Developing and Psychometric Testing of a Short-Form Problem Areas in Diabetes Scale in Chinese Patients

台灣簡版糖尿病問題量表發展及信、效度檢測

徐慧君(Hui-Chun Hsu) ； 張毓泓(Yu-Hung Chang) ； 李佩儒(Pei-Ju Lee) ； 陳思羽(Shi-Yu Chen) ； 謝昌勳(Chang-Hsun Hsieh) ； 李洮俊(Yau-Jiunn Lee) ； 王瑞霞(Ruey-Hsia Wang)

《The Journal of Nursing Research》 21卷3期 (2013/09) Pp. 212-218

https://doi.org/10.1097/01.jnr.0000432048.31921.e2

摘要

Background: The 20-item Problem Areas in Diabetes (PAID) scale is widely used to measure diabetes-related emotional distress. The short-form PAID scale is helpful for the rapid screening of diabetes-related emotional distress in clinical settings.Purpose: This study developed and examined the psychometric properties of a short-form Chinese-version PAID (SFPAID-C) scale.Methods: The Chinese-version 20-item PAID (PAID-C) scale was administered to 855 patients with type 2 diabetes mellitus. Item analysis, exploratory factor analysis, and confirmatory factor analysis were then applied to develop the SF-PAID-C and evaluate its construct validity. The correlations between SFPAID-C and the latest HbA1c close to the measurement of PAID-C (baseline HbA1c) 3 months and 12 months later were used to examine the concurrent and predictive validity of the SF-PAID-C. Receiver operating characteristic curve analysiswas used to examine the sensitivity and specificity of the SF-PAID-C. Cronbach's alpha was used to assess internal consistency. Test-retest on 24 patients was used to examine the stability of the SF-PAID-C.Results: An 8-item SF-PAID-C was developed. The SF-PAIDC significantly correlated with the PAID-C (r = .941, p G .001), baseline HbA1c (r = .148, p G .001), 3-month HbA1c (r = .147, p G .001), and 12-month HbA1c (r = .142, p G .001). The sensitivity and specificity of the SF-PAID-C were 93.2% and 94.2%, respectively. The Cronbach's α and test-retest reliability of the SF-PAID-C were .85 and .93, respectively.Conclusions/Implications for Practice: The SF-PAID-C is a reliable and valid scale that can be used to screen for diabetes-related emotional problem in Chinese patients with type 2 diabetes mellitus in clinical settings.

關鍵字

糖尿病 ； 糖尿病問題量表 ； 情緒困擾

並列摘要

Background: The 20-item Problem Areas in Diabetes (PAID) scale is widely used to measure diabetes-related emotional distress. The short-form PAID scale is helpful for the rapid screening of diabetes-related emotional distress in clinical settings.Purpose: This study developed and examined the psychometric properties of a short-form Chinese-version PAID (SFPAID-C) scale.Methods: The Chinese-version 20-item PAID (PAID-C) scale was administered to 855 patients with type 2 diabetes mellitus. Item analysis, exploratory factor analysis, and confirmatory factor analysis were then applied to develop the SF-PAID-C and evaluate its construct validity. The correlations between SFPAID-C and the latest HbA1c close to the measurement of PAID-C (baseline HbA1c) 3 months and 12 months later were used to examine the concurrent and predictive validity of the SF-PAID-C. Receiver operating characteristic curve analysiswas used to examine the sensitivity and specificity of the SF-PAID-C. Cronbach's alpha was used to assess internal consistency. Test-retest on 24 patients was used to examine the stability of the SF-PAID-C.Results: An 8-item SF-PAID-C was developed. The SF-PAIDC significantly correlated with the PAID-C (r = .941, p G .001), baseline HbA1c (r = .148, p G .001), 3-month HbA1c (r = .147, p G .001), and 12-month HbA1c (r = .142, p G .001). The sensitivity and specificity of the SF-PAID-C were 93.2% and 94.2%, respectively. The Cronbach's α and test-retest reliability of the SF-PAID-C were .85 and .93, respectively.Conclusions/Implications for Practice: The SF-PAID-C is a reliable and valid scale that can be used to screen for diabetes-related emotional problem in Chinese patients with type 2 diabetes mellitus in clinical settings.

並列關鍵字

diabetes ； Problem Areas in Diabetes ； emotional distress

參考文獻

American Diabetes Association(2013).Standards of medical care in diabetes-2013.Diabetes Care.35(1, Suppl.),S11-S66.

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