional study. J Foot Ankle Res. 2015;8:20.

Schmitt A, Gahr A, Hermanns N, Kulzer B, Huber J, Haak T. The Diabetes Self-Management Questionnaire (DSMQ): development and evaluation of an instrument to assess diabetes self-care activities associated with glycaemic control. Health Quality Life Outcomes. 2013;11(1):138.