VALIDATION OF MALAYSIAN SUGAR CRAVING ASSESSMENT TOOL (MYSCAT) AMONG TYPE II DIABETIC PATIENTS

Abstract

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. Patients’ 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 Cronbach’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 patients’ 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.