# Designing and Implementing a Customized Questionnaire to Assess the Attitude of Patients with Diabetes

## TL;DR

This study created a new questionnaire to understand how diabetes affects patients' lives, focusing on physical activity, social relationships, emotions, and diet.

## Contribution

The paper introduces a novel, validated questionnaire for assessing diabetes patients' attitudes across multiple life domains.

## Key findings

- The questionnaire identified four key domains impacting diabetes management: physical activity, social relationships, emotional status, and diet.
- Psychometric validation confirmed the questionnaire's reliability and structure using EFA and CFA.
- Results highlight the importance of lifestyle and emotional factors in diabetes care.

## Abstract

Background/Objectives: Diabetes mellitus presents significant management challenges, requiring comprehensive glycemic control, patient education, self-management, and routine monitoring. The study aims to evaluate existing tools and develop a customized questionnaire to investigate the multifaceted impact of diabetes mellitus on patients’ lives through a novel questionnaire. Methods: Utilizing Survey Monkey, we efficiently collected data from 150 diabetic patients during annual evaluations over five months (March 2024–July 2024). The sample included 88 men (58.67%) and 62 women (41.33%), with a notable representation of participants having a family history of diabetes (63.42%) and varying levels of education (20% with higher education). Statistical analyses were conducted using IBM SPSS (Version 20.0), and structural equation modeling (SEM) through Amos, including exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to validate the instrument and assess its psychometric properties. Results: The questionnaire targets four critical domains: the role of physical activity in diabetes management, the effects of diabetes on social relationships, the emotional status of diabetic patients, and the influence of diet on metabolic control. Conclusions: The findings provide valuable insights into patient attitudes toward diabetes management, emphasizing the importance of physical activity, social dynamics, emotional well-being, and dietary practices in improving health outcomes for individuals with diabetes.