Validation of a self-report version of the diabetes self-management profile.
Validation of a self-report version of the diabetes self-management profile.
复制标题
验证糖尿病自我管理概况的自我报告版本。
DOI：
10.1111/j.1399-5448.2011.00823.x
复制
发表时间：
2012
影响因子：
3.4
通讯作者：
Taylor,Alex
中科院分区：
文献类型：
--
作者：
Wysocki,Tim;Buckloh,LisaM;Antal,Holly;Lochrie,Amanda;Taylor,Alex
Wysocki T、Buckloh LM、Antal H、Lochrie A、Taylor A。糖尿病自我管理概况自我报告版本的验证。治疗依从性不足阻碍了 1 型糖尿病 (T1D) 血糖控制目标的实现。有效且可靠地衡量治疗依从性是严格评估相关干预措施的先决条件。糖尿病自我管理档案 (DSMP) 是一种衡量 T1D 依从性的结构化访谈指标，有效且可靠，但它需要训练有素的访谈者，管理起来需要大量劳动力，并且对研究参与者来说是负担。我们对 DSMP 访谈进行了改编，创建了 DSMP 自我报告问卷 (DSMP-SR)，供父母和 11 岁以上的青少年填写。 DSMP-SR 是在对 151 名 8 岁至 18 岁以下患有 T1D 的青少年进行的一项横断面研究中获得的[男性，50.7%；少数族裔，23%；平均年龄，13.9 岁； T1D 持续时间，5.5 年；血红蛋白 A1c (HbA1c)，8.7%] 以及各自的亲本。父母和 11 岁以上的青少年独立完成 DSMP-SR。 DSMP-SR 具有良好的内部一致性（Cronbach's α：青少年，0.82；家长，0.80）和家长-青少年一致性（r = 0.60，p < 0.001），并且与 HbA1c 显着相关（青少年 r = -0.35，家长 -0.46，p < 0.001）、PedsQL 生活质量量表（青少年：r = -0.41，p < 0.001；父母：r = -0.40，p < 0.001），对于父母而非青少年，修订后的糖尿病家庭冲突量表（r = -0.47，p < 0.001）。较高的 DSMP-SR 分数与较低的 HbA1c、较好的生活质量和较少的家庭冲突相关。 DSMP-SR 与其他地方报道的 DSMP 具有相似的心理测量特性，可以方便地测量 T1D 依从性。
Wysocki T, Buckloh LM, Antal H, Lochrie A, Taylor A. Validation of a self‐report version of the diabetes self‐management profile.Inadequate treatment adherence impedes achievement of glycemic control targets in type 1 diabetes (T1D). Valid and reliable measurement of treatment adherence is a prerequisite to rigorous evaluation of pertinent interventions. The diabetes self‐management profile (DSMP), a structured interview measure of T1D adherence, is valid and reliable but it requires trained interviewers, it is labor intensive to administer and it is burdensome for research participants. We adapted the DSMP interview to create the DSMP‐self‐report questionnaire (DSMP‐SR) for completion by parents and youth ≥11 yr old. The DSMP‐SR was obtained during a cross‐sectional study of 151 youth within the age range of 8 to <18 yr with T1D [male, 50.7%; racial minorities, 23%; mean age, 13.9 yr; T1D duration, 5.5 yr; hemoglobin A1c (HbA1c), 8.7%] and a parent of each. Parents and youth ≥11 yr old completed the DSMP‐SR independently. The DSMP‐SR had sound internal consistency (Cronbach's α: youth, 0.82; parent, 0.80), and parent–youth agreement, (r = 0.60, p < 0.001) and significant associations with HbA1c (r = −0.35 for youth and −0.46 for parents, p < 0.001), PedsQL quality of life scale (youth: r = −0.41, p < 0.001; parent: r = −0.40, p < 0.001) and, for parents but not youth, the Revised Diabetes Family Conflict Scale (r = −0.47, p < 0.001). Higher DSMP‐SR scores were associated with lower HbA1c, better quality of life, and less family conflict. The DSMP‐SR has similar psychometric properties to those reported elsewhere for the DSMP, yielding a convenient measure of T1D adherence.