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Development and Validation of a Measure Assessing Child Diabetes Behavior: The Diabetes Behavior Checklist
Aditi Lohan1, Alina Morawska1, Amy E Mitchell1
1a Parenting and Family Support Centre, School of Psychology, The University of Queensland , St. Lucia , Australia.
Insights
This study developed and validated the Diabetes Behavior Checklist for children with type 1 diabetes. The new measure assesses diabetes-specific behavior problems and parental confidence in managing them.
Area of Science:
- Pediatric Endocrinology
- Child Psychology
- Behavioral Science
Background:
- General child behavior impacts treatment adherence and outcomes in type 1 diabetes.
- Specific behavioral challenges in pediatric diabetes management are not well understood.
- A validated tool is needed to assess diabetes-specific behavior problems and parental confidence.
Purpose of the Study:
- To develop and validate a measure of diabetes-specific child behavior problems.
- To assess parents' confidence in managing these behaviors.
- To provide a tool for improved pediatric diabetes management.
Main Methods:
- A community sample of 186 parents of children (2-10 years) with type 1 diabetes participated.
- Participants were recruited through online parenting forums and school/childcare newsletters in Australia.
- The Diabetes Behavior Checklist underwent psychometric evaluation, including internal consistency and construct validity assessments.
Main Results:
- The Diabetes Behavior Checklist demonstrated excellent internal consistency and construct validity.
- Factor analyses supported a 3-factor structure for the behavior problems scale and a 1-factor structure for the confidence scale.
- Preliminary evidence supports the validity of the Diabetes Behavior Checklist.
Conclusions:
- The Diabetes Behavior Checklist is a valid and reliable measure for assessing diabetes-specific behavior problems in children.
- Findings support the use of this checklist in clinical practice and intervention development.
- Further research can refine the measure and explore its application in diverse populations.
Abstract:
Previous research in pediatric diabetes management has focused on general child behavior, which is linked with treatment adherence and health outcomes in children with type 1 diabetes. Little is known about child diabetes behavior problems specifically. The current study aimed to develop and validate a measure of diabetes-specific child behavior problems, and parents' confidence in managing these behaviors. Participants were a community sample of 186 parents of children aged 2-10 years with type 1 diabetes, recruited via online parenting forums and advertisements placed in school and childcare newsletters throughout Australia. The measure demonstrated excellent internal consistency and evidence of construct validity, and factor analyses revealed a 3-factor and a 1-factor structure for the Extent and Confidence scales, respectively. This study provides preliminary evidence of validity of the Diabetes Behavior Checklist. The implications of these findings for intervention development are discussed.
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