VALIDATION OF MALAYSIAN SUGAR CRAVING ASSESSMENT TOOL (MYSCAT) AMONG TYPE II DIABETIC PATIENTS
Introduction: The purpose of this study is to validate Sugar Craving Assessment Tool (MySCAT) among type II diabetes mellitus patients. Methods: A total of 168 respondents were recruited to participate in this cross-sectional study. It was conducted in out-patient health clinics in Kuala Terengganu and Kuantan. Patientsâ€™ sugar craving and dietary behavior were measures using structured questionnaires which were MySCAT, three-day dietary recall, and demographic data. The interview sessions were conducted by a dietician. Results: MySCAT internal consistency test had a Cronbachâ€™s alpha value of 0.75 and showed a significant correlation (r=0.56, p < 0.001) with actual sugar intake collected via three days diet recall. ROC analysis reported a cut-off point for MySCAT as 16.5; the sensitivity value of 0.83 and 1-specificity of 0.38. From the analysis, 62% of respondents were categorized as cravers and 38% as non-cravers. Males and females had no significant differences in craving status. The mean intake of sugar was 46 g/day (SD= 2.26), respondents had a relatively high intake of sugar in compares to their recommendation. Conclusions: This study found that MySCAT provides an easy efficient tool which is sensitive enough to identify those with sugar cravings problem. It also provides an overview of patientsâ€™ dietary intake and points out their problem with dietary intake compliance. We suggest that MySCAT an important tool that can aid dietician in their consultation session.