The summary of diabetes self-care activities measure - Results from 7 studies and a revised scale

The summary of diabetes self-care activities measure - Results from 7 studies and a revised scale
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DOI:
10.2337/diacare.23.7.943
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发表时间:
2000-07-01
期刊:
影响因子:
16.2
通讯作者:
Glasgow, RE
Glasgow, RE
中科院分区:
医学1区
文献类型:
--
作者:
Toobert, DJ;Hampson, SE;Glasgow, RE

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目的-回顾7项不同研究的可靠性、有效性和规范性数据,共涉及1,988名糖尿病患者,并提供糖尿病自我护理活动总结(SDSCA)测量的修订版。研究设计和方法-SDSCA测量是糖尿病自我管理的简短自我报告问卷,包括评估糖尿病治疗方案以下方面的项目:一般饮食、特定饮食、运动、血糖测试、足部护理和吸烟。规范性数据(平均值和SD),项目间和重测信度,SDSCA分量表和一系列标准措施之间的相关性,以及对变化分数的敏感性,提出了7个不同的研究(5随机干预和2个观察性研究)。除特定饮食外,量表内项目间的平均相关性较高(平均值= 0.47);重测相关性中等(平均值= 0.40)。与其他措施的饮食和运动的相关性一般支持SDSCA分量表的有效性(平均值= 0.23)。SDSCA问卷是一种简短而可靠的糖尿病自我管理自我报告措施,对研究和实践都很有用。修订后的版本和它的评分,并建议在适当的情况下,在糖尿病自我管理的研究纳入这项措施。
OBJECTIVE - To review reliability, validity, and normative data from 7 different studies, involving a total of 1,988 people with diabetes, and provide a revised version of the Summary of Diabetes Self-Care Activities (SDSCA) measure.RESEARCH DESIGN AND METHODS - The SDSCA measure is a brief self-report questionnaire of diabetes self-management that includes items assessing the following aspects of the diabetes regimen: general diet, specific diet, exercise, blood-glucose testing, foot care, and smoking. Normative data (means and SD), inter-item and test-retest reliability, correlations between the SDSCA subscales and a range of criterion measures, and sensitivity to change scores are presented for the 7 different studies (5 randomized interventions and 2 observational studies).RESULTS - Participants were typically older patients, having type 2 diabetes for a number of years, with a slight preponderance of women. The average inter-item correlations within scales were high (mean = 0.47), with the exception of specific diet; test-retest correlations were moderate (mean = 0.40). Correlations with other measures of diet and exercise generally supported the validity of the SDSCA subscales (mean = 0.23).CONCLUSIONS - There are numerous benefits from standardization of measures across studies. The SDSCA questionnaire is a brief yet reliable and valid self-report measure of diabetes self-management that is useful both for research and practice. The revised version and its scoring are presented, and the inclusion of this measure in studies of diabetes self-management is recommended when appropriate.