Assessing regimen adherence of adolescents with type 1 diabetes
Assessing regimen adherence of adolescents with type 1 diabetes
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DOI：
10.2337/dc06-0685
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发表时间：
2006-10-01
期刊：
影响因子：
16.2
通讯作者：
Clark, Loretta
中科院分区：
文献类型：
--
作者：
Iannotti, Ronald J.;Nansel, Tonja R.;Clark, Loretta
目的：本研究的目的是评估糖尿病治疗方案依从性的两种最新指标。糖尿病自我管理简介（DSMP）是一种广泛使用的结构化访谈。限制包括大量的采访者和被调查者的时间负担，以及需要训练有素的采访者使用适当的提示并对开放式回答进行评分。糖尿病行为评定量表（DBRS）是一项自我管理、固定选择的调查。研究设计和方法：这两种方法对146名1型糖尿病青少年（11-18岁）及其父母进行了研究。将项目添加到DBRS中，以允许灵活和传统的方案，并修改DSMP，以使用跨项目的标准化措辞，适应灵活的方案，并允许非医疗采访者管理。结果-两种测量方法都有良好的内部一致性证据（对于DSMP：父母0.75和青年0.70；对于DBRS：父母0.84和青年0.84）。DSMP和DBRS得分显著相关（家长r = 0.72，青少年r = 0.74）。家长与青少年之间存在中等程度的一致性（DSMP, r = 0.51； DBRS, r = 0.48）。测量结果与父母（DSMP, r = = -0.35； DBRS, r = -0.35）和青年（DSMP, r = -0.36； DBRS, r = -0.34）报告的HbA（1c）相关。结论：两种测量方法都表现出良好的心理测量特性和良好的标准效度，但在被调查者和采访者负担方面存在差异，这是选择评估程序时应考虑的问题。
OBJECTIVE - The purpose of this study is to evaluate two updated measures of diabetes regimen adherence. The Diabetes Self-Management Profile (DSMP) is a widely used, structured interview. Limitations include a substantial interviewer and respondent time burden and the need for well-trained inter-viewers to use appropriate prompts and score the open-ended responses. The Diabetes Behavior Rating Scale (DBRS) is a self-administered, fixed-choice survey.RESEARCH DESIGN AND METHODS - Both measures were administered to 146 youth with type I diabetes (aged 11-18 years) and their parents. Items were added to the DBRS to allow for both flexible and conventional regimens, and the DSMP was modified to use standardized wording across items, accommodate flexible regimens, and permit administration by nonmedical interviewers.RESULTS - Both measures had good evidence of internal consistency (for the DSMP: parent 0.75 and youth 0.70; for the DBRS: parent 0.84 and youth 0.84). Scores on the DSMP and the DBRS were significantly related (r = 0.72 for parents and 0.74 for youth). There was moderate agreement between parent and youth (DSMP, r = 0.51; DBRS, r = 0.48). The measures were correlated with HbA(1c) for both parent (DSMP, r = = -0.35; DBRS, r = -0.35) and youth (DSMP, r = -0.36; DBRS, r = -0.34) reports.CONCLUSIONS - Both measures exhibit good psychometric properties and good criterion validity but varied in terms of respondent and interviewer burden, issues that should be considered in selecting assessment procedures.