Related Experiment Videos
Diabetes problem-solving scale development in an adult, African American sample
Felicia Hill-Briggs1,2, Hsin-Chieh Yeh3, Tiffany L Gary1,3
1The Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland (Dr. Hill-Briggs, Dr. Gary, Ms. Batts-Turner, Dr. Brancati)
The Diabetes Educator
|April 12, 2007
Summary
The Diabetes Problem-Solving Scale (DPSS) shows promise for assessing how adults with type 2 diabetes manage self-care. Higher scores correlate with better adherence and lower A1C, indicating effective problem-solving skills.
Area of Science:
- Psychology
- Endocrinology
- Public Health
Background:
- Type 2 diabetes requires significant self-management skills.
- Effective problem-solving is crucial for managing diabetes.
- The Diabetes Problem-Solving Scale (DPSS) was developed to assess these skills.
Purpose of the Study:
- To evaluate the psychometric properties of the DPSS.
- To determine the scale's reliability and validity in adults with type 2 diabetes.
- To explore the relationship between diabetes problem-solving and self-management behaviors.
Main Methods:
- A pilot study involving 64 African American adults with type 2 diabetes.
- Administration of the 30-item DPSS, social problem-solving measures, diabetes self-management, and depressive symptom scales.
- Measurement of hemoglobin A1C levels via blood samples.
Main Results:
- The DPSS demonstrated good internal consistency (Cronbach alpha .77 total scale).
- DPSS scores correlated significantly with social problem-solving, medication adherence, blood glucose monitoring, and hemoglobin A1C levels.
- Specific DPSS subscales were associated with reduced self-management and disease control.
Conclusions:
- The DPSS is a valid and reliable tool for assessing diabetes-related problem-solving in adults with type 2 diabetes.
- The scale can identify links between problem-solving abilities and self-management outcomes.
- DPSS findings can inform interventions to enhance diabetes self-management and control.
Related Concept Videos
01:15Diabetes: Symptoms, Diagnosis, and Complications
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is based on...
01:25Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis
Type 2 diabetes mellitus develops gradually and is often asymptomatic in early stages.Clinical ManifestationsWhen symptoms appear, they include fatigue, blurred vision, pruritus, delayed wound healing, and recurrent infections, particularly candidal infections. Peripheral neuropathy may present as numbness or tingling in the extremities. Classic hyperglycemia symptoms—polyuria, polydipsia, and polyphagia—are less common. Most patients are overweight and frequently have associated hypertension...
01:22Diabetes Mellitus: Type 2 and Gestational
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
01:22Diabetes Mellitus: Overview and Type I Subtype
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
01:26Type II Diabetes I: Introduction
Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance, in which target tissues such as the liver, muscle, and adipose tissue respond poorly to insulin. It is also associated with inadequate compensatory insulin secretion, where pancreatic β-cells fail to produce sufficient insulin. Together, these abnormalities lead to persistent hyperglycemia.EtiologyT2DM develops through a complex interaction of genetic predisposition and environmental or...
01:19Type I Diabetes III: Clinical Manifestations
Type 1 diabetes mellitus typically presents with rapid-onset symptoms due to the body’s inability to utilize glucose in the absence of insulin. Since insulin is required for glucose uptake into cells, its deficiency leads to hyperglycemia and cellular energy deprivation, resulting in characteristic clinical features.Polyuria and PolydipsiaOne of the earliest, most prominent symptoms is polyuria (excessive urination). When blood glucose concentrations rise above the renal threshold, the kidneys...