Measuring Children's Decision-Making Involvement Regarding Chronic Illness Management
Measuring Children's Decision-Making Involvement Regarding Chronic Illness Management
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DOI：
10.1093/jpepsy/jsr097
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发表时间：
2012-04-01
影响因子：
3.6
通讯作者：
Harris, Diana
中科院分区：
文献类型：
--
作者：
Miller, Victoria A.;Harris, Diana
目的：建立一种衡量患有囊性纤维化、糖尿病和哮喘的儿童和青少年决策参与的方法。方法采用决策投入量表（DMIS）、心理控制源量表和家庭沟通量表对两组儿童进行问卷调查。DMIS项目进行探索性和验证性因素分析（CFA）。时间稳定性和结构效度进行了评估。结果母表缩减为20个项目，代表5个因子。验证性因素分析表明，这五个因素是一个可以接受的适合父母和儿童的报告数据。内部一致性值范围为0.71至0.91。时间稳定性得到了中等-实质性组内相关系数的支持。DMIS分量表与儿童年龄、儿童控制点和家庭沟通有关。结论DMIS可以用来告知我们的理解过渡到更大的独立疾病管理。需要进行更多的研究来检查决策参与的结果，包括治疗依从性和责任。
Objectives To develop a measure of decision-making involvement in children and adolescents with cystic fibrosis, diabetes, and asthma. Methods Parent-child dyads completed the Decision-Making Involvement Scale (DMIS) and measures of locus of control and family communication. DMIS items were subjected to exploratory and confirmatory factor analysis (CFA). Temporal stability and construct validity were assessed. Results The parent form was reduced to 20 items representing five factors. CFA showed that the five factors were an acceptable fit to the parent- and child-report data. Internal consistency values ranged from 0.71 to 0.91. Temporal stability was supported by moderate-substantial intraclass correlation coefficients. DMIS subscales were associated with child age, child locus of control, and family communication. Conclusions The DMIS can be used to inform our understanding of the transition to greater independence for illness management. Additional research is needed to examine outcomes of decision-making involvement, including treatment adherence and responsibility.