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Development and psychometric evaluation of the life management skills scale for children with type 1 diabetes

  • 0Hasan Kalyoncu University, Faculty of Health Sciences, Department of Nursing, Gaziantep, Turkiye.
Journal of Pediatric Nursing +

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September 10, 2025

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September 10, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

The Life Management Skills Scale-Type 1 Diabetes (LMSS-T1D) is a new, valid tool for assessing coping and self-management in children with Type 1 Diabetes Mellitus. It aids in personalized care planning.

Area Of Science

  • Pediatric Endocrinology
  • Psychometrics
  • Behavioral Health

Background

  • Type 1 Diabetes Mellitus (T1DM) requires significant self-management skills from children.
  • Effective coping and self-management are crucial for optimal T1DM outcomes.
  • Existing assessment tools may not fully capture the nuances of life management skills in pediatric T1DM.

Purpose Of The Study

  • To develop and psychometrically evaluate the Life Management Skills Scale-Type 1 Diabetes (LMSS-T1D).
  • To assess coping and self-management skills specifically in children diagnosed with T1DM.
  • To provide a reliable instrument for healthcare providers to guide individualized interventions.

Main Methods

  • A methodological and correlational study involving 367 children (aged 10-18) with T1DM.
  • Content validity assessed by expert review (CVI: 0.80-1.00).
  • Construct validity, internal consistency (Cronbach's alpha), and test-retest reliability (Pearson correlation) were evaluated.

Main Results

  • The LMSS-T1D demonstrated a robust two-factor structure: "Diabetes Coping Skills" and "Diabetes Management Knowledge," explaining 70.9% of variance.
  • Confirmatory factor analysis supported a good model fit (χ²/df = 1.683, RMSEA = 0.069, CFI = 0.968).
  • High internal consistency (Cronbach's alpha = 0.980) and excellent test-retest reliability (r = 0.979-0.988) were observed.

Conclusions

  • The LMSS-T1D is a valid and reliable instrument for assessing life management skills in pediatric T1DM.
  • The scale facilitates the identification of strengths and weaknesses in diabetes self-management.
  • LMSS-T1D findings can inform personalized care plans and interventions for children with T1DM.

Keywords:

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