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. 2020 Jun 15;10(6):e037125.
doi: 10.1136/bmjopen-2020-037125.

Study protocol for a nationwide Knowledge, Attitudes and Practices (KAP) survey on diabetes in Singapore's general population

P V AshaRani  1 , Edimansyah Abdin  2 , Roystonn Kumarasan  2 , Fiona Devi Siva Kumar  2 , Saleha Shafie  2 , Anitha Jeyagurunathan  2 , Boon Yiang Chua  2 , Janhavi Ajit Vaingankar  2 , Sum Chee Fang  3 , Eng Sing Lee  4 , Rob Van Dam  5 , Siow Ann Chong  2 , Mythily Subramaniam  2
Affiliations

Study protocol for a nationwide Knowledge, Attitudes and Practices (KAP) survey on diabetes in Singapore's general population

P V AshaRani et al. BMJ Open. .

Abstract

Introduction: This study aims to establish the Knowledge, Attitudes and Practices (KAP) of the general population (people with and without diabetes) towards diabetes. The study will examine (a) recognition and understanding of causes, prevention and treatment strategies of diabetes; (b) identify the knowledge gaps and behavioural patterns that may hamper diabetes prevention and control; (c) stigma towards and stigma perceived by people with diabetes and (d) awareness of anti-diabetes campaigns.

Methods and analysis: The study is a nationwide, cross-sectional study of Singapore's general population aged 18 years and above (n=3000), comprising Chinese, Malay, Indian and other ethnic groups, who can understand English, Chinese, Malay or Tamil language. The sample was derived using a disproportionate stratified sampling using age and ethnicity. The proportion of respondents in each ethnic group (Chinese, Malay and Indian) was set to approximately 30%, while the proportion of respondents in each age group was set around 20% in order to ensure a sufficient sample size. The respondents will be administered questionnaires on diabetes KAP, stigma towards diabetes, lifestyle, diet and awareness of local anti-diabetes campaigns. The analysis will include descriptive statistics and multiple logistic and linear regression analyses to determine the socio-demographic correlates of correct recognition of diabetes, help-seeking preferences, as well as overall knowledge and attitudes among those with and without diabetes. We will consider a p value ≤0.05 as significant.

Ethics and dissemination: This study protocol has been reviewed by the Institutional Research Review Committee and the National Healthcare Group Domain Specific Review Board (NHG DSRB Ref 2018/00430). The results of the study will be shared with policymakers and other stakeholders. There will be a local mass media briefing to disseminate the findings online, in print and on television and radio. The results will be published in peer-reviewed journals and presented in scientific meetings.

Keywords: diabetes & endocrinology; epidemiology; public health.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Flow chart of the KAP study. KAP, Knowledge, Attitudes and Practices.
Figure 2
Figure 2
Sampling and procedure: The sample was drawn from a national administrative database of all residents in Singapore which served as a sampling frame. Household surveys are being conducted among those who provide written informed consent.
Figure 3
Figure 3
Study sample and recruitment plan: The study population involved in this national survey includes the general population who do not have diabetes and those who self-report a diagnosis of diabetes. The diabetes population will be supplemented with age, gender and ethnicity matched treatment seeking patients (n=330) for a robust analysis. ‡ Diagnosed by a clinician and seeking treatment (estimated based on the reported prevalence).
Figure 4
Figure 4
Flow chart of the questionnaires.
See this image and copyright information in PMC

References

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