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.

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