Development and validation of the diabetes adolescent problem solving questionnaire

被引:13
|
作者
Mulvaney, Shelagh A. [1 ,2 ,3 ]
Jaser, Sarah S. [3 ]
Rothman, Russell L. [3 ,4 ]
Russell, William E. [3 ]
Pittel, Eric J. [3 ]
Lybarger, Cindy [3 ]
Wallston, Kenneth A. [1 ]
机构
[1] Vanderbilt Univ, Med Ctr, Sch Nursing, Nashville, TN 37240 USA
[2] Vanderbilt Univ, Med Ctr, Dept Biomed Informat, Nashville, TN 37240 USA
[3] Vanderbilt Univ, Med Ctr, Dept Pediat, Nashville, TN 37240 USA
[4] Vanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37240 USA
基金
美国国家卫生研究院;
关键词
Type; 1; diabetes; Adolescent; Problem solving; Assessment; Self-management; Glycemic control; SELF-MANAGEMENT; METABOLIC-CONTROL; ADHERENCE; CHILDHOOD; SUPPORT; YOUTHS; TRIAL;
D O I
10.1016/j.pec.2014.07.005
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: Problem solving is a critical diabetes self-management skill. Because of a lack of clinically feasible measures, our aim was to develop and validate a self-report self-management problem solving questionnaire for adolescents with type 1 diabetes (T1D). Methods: A multidisciplinary team of diabetes experts generated questionnaire items that addressed diabetes self-management problem solving. Iterative feedback from parents and adolescents resulted in 27 items. Adolescents from two studies (N= 156) aged 13-17 were recruited through a pediatric diabetes clinic and completed measures through an online survey. Glycemic control was measured by HbAl c recorded in the medical record. Results:. Empirical elimination of items using principal components analyses resulted in a 13-item unidimensional measure, the diabetes adolescent problem solving questionnaire (DAPSQ) that explained 56% of the variance. The DAPSQ demonstrated internal consistency (Cronbach's alpha = 0.92) and was correlated with diabetes self-management (r = 0.53, p <. 001), self-efficacy (r = 0.54, p <. 001), and glycemic control (r = -0.24, p <. 01). Conclusion: The DAPSQ is a brief instrument for assessment of diabetes self-management problem solving in youth with T1D and is associated with better self-management behaviors and glycemic control. Practice implications: The DAPSQ is a clinically feasible self-report measure that can provide valuable information regarding level of self-management problem solving and guide patient education. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:96 / 100
页数:5
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