期刊
DIABETIC MEDICINE
卷 28, 期 9, 页码 1113-1117出版社
WILEY-BLACKWELL
DOI: 10.1111/j.1464-5491.2011.03321.x
关键词
adherence; paediatrics; Type 1 diabetes
资金
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
- NIH [T32 DK007260]
- National Institute of Diabetes and Digestive and Kidney Diseases [DK-46887]
- Charles H. Hood Foundation
- Maria Griffin Drury Pediatric Fund
- Katherine Adler Astrove Youth Education Fund
- [N01-HD-4-3363]
- [N01-HD-4-3362]
- [N01-HD-4-3361]
- [N01-HD-4-3364]
- [N01-HD-3-3360]
Aims Adherence to diabetes-related tasks is an important construct. The Diabetes Self-Management Profile is a validated, semi-structured interview assessing adherence in paediatric patients with Type 1 diabetes. We created and validated a brief questionnaire version of the Diabetes Self-Management Profile called the Diabetes Self-Management Questionnaire. Methods Young people with Type 1 diabetes, ages 9-15 years (n = 338) and their parents provided data from chart review, interview and questionnaires. Results Diabetes Self-Management Questionnaire scores correlated significantly with Diabetes Self-Management Profile scores, HbA(1c), blood glucose monitoring frequency and other measures associated with adherence and/or glycaemic control (P <= 0.01 for all). Young people and parent scores were correlated (r = 0.55, P < 0.0001). The Diabetes Self-Management Questionnaire demonstrated modest internal consistency (Cronbach's alpha = 0.59), adequate for a brief measure of multidimensional adherence. In addition, factor analysis confirmed one factor. Conclusions This brief adherence questionnaire demonstrated construct validity in young people 9-15 years old and their parents and may have utility in clinical and research settings.
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