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[French version and validation of a scale evaluating compliance in diabetic children]
L Moret1, J Chwalow, N Tubiana-Rufi
1Service d'endocrinologie et de diabétologie pédiatrique, Hôpital Robert Debré, Villejuif.
Insights
Researchers validated a French adherence to treatment scale for children with diabetes. This tool helps assess educational needs and improve treatment compliance in pediatric diabetes care.
Area of Science:
- Pediatrics
- Endocrinology
- Health Psychology
Background:
- Assessing treatment adherence in children with diabetes is crucial for effective management.
- A validated scale for evaluating adherence to treatment in pediatric diabetes was lacking in France.
- Existing American scales required linguistic and cultural adaptation for the French population.
Purpose of the Study:
- To validate a French version of an American scale assessing adherence to treatment in diabetic children.
- To evaluate the reliability and validity of the translated scale for use in France.
- To provide an evaluative tool for diagnosing educational needs in pediatric diabetes.
Main Methods:
- Linguistic translation and back-translation of an existing American adherence scale.
- Pilot study followed by administration of a 25-item questionnaire to 165 diabetic children (aged 7-13).
- Assessment of face validity (response rates), reliability (Cronbach's alpha), and concordant validity (correlations with hypoglycemia, age, diagnosis age, diabetes knowledge).
Main Results:
- Excellent face validity was demonstrated through high response rates.
- Good reliability was confirmed with a Cronbach's alpha of 0.65, comparable to the original American scale.
- Concordant validity was established: insulin adjustment scores correlated inversely with hypoglycemia and positively with age, age at diagnosis, and diabetes knowledge.
Conclusions:
- The French version of the adherence to treatment scale is a valid and reliable instrument for assessing pediatric diabetes care adherence.
- This validated scale serves as an effective tool for educational diagnosis in children with diabetes.
- The scale facilitates the identification of specific areas for educational intervention to improve treatment compliance.
Abstract:
In order to evaluate the educational needs of diabetic children, a study was performed to validate a scale for adherence to treatment (compliance) by diabetic children. The lack of such scales in France, led us to validate an existing American scale. After a classic linguistic translation, back-translation, and a pilot study, 165 diabetic children aged 7 to 13 years filled out a 25 item questionnaire that assessed four areas: glucose testing, diet, hypoglycemia, insulin adjustment. Face validity as measured by response rates was excellent and the reliability as measured by Cronbach's alpha was good (alpha = 0.65) as in the American scale. Concordant validity was studied: the insulin adjustment score was inversely correlated with hypoglycemia (r = -0.23, p < 0.01); age (r = 0.28, p < 0.001), age at diagnosis (r = 0.18, p < 0.05), and diabete knowledge (r = 0.47, p < 0.001) were all correlated with adherence. The French version of the adherence to treatment scale is valid and reliable for the study of adherence to treatment in diabetic children. This scale provides an evaluative tool that will facilitate the performance of an educational diagnosis.