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Updated and revised Diabetes Family Conflict Scale
Korey K Hood1, Deborah A Butler, Barbara J Anderson
1Pediatric, Adolescent, and Young Adult Section, Joslin Diabetes Center, Harvard Medical School, Boston, MA 02215, USA.
Diabetes Care
|March 21, 2007
Summary
The updated Diabetes Family Conflict Scale (DFCS) effectively measures family conflict in type 1 diabetes management. Higher conflict, especially around direct tasks like blood glucose monitoring, is linked to poorer glycemic control (A1C).
Area of Science:
- Pediatric Endocrinology
- Psychometrics
- Family Psychology
Background:
- Intensive diabetes management in type 1 diabetes (T1D) presents unique family challenges.
- Family conflict can negatively impact treatment adherence and glycemic control.
- Existing tools may not fully capture the nuances of T1D-related family dynamics.
Purpose of the Study:
- To update the Diabetes Family Conflict Scale (DFCS) for the current era of intensive diabetes management.
- To evaluate the psychometric properties of the revised DFCS.
- To assess the relationship between family conflict and glycemic control in pediatric T1D.
Main Methods:
- The revised DFCS was administered to 202 children/adolescents with T1D and their caregivers.
- Measures included negative emotions, quality of life, parental burden, insulin regimen, adherence, and glycemic control (A1C).
- Psychometric properties (internal consistency, factor analysis) and correlations with A1C were analyzed.
Main Results:
- The revised DFCS showed strong psychometric properties with acceptable internal consistency for child and caregiver forms.
- Factor analysis identified two conflict domains: direct and indirect management tasks.
- Both child and caregiver DFCS scores correlated significantly with A1C.
- Diabetes-specific family conflict independently predicted glycemic control, with direct management conflict being a stronger predictor than indirect conflict.
Conclusions:
- The updated DFCS is a psychometrically sound tool for assessing diabetes-specific family conflict in T1D.
- Family conflict, particularly around direct management tasks, is a significant factor associated with glycemic control in pediatric T1D.
- The findings support the use of the DFCS in clinical and research settings to identify families needing support.
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