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Validation of the Chinese version of the Problem Areas in Diabetes (PAID-C) scale
Min-Feng Huang1, Mary Courtney, Helen Edwards
1Department of Nursing, Yuanpei University, Hsinchu, Taiwan. minfeng@mail.ypu.edu.tw
Objective:
To examine the psychometric properties of a Chinese version of the Problem Areas In Diabetes (PAID-C) scale.
Research Design And Methods:
The reliability and validity of the PAID-C were evaluated in a convenience sample of 205 outpatients with type 2 diabetes. Confirmatory factor analysis, Bland-Altman analysis, and Spearman's correlations facilitated the psychometric evaluation.
Results:
Confirmatory factor analysis confirmed a one-factor structure of the PAID-C (chi(2)/df ratio = 1.894, goodness-of-fit index = 0.901, comparative fit index = 0.905, root mean square error of approximation = 0.066). The PAID-C was associated with A1C (r(s) = 0.15; P < 0.05) and diabetes self-care behaviors in general diet (r(s) = -0.17; P < 0.05) and exercise (r(s) = -0.17; P < 0.05). The 4-week test-retest reliability demonstrated satisfactory stability (r(s) = 0.83; P < 0.01).
Conclusions:
The PAID-C is a reliable and valid measure to determine diabetes-related emotional distress in Chinese people with type 2 diabetes.
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