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75% of the variance in the 19 items. The items' factor loadings were all above 0.6. The results of the confirmatory factor analysis indicated that adequate fit indices (χ2 value to degrees of freedom=3.62; root mean square error of approximation=0.06; goodness-of-fit index=0.92) were achieved. The Cronbach's alpha coefficient was 0.79, test-retest reliability was 0.73, and split-half reliability was 0.75. The DMTAS showed good validity and reliability to measure the out-of-hospital treatment adherence in patients with diab