"Miscarried helping" in adults with Type 2 diabetes: Helping for Health Inventory-Couples.
"Miscarried helping" in adults with Type 2 diabetes: Helping for Health Inventory-Couples.
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DOI：
10.1037/fsh0000289
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发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Weinstock RS
中科院分区：
文献类型：
--
作者：
Tanaka R;Trief PM;Scales K;Weinstock RS
家人/伴侣的支持与成人2型糖尿病(T2D)患者更好的血糖控制、自我护理坚持和生活质量相关。“流产的帮助”描述了患有慢性病的青少年与他们的家庭成员之间的互动，在这种互动中，家庭成员是有帮助的，但患者认为这种努力是消极的。然而，“流产的帮助”还没有在成年糖尿病患者中被测量出来。对来自随机临床试验(n=268)的数据进行了分析，以确定在儿童人群中发展的一种流产帮助措施的适应的心理测量学特性和相关性，用于成人T2D。健康促进问卷-夫妻版(HHI-C)被发现有3个潜在因素，并显示出足够的内部一致性(基线时的克朗巴赫氏α=.86，4个月=.87，8个月=.86，12个月=.83)，并在12个月期间显示出高度的重测信度(p<；.01)。部分支持收敛效度，因为基线HHI-C与不适应冲突解决策略呈正相关(p=.03)，与适应性冲突解决策略(p=.04)和糖尿病知识(p<；.01)负相关。HHI-C与BMI或衡量血糖控制的血红蛋白A1c无关。HHI-C与糖尿病痛苦(p<；.01)和抑郁症状(p=.01)呈正相关。这项研究是已知的第一个关于流产帮助成人T2D的心理测量学特性的报道。这一有效的流产帮助措施可能有助于未来评估新的、基于关系的方法，以帮助患有T2D的成年人进行疾病管理。
Family/partner support has been associated with better blood glucose control, self-care adherence, and quality of life in adult patients with type 2 diabetes (T2D). “Miscarried helping” has described interactions between youth with chronic diseases and their family members, in which a family member is helpful, but efforts are perceived as negative by the patient. “Miscarried helping” has not, however, been measured in adults with diabetes. Data from a randomized clinical trial (n=268) were analyzed to establish the psychometric properties and correlates of an adaptation of a measure of miscarried helping developed in pediatric populations, for use with adults with T2D. The Helping for Health Inventory-Couples Version (HHI-C) was found to have 3 underlying factors and demonstrated adequate internal consistency across time (Cronbach’s α at baseline=.86, 4-months=.87, 8-months= .86, and 12-months=.83) and showed high test-retest reliability (p <.01) over a 12-month period. Convergent validity was partially supported, as baseline HHI-C was positively associated with maladaptive conflict resolution strategies (p=.03), and negatively associated with adaptive conflict resolution strategies (p=.04) and diabetes knowledge (p <.01). The HHI-C did not correlate with BMI or hemoglobin A1c, a measure of glycemic control. The HHI-C was positively associated with diabetes distress (p<.01) and depressive symptoms (p=.01). This study is the first known reporting of the psychometric properties of a measure of miscarried helping for adults with T2D. This valid measure of miscarried helping could be useful in future studies evaluating novel, relationship-based approaches to assist adults with T2D in disease management.
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