Validity and Reliability of an Adolescent and Parent Rating Scale of Type 1 Diabetes Adherence Behaviors: The Self-Care Inventory (SCI)
Validity and Reliability of an Adolescent and Parent Rating Scale of Type 1 Diabetes Adherence Behaviors: The Self-Care Inventory (SCI)
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DOI：
10.1093/jpepsy/jsp032
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发表时间：
2009-10-01
影响因子：
3.6
通讯作者：
Silverstein, Janet H.
中科院分区：
文献类型：
--
作者：
Lewin, Adam B.;LaGreca, Annette M.;Silverstein, Janet H.
目的准确评估青年糖尿病患者的遵医行为是一项具有挑战性的奋进，且缺乏实证支持的测量方法。本研究的目的是进一步证明自我护理量表（SCI）的有效性和可靠性，青少年和家长报告的糖尿病自我护理行为的遵守措施。选择SCI是因为其易于实施，适用于多种糖尿病治疗方案，以及双亲/青少年格式。方法研究对象为164名1型糖尿病患者及其父母。在三级护理糖尿病诊所的定期办公室访视中采取措施。结果SCI具有较强的心理测量学特征，包括足够的内部一致性、亲子一致性和重测一致性。SCI与糖尿病依从性（糖尿病自我管理档案; DSMP）和血红蛋白A1 c（HbA 1c）的结构化访谈之间的关系很强。结论除了展示强大的心理测量学，这项研究提供了独立的支持SCI。因此，SCI与Quittner等人（Journal of Pediatric Psychology，33，916-936）提出的最近的标准一致，该标准是经验支持的方案依从性测量。虽然其他评估依从性的方法可能提供更全面的评估，但SCI的简洁性、易于实施性和多种方案的鲁棒性使其成为临床医生和研究人员的理想工具。
Objective Accurate assessment of diabetes regimen adherence behaviors in youth is a challenging endeavor and is limited by a paucity of empirically supported measures. The purpose of this research is to further demonstrate the validity and reliability of the Self-Care Inventory (SCI), a youth and parent report measure of adherence with diabetes self-care behaviors. The SCI was chosen given its ease of implementation, applicability to multiple diabetes regimens, and dual parent/youth formats. Methods Participants were 164 youth with type 1 diabetes and a parent. Measures were administered at regular office visits to a tertiary care diabetes clinic. Results The SCI has strong psychometric properties, including adequate internal consistency, parent-youth agreement, and test-retest agreement. Relations between the SCI and a structured interview of diabetes adherence (the Diabetes Self-Management Profile; DSMP) and hemoglobin A1c (HbA1c) were strong. Conclusions In addition to demonstrating strong psychometrics, this research provides independent support for the SCI. Thus, the SCI is consistent with recent criteria proposed by Quittner et al. (Journal of Pediatric Psychology, 33, 916-936) for an empirically supported measure of regimen adherence. Although other methods of accessing adherence may provide more comprehensive assessments, the brevity, ease-of-implementation, and robustness for multiple regimens makes the SCI an ideal tool for clinicians and researchers.