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Development of the diabetes problem-solving measure for adolescents
S Cook1, J E Aikens2, C A Berry3
1The University of Chicago, Department of Medicine, Chicago, Illinois (Drs Cook and McNabb)
The Diabetes Educator
|September 6, 2002
Summary
This study introduces the Diabetes Problem-Solving Measure for Adolescents (DPSMA), a new tool to assess how teens with type 1 diabetes manage their condition. The DPSMA shows reliability and validity for understanding adolescent self-management skills.
Area of Science:
- Pediatric Endocrinology
- Behavioral Science
- Psychometrics
Background:
- Adolescents with type 1 diabetes require effective self-management skills.
- Assessing problem-solving abilities is crucial for optimizing diabetes care in adolescents.
- Existing tools may not adequately capture the nuances of diabetes-related problem-solving in this age group.
Purpose of the Study:
- To develop and validate the Diabetes Problem-Solving Measure for Adolescents (DPSMA).
- To evaluate the psychometric properties of the DPSMA for assessing diabetes self-management problem-solving in adolescents.
- To provide a reliable instrument for healthcare providers to understand adolescent diabetes management capabilities.
Main Methods:
- Development of 17 diabetes-related self-management problem vignettes based on adolescent and parent surveys.
- Review and finalization of vignettes by a multidisciplinary team of diabetes experts.
- Psychometric evaluation using a sample of 43 adolescents (13-17 years old) with type 1 diabetes.
Main Results:
- The DPSMA demonstrated acceptable internal consistency.
- Interrater reliability for the scale was found to be acceptable.
- Construct validity was supported by predicted relationships with adherence, quality of life, and metabolic control measures.
Conclusions:
- The DPSMA is a psychometrically sound instrument for assessing diabetes problem-solving skills in adolescents.
- The measure exhibits acceptable internal consistency, interrater reliability, and construct validity.
- The DPSMA can be a valuable tool for clinicians to understand and support adolescent diabetes self-management.
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