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Measuring psychological flexibility in youth with type 1 diabetes
Kristoffer S Berlin1,2, Mary E Keenan1, Jessica L Cook1
1Department of Psychology, The University of Memphis, Memphis, Tennessee, USA.
Pediatric Diabetes
|September 11, 2020
Summary
The Acceptance and Action Diabetes Questionnaire (AADQ) and Diabetes Acceptance and Action Scale (DAAS) are reliable and valid tools for measuring psychological flexibility in youth with type 1 diabetes.
Area of Science:
- Psychology
- Endocrinology
- Pediatrics
Background:
- Psychological flexibility is crucial for managing type 1 diabetes.
- Existing measures may not fully capture diabetes-specific psychological flexibility in youth.
Purpose of the Study:
- To assess the reliability and validity of the Acceptance and Action Diabetes Questionnaire (AADQ) and the Diabetes Acceptance and Action Scale (DAAS).
- These scales measure diabetes-specific psychological flexibility in children and adolescents.
Main Methods:
- 181 youth with type 1 diabetes completed the AADQ, DAAS, mindfulness, cognitive fusion, and quality of life measures.
- Confirmatory factor analysis (CFA) evaluated scale structures; bivariate correlations explored content validity.
- HbA1c data were extracted from medical records.
Main Results:
- CFAs confirmed the AADQ's one-factor structure and the DAAS's second-order structure.
- All scales and subscales demonstrated strong internal consistency (α = .86–.95).
- The AADQ and DAAS showed good content validity through associations with related measures.
Conclusions:
- The AADQ and DAAS are established as reliable and valid instruments.
- These scales effectively measure diabetes-specific psychological flexibility in pediatric populations.
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