Diabetes Knowledge Assessment Research Articles

Diabetes knowledge among Malaysian adults: A scoping review and meta-analysis.

Optimal self-care promotes glycaemic control and prevents diabetes complications. Its performance is facilitated by an adequate level of diabetes knowledge. This review aimed to evaluate diabetes knowledge among Malaysians by assessing diabetes knowledge scores and their associated factors. A comprehensive bibliographic search for Malaysian studies on diabetes knowledge was conducted in PubMed, Scopus and Google Scholar. Relevant literature was systematically selected and described; pertinent data were extracted; and data on diabetes knowledge levels and their associated factors were synthesised. The quality of the identified studies was assessed using a Joanna Briggs Institute critical appraisal tool. Thirty Malaysian cross-sectional studies that measured diabetes knowledge levels were retrieved. Nineteen of them used a named diabetes knowledge measurement tool, with 14 using the 14-item Michigan Diabetes Knowledge Test. A low knowledge level was prevalent among patients with diabetes mellitus (pooled mean knowledge score=6.92, proportion of patients with a low knowledge level=47.97%). The knowledge score was associated with some sociodemographic variables, health literacy, self-care and glycaemic control. The association of diabetes knowledge with diabetes outcomes (e.g. self-care and glycaemic control) reflects the potential of the former as a target of intervention. Periodic measurement of diabetes knowledge in healthcare settings and among populations can help in assessing the effectiveness of diabetes educational interventions. Concerted efforts to improve diabetes knowledge among Malaysians have the potential to fill knowledge-practice gaps.

Diabetes knowledge and foot care practices among type 2 diabetes patients attending the chronic ambulatory care unit of a public health hospital in eastern Ethiopia: a cross-sectional study

ObjectiveTo assess diabetes knowledge and foot care practices among type 2 diabetes patients.DesignAn institution-based cross-sectional study was undertaken from 1 January to 31 January 2021.SettingEastern Ethiopia.ParticipantsRandomly selected type 2 diabetes...

676-P: Diabetes Distress, Medical Education, and Gamification in a Pediatric/Young Adult Diabetes Center

Purpose: It is well known that children, adolescents, and young adults with diabetes face numerous obstacles to adherence. Diabetes distress can lead to diabetes burnout, which worsens diabetes nonadherence. We initiated diabetes distress screening to determine the impact of diabetes distress on our patients and developed games and animated videos in an attempt to assess diabetes knowledge and decrease visit stress. Methods: Diabetes patients aged 10 and older were given the two-question diabetes distress screening scale (DDS2) during their routine follow-up visits. Two games were created to play at the beginning of each appointment and two animated medical education videos were created on how to recognize and manage diabetes distress. Results: A total of 207 patients received DDS2 screening questionnaires. The mean DDS2 score was 5.6 (Type 1, n=178) and 5.5 (Type 2, n=29) out of 12 possible points. Only a weak correlation was found between the DDS2 score and hemoglobin A1C (Type 1:R2=0.34, Type 2:R2=0.18) with essentially no correlation noted between diabetes duration and DDS2 score (Type 1:R2=0.001; Type 2:R2=0.01). Ninety-seven percent of patients liked the “pin the bone on your A1C” game, while 93% enjoyed the medical education quiz game, 80% felt they learned something from it, and 89% felt that it made them more relaxed for their visit. Conclusions: Diabetes distress can lead to diabetes burnout, thus it is important to identify when present. Our data suggest that distress may sometimes be hidden, hence we should specifically screen for diabetes distress in all our pediatric patients that are tweens and older as no significant correlation was found between DDS2 score, hemoglobin A1C, and duration of diabetes. Therapy can be then directed to ameliorating the stress and burnout associated with living with diabetes while the use of easily created educational games and animated videos can be helpful adjuncts to assess patient knowledge while simultaneously lessening appointment stress. Disclosure T.Imai: None. T.Nguyen: None. T.S.Stanic: None. D.Diaz: None. D.Lopez: None. R.Kinman: None.

Development and Validation of a Diabetes Questionnaire for Middle School Students

ObjectiveTo develop and validate a questionnaire to assess diabetes knowledge, attitudes, beliefs, and intent to change among middle school students. DesignA cross-sectional validation analysis. SettingStudents in 3 urban middle schools in Utah participated in this study. ParticipantsThe 25-item questionnaire was validated in independent samples of 277 and 304 students in the seventh and eighth grades. Variables MeasuredThe questionnaire includes the following variables: diabetes knowledge, attitudes, beliefs, and intent to change dietary and physical activity behaviors. AnalysisRigorous statistical approaches, including Cronbach's α (goodness of fit) calculation, test-retest reliability, and exploratory and confirmatory factor analyses, were employed to examine the reliability and construct validity. ResultsThe Cronbach's α coefficients were 0.7 for both subscales demonstrating acceptable internal consistency. All factor loadings were > 0.4, revealing close relations between factors and items. The confirmatory factor analysis model fit was 0.9 for the comparative fit index and Tucker-Lewis Index, indicating a reasonable model-data fit. Conclusions and ImplicationsThis study demonstrated the validity of a diabetes questionnaire for middle school students. Future work is needed to validate its use in a diabetes prevention program, given the growing need for diabetes education among young adolescents.

Knowledge of diabetes and the practice of diabetes self-management during Ramadan fasting among patients with type 2 diabetes in Malaysia

Background and aimsTo assess the level of diabetes knowledge and its association with diabetes self-management practices during Ramadan fasting among patients with type 2 diabetes (T2D). MethodsA cross-sectional study was conducted involving a sample of Malaysian patients with T2D. Patients aged 18 years and above, and attending an outpatient diabetic unit of a government hospital were recruited between February and April 2021. A self-administered questionnaire was utilized to assess diabetes knowledge and diabetes self-management practices. ResultsA total of 306 participants completed the questionnaire. Most of them were females (54.2%) and above 55 years old (75.1%). Resultantly, knowledge of diabetes was considered average among 52% of the participants. Only 9.5% of them avoided the consumption of sweet foods during iftar. Practicing late suhoor (p = 0.012) and self-monitoring of blood glucose (SMBG) (p = 0.026) during Ramadan were significantly associated with a better diabetes knowledge score. Education level (p = 0.000), working status (p = 0.030), and monthly income (p = 0.000) were significantly associated with participants’ knowledge level of diabetes. A higher proportion (72.2%) of the participants completed fasting for a month during Ramadan 2020. Meanwhile, hypoglycemia was the main reason (38.8%) for incomplete fasting. ConclusionsThese findings reflect the need to improve patients’ knowledge of diabetes and diabetes self-management practices, especially during Ramadan. Such objectives could be achieved by considering the associated factors identified in this study.

Type 1 diabetes knowledge assessment: The KAT-1 validation study.

This study sought to examine the reliability and validity of a novel pediatric type 1 diabetes knowledge assessment (KAT-1) designed for children, adolescents, young adults and their parents/guardians. The instrument was designed to be integrated into the clinic workflow to obtain objective data electronically. KAT-1 was developed by a multidisciplinary team and includes 11 independent topical subscales. Forty children/caregivers participated in a pilot study; their feedback was used to improve item clarity and readability. Subsequently, a validation study was performed in 200 participants (100 children/adolescents/young adults with type 1 diabetes ages 11-21 years and 100 parents/guardians of children with type 1 diabetes ages 1-15 years) to examine correlations between the KAT-1 scores and Revised Diabetes Knowledge Test (DKT2) scores and HbA1c. An item analysis was conducted to determine internal consistency and reliability; topical subscales were evaluated using Cronbach's alpha. Total KAT-1 scores were positively correlated with DKT2 scores r= 0.674, p< 0.001, and negatively correlated with HbA1c, r= -0.3, p< 0.001. All KAT-1 subscales were positively and significantly correlated with one another and with total KAT-1 score. Internal consistency of total KAT-1 score was strong (Cronbach's α= 0.938, mean score 84.6, SD=16.1) and 9 of 11 independent topical subscales demonstrated strong internal consistency. Completion time for subscales was <5 min. KAT-1 is a valid instrument to assess type 1 diabetes knowledge. The instrument's short topical subscales can be used to objectively assess specific knowledge and individualize diabetes education. KAT-1 has been integrated into our electronic health record (EPIC) and is available online at no cost.

Validation of Diabetes Knowledge Questionnaire (DKQ) in the Taiwanese Population — Concurrent Validity with Diabetes-Specific Quality of Life Questionnaire Module

PurposeDiabetes knowledge is important for people with type 2 diabetes mellitus (DM) to improve their health. Therefore, it is important to validate an instrument for assessing diabetes knowledge. The present study aimed to validate the 24-item Diabetes Knowledge Questionnaire (DKQ).Patients and MethodsThe 24-item DKQ and Diabetes-specific Quality of Life Module (DMQoL) were administered to 425 patients (mean±SD age=58.4±11.6) with type 2 DM.ResultsThe 24-item DKQ was first examined for its factor structure using exploratory factor analysis (EFA). Items with low factors loadings were removed and 18 items were retained to make a DKQ-18. In DKQ-18, five factors were identified, which were named as diabetes etiology and symptoms (F1), intermediate nursing (F2), complications (F3), diet and treatment (F4), and elementary nursing (F5). The DKQ-18 had satisfactory internal consistency (Cronbach’s α= 0.732 and McDonald’s ω=0.748), good known-group validity (participants with a higher level of education showed better score in DKQ-18; participants with HbA1c ≤7 had better score in DKQ-18 compared to group of HbA1c level >8.5), acceptable test–retest reliability (r=0.69), adequate responsiveness (DKQ-18 can detect knowledge change), and concurrent validity with DMQoL.ConclusionThe DKQ-18 is a valid measure for assessing diabetes knowledge. The DKQ-18 could evaluate participants’ diabetes knowledge and improve their diabetes knowledge and self-care through a diabetes team and serve as a tool to evaluate the knowledge of participants with type 2 DM.

Validation of the Diabetes Knowledge Questionnaire (DKQ) With an Indonesian Population

Patient education is a key element in the treatment of diabetes. Assessment of diabetes knowledge is important for optimum treatment, and for the assessment of this knowledge, a validated tool is essential. No such tool is available in the Indonesian language. The aim of this study was to translate and examine the psychometric properties of the Indonesian version of the 24-item Diabetes Knowledge Questionnaire (DKQ) among type 2 diabetes patients. The standard ‘forward–backward’ process was used to translate the DKQ into the Indonesian language. Later, it was validated with a convenience sample of 35 patients with type 2 diabetes, between July and September 2021. Internal consistency was assessed by reliability analysis; one-way analysis of variance was applied for known group validity; and multivariate linear logistic regression was applied for identifying significant predictors for patients’ DKQ score. Good internal consistency was observed for the DKQ (Cronbach’s α = 0.757). The results indicated that the Indonesian version of the DKQ-24 was a valid and reliable measuring instrument for measuring diabetes knowledge in the Indonesian sample.&#x0D; Keywords: diabetes knowledge questionnaire, intraclass correlation coefficient, internal consistency, test-retest, validity, reliability

Interprofessional diabetes escape room with nursing and athletic training students

Interprofessional collaboration has been identified by healthcare organizations as an important component for healthcare providers. The use of escape rooms is one method to implement interprofessional education in healthcare programs. The question is whether escape rooms are effective for interprofessional education while also enabling students to gain the educational content provided in the activity. A diabetes escape room was developed using a single group pretest-posttest design that included athletic training and nursing students and utilized the SPICE-R tool and diabetes knowledge assessment. Results showed the diabetes knowledge assessment was statistically significant when comparing the correct responses and that the SPICE-R was statistically significant for improvement in scores in all three IPE factors after participating in the Diabetes Escape Room. These outcomes indicate that the diabetes escape room was beneficial in exposing students to interprofessional education while also allowing them to learn the content. Specific details of the activities within this escape room are included in the article.

Factors Associated With Type 2 Diabetes Among Adults in Peri-Urban Communities in Nairobi, Kenya

ObjectivesTo assess diabetes knowledge, health beliefs, and lifestyle behaviors and to identify associations between demographic information, knowledge, health beliefs and lifestyle behavior among adults 18 years and above, in Kenya. MethodsA cross-sectional study was conducted among adults in peri-urban communities in Nairobi, Kenya. Participants were randomly selected to participate in the survey (N = 226). Diabetes knowledge was collected using a pre-tested questionnaire, while health beliefs were assessed using a validated health belief model scale. Dietary intake was assessed using a culturally modified food frequency questionnaire, while physical activity was measured using the international physical activity questionnaire. Household food insecurity questionnaire (HFIAS) was used to assess food security. Multivariate logistic regressions were used in analysis of the associations between variable. ResultsMajority had a college education (61.5%), were female (71.7%), overweight/obese (54%) and the mean age was 37.5 years. About 31% reported being severely food insecure. Majority (69.5%) of the participants had poor knowledge on diabetes and their health beliefs mean score for was low. On average, participants consumed 2022.47 ± 781.49 calories per day with mean intake of approximately 299.81g/day carbohydrates, protein (56.49g), and fat consumption was 55.88% of the diet. The participants carbohydrates consumption contributed the highest (r = 0.742) to energy intake, followed closely by fat (r = 0.732) and least was protein (r = 0.538). The participants consumption of refined grains (p < 0.037), oils (0.029) and beans/peas/lentils (p < 0.0038) were associated with an increase in BMI. Furthermore, regression analysis revealed that income, education level, were significantly associated with diabetes knowledge and intake of a variety of food groups. ConclusionsThe findings demonstrate that diabetes knowledge and health beliefs are low among the participants and their dietary intake was poor with a high intake of carbohydrates and fats. The combination of these factors increases the risk for type 2 diabetes and other chronic diseases. Funding SourcesThis study was partially funded by the Nutritional Sciences department at Texas Tech University.

The Diabetes Knowledge Assessment in Type 2 Diabetic Patients: A Survey in West Coast Division of Sabah

The main concern in Type 2 Diabetes Mellitus (T2DM) management is to control the glycaemic level and thus prevent complications by behavioural modifications as a part of the government’s national strategic plan. The patient should know about the disease for behavioural modification to be implemented. Thus, this study evaluated the level of knowledge among T2DM patients in primary healthcare in the West Coast Division of Sabah. This is a cross-sectional study conducted in 2015 involving 15 primary healthcare clinics. A validated Malaysian version of the Michigan Diabetes Knowledge Test (MDKT) questionnaire was used to assess patients’ diabetes knowledge. The mean age of 369 patients is 54.9 years old (SD = 11.04). The means of knowledge scores were significantly different among the age group, education level, and employment status. No significant differences in knowledge were found in the group regarding the duration of diabetes and glycaemic control. Of 369 diabetic patients, 26.3% had poor knowledge, 65.0% had adequate knowledge, and only 8.7% had good knowledge. Overall, patients with T2DM in primary healthcare clinics have adequate knowledge regarding diabetes. Our study’s findings indicate that patients’ knowledge is associated with age group, level of education, and employment status. Healthcare providers should plan a good strategy to educate their patients based on these differences.

Assessment of diabetes knowledge, screening and uptake of community diabetes programs in a peri-urban region in Australia

AimsThe Wollondilly Diabetes Program (WDP) is testing ways to improve uptake of diabetes prevention services. This project evaluated the reach of WDP in diabetes promotion while assessing diabetes knowledge and risk among residents. MethodsA WDP member travelled in the DW weekly to community events including outreach programs between October 2016 and June 2019. Data from diabetes knowledge questionnaire (DKQ), the Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK), HbA1c and Random Blood Glucose (RBG) measurements obtained from participants who attended community events and road shows. ResultsOver the 32 months period, WDP attended 32 community events reaching 1415 people (∼3% of the Wollondilly adult population). DKQ was completed by 154 people (52.9% females, 78% Australian born, median age 69 years), 39% had diabetes and their mean score (25.0 ± 3.1, maximum possible score = 31) was similar to those without diabetes (24.0 ± 4.6, p = 0.093). AUSDRISK assessment was completed by 166 people with 85% at intermediate or high risk of diabetes. There were 65% results above range for RBG (≥5.5 mmol/l) and/or HbA1c (≥5.7%,39 mmol/mol). ConclusionA community outreach team set up in partnership with local stakeholders that offers opportunistic diabetes screening, is an effective way of engaging with the community to increase diabetes awareness and knowledge.

Democratizing type 1 diabetes specialty care in the primary care setting to reduce health disparities: project extension for community healthcare outcomes (ECHO) T1D

IntroductionProject ECHO (Extension for Community Healthcare Outcomes) is a tele-education outreach model that seeks to democratize specialty knowledge to reduce disparities and improve health outcomes. Limited utilization of endocrinologists forces...

ATTD 2021 Invited Speaker Abstracts.

ATTD 2021 Invited Speaker Abstracts.

Validation of diabetes knowledge questionnaire in Croatian with assessment of diabetes knowledge and quality of life in patients with type 2 diabetes mellitus

Background. Diabetes mellitus (DM) is one of the biggest challenges in global healthcare and society in general. Assessment of the patient’s level of knowledge regarding diabetes is an important step in adapting group education programs to achieve better treatment outcomes. The aim of this study was to validate Diabetes Knowledge Questionnaire (DKQ) in Croatian language, to evaluate knowledge about diabetes and examine the relationship between knowledge and quality of life among type 2 DM patient’s in Croatia. Methods. The study was conducted as a cross-sectional study on 500 subjects. Validation of DKQ questionnaire in Croatian language was done using forward-backward method and internal consistency was examined using Cronbach’s Alpha. Quality of life was assessed using WHOQOL-BREF Questionnaire. Results. Good reliability and internal consistency of DKQ was confirmed (a = 0,740). Overall knowledge about diabetes was satisfactory (average DKQ score was 12,13). Longer duration of disease and previous education about diabetes were observed as predictive factors of better knowledge. No association was found between diabetes knowledge and quality of life. Conclusions. Our study confirms that DKQ is a good tool for assessing diabetes knowledge in Croatian language. Patients with DM demonstrated good diabetes knowledge but education in areas of self-care and nutrition needs to be improved which may increase quality of life.

P170 Development and Validation of a Survey to Assess Diabetes Knowledge and Attitudes in Middle School Students

<h3>Background</h3> Limited surveys are available to assess diabetes prevention programs for young adolescents. <h3>Objective</h3> The objective of this study was to develop and validate a survey to assess diabetes knowledge, attitudes, and beliefs in middle school students. <h3>Study Design, Setting, Participants</h3> A 40-item survey was developed and validated in a convenience sample of middle school students in Utah. A panel of experts (n = 6) consisting of dietitians, diabetes educators, and 1 health teacher rated survey items using the Survey Validation Rubric for Expert Panel (VREP) approach. The instrument's Content Validity Index (CVI) was calculated. After pre-testing (n = 245) and pilot testing (n = 61), questionnaire items were excluded based on the correct response rate, Cronbach α, and item-to-total correlation. The resulting 25-item questionnaire was completed by 277 Middle School students (mean age of 13.2 ± 0.4 years). <h3>Measurable Outcome/Analysis</h3> Exploratory Factor Analysis (EFA) was used to identify potential factors within the survey, and subsequent calculation of Cronbach's alpha was used to determine the internal consistency of the potential factors. The Kaiser-Meyer-Olkin (KMO) test and scree plot analysis were performed to measure sample adequacy and to verify the number of extracted factors, respectively. <h3>Results</h3> Based on the expert's responses, the overall Content Validity Index (CVI) for the survey items was 0.95. The Cronbach's α coefficients were 0.7 for the knowledge and 0.72 for the attitudes and beliefs subscales, which demonstrated good internal consistency for both subscales. The sample was adequate (KMO > 0.7), and the data were suitable for factor analysis (Bartlett's test of Sphericity χ² = 532.94, <i>P</i> < .001). All factor loadings were above 0.4, revealing close relations between factors and items. <h3>Conclusions</h3> This survey demonstrates satisfactory internal consistency, construct validity, test-retest reliability, and factor structure. Results suggest nutrition educators can use this instrument to assess knowledge, attitudes, and beliefs in middle school students.

Baseline Diabetes Knowledge Assessment Amongst Adults With Type 1 and Type 2 Diabetes Receiving Eye Care at a Tertiary Ophthalmic Centre in Canada

ObjectivesThe aim of this work was to assess the current state of baseline knowledge of diabetes and diabetic retinopathy (DR) in new patients referred to a tertiary retina service from their primary eye care provider. MethodsThis single-centre, prospective, observational study included patients presenting to the retina clinic at the Hamilton Regional Eye Institute, a major tertiary referral centre, for their initial consultation for diabetes- or DR-associated complications. Upon recruitment into the study, patients were asked to complete a 35-item questionnaire regarding diabetes and associated complications. All data were coded and analyzed using statistical software. ResultsA total of 98 patients participated in the study, which included 50 men and 48 women. Seventy-eight patients (79.6%) were Caucasian. We found that 56.1% (n=55) of the patients did not know the meaning of “HbA1C” (glycated hemoglobin) and only 26.5% of patients sampled were aware of their DR status. Bivariate analysis revealed that patients who had postsecondary education (p<0.001) or those who had education on complications of diabetes (p<0.05) were more likely to know their DR status. More importantly, it was found that 56.1% of patients expressed interest in a future diabetes seminar. ConclusionsIt is evident that a significant proportion of patients do not have adequate knowledge of diabetes or DR, and this is related to their level of education and lack of being taught about diabetes complications. Our findings may guide prevention initiatives by primary eye care providers and promote increased awareness about diabetes and DR for prevention of disease complications, including blindness.

Knowledge and attitude towards type 2 diabetes among older adults: a population-based study.

The aim of this study was to identify the factors associated with knowledge and attitude towards type 2 diabetes mellitus among older adults with the disease. A cross-sectional population-based study was conducted on 204 older adults from the public healthcare network of Passo Fundo, RS. Sociodemographic data were collected and the DKN-A, ATT-19 and IPAQ were used for the assessment of diabetes knowledge, psychological attitudes towards diabetes and physical activity, respectively. Logistic regression was applied to evaluate the association with sociodemographic and health variables and indicators of body adiposity. Crude and adjusted analyses were performed with a 95% confidence interval. The results showed that good knowledge is associated with age ≥ 70 years (OR = 0.44; 95%CI: 0.18-1.08), having a positive attitude towards diabetes treatment (OR = 8.9; 95%CI: 4.3-18.9), and being physically active (OR = 10.1; 95%CI: 6.34-20.1). In conclusion, good knowledge and a positive attitude towards diabetes are associated with age older than 70 years and being physically active.

Actual and perceived knowledge of type 1 diabetes mellitus among school nurses

BackgroundIn general, school nurses are aware that it is important to have knowledge of type 1 diabetes to give adequate care to children with the disease. Many studies assessing diabetes knowledge have found different deficits among nurses. To our knowledge, however, no study has assessed the knowledge of type 1 diabetes among school nurses. ObjectiveTo assess actual and perceived diabetes knowledge among school nurses. DesignCross-sectional studies. SettingsSeventeen primary care facilities in Warsaw that employed school nurses. ParticipantsTwo hundred and thirty school nurses. MethodsWith the Diabetes Knowledge Questionnaire (DKQ), we assessed actual diabetes knowledge. With the Self-Assessed Diabetes Knowledge (SADK), we assessed perceived diabetes knowledge. Both the DKQ and SADK assessed seven domains of diabetes knowledge: general diabetes knowledge; insulin and glucagon; insulin pumps; diabetes complications; nutrition; physical activity, stress, and comorbidities; and glycemia measurements. We related DKQ and SADK scores to each other and to sociodemographic and work-related factors. ResultsThe rate of correct responses in the DKQ was 46.7%, with the lowest rate regarding knowledge of insulin pumps (36.5%), nutrition (37.4%), and insulin and glucagon (37.9%). Actual and perceived diabetes knowledge were moderately positively correlated (rho = 0.18,p =.009). In six of the seven knowledge domains examined, school nurses perceived their diabetes knowledge better compared with their actual knowledge. DKQ scores were higher in nurses with higher education (p = .024), those who had relatives or friends with diabetes (p = .032), and those who had prior diabetes training (p = .050). Interestingly, DKQ scores were higher among nurses with fewer years of experience (rho = − 0.18, p = .011). ConclusionsThere is a need for additional diabetes training among nursing students and practicing nurses to provide safe and effective care for children with type 1 diabetes.

651-P: Validation of a Clinically Relevant Knowledge Assessment in Pediatric Type 1 Diabetes

Objective assessment of diabetes knowledge is essential to providing effective diabetes education. There is currently no such resource or instrument designed for pediatric clinical use and validated in the target population. We developed and validated the Knowledge Assessment in T1D (KAT-1) for this purpose. The KAT-1 has a total of 109 multiple choice items divided into 11 subscales designed to be taken individually. Following a pilot study to optimize the KAT-1, a validation study was performed with 200 participants (60% privately insured; 70% female; mean child A1c 8.2%; 10% African American, 11% Hispanic), including 50 parents of children with T1D &amp;lt;10 years; 50 parents of children with T1D ages 11-15 years; 50 adolescents with T1D ages 11-15 years; and fifty 16-21 year olds with T1D. All completed the KAT-1, Diabetes Knowledge Test 2 (DKT2), and a demographic survey. SPSS was used to evaluate the results. The complete KAT-1 scale demonstrated strong internal consistency (Cronbach’s α = 0.92, mean score 84.6, SD = 16.1). Nine of the 11 topical subscales demonstrated strong internal consistency and each took &amp;lt;5 minutes to complete: Supplies/Insurance (α = 0.82, mean time = 2.3 minutes, 9 questions), Hypoglycemia (α = 0.57, time = 3.1 minutes, 8Q), Sick Days/Ketones (α = 0.73, time = 3.2 minutes, 11Q), Basic Management (α = 0.63, time = 3.7 minutes, 13Q), Insulin (α = 0.67, time = 1.7 minutes, 12Q), Pathophysiology (α = 0.66, time = 4.1 minutes, 10Q), Technology/Devices (α = 0.86, time = 2.1 minutes, 15Q), Nutrition (α = 0.51, time = 2 minutes, 7Q), and Diabetes at School (α = 0.52, time = 4.3 minutes, 9Q). Subscale scores were positively correlated with one another. Total scores were positively correlated with the DKT2 and negatively correlated with the child’s reported A1c. All correlations were significant. The validated KAT-1 facilitates objective and expedient assessment of T1D knowledge. Its subscales will be integrated into the EHR as patient-facing surveys to quickly identify individual learning needs and allow for targeted T1D education. Disclosure A. Albanese-O'Neill: None. J.W. MacInnes: None. N.T. Thomas: None. M.J. Haller: Advisory Panel; Self; Pancreum, SAB Biotherapeutics. D. Schatz: None. J. Silverstein: None. J. Adams: None. R. Oyetoro: None. B.A. Kershaw: None. K. Anderson: None. A. Bernier: None.