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the quality of life among diabetic patients does not exist
and hence, the DQoL was merely designed and developed
for use within a specific clinical trial project by the DCCT
Research Group, 1988.
A er the study findings of the clinical trial project
were published in 1988, the DQoL instrument had sparked
interest among many researchers from all over the world
to use the same questionnaire. Some of these researchers
had assisted to perform the questionnaire validation for
DQoL in different languages such as Spanish, Turkish,
Japanese, Chinese, Taiwanese, Iranian, and Malaysian
(Reviriego et al., 1996; Cheng et al., 1999; Yildirim et al.,
2007; Huang et al., 2008; Pakpour et al., 2012; Sato et al.,
2014; Bujang et al., 2017). Most of these studies reported
that DQoL have demonstrated evidence of excellent
reliability but only some evidence of validity. However, it
must be emphasized that the evidence for its validity is not