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At test-retest, no significant difference was found for all items. The median total score interquartile range (IQR) of the M-MALMAS was 7.0 (6.0-8. and this was significantly correlated to the median total score of the Malay MMAS-8 [median (IQR) = 7.0 (5.8-8., p less then 0.001]. HbA1c levels were significantly lower among participants who were adherent to their medications (score 6-8) versus those who were non-adherent (score less then 6, p = 0.018). The sensitivity and specificity of the M-MALMAS was 92% and 32.8%, respectively.