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The third version of the Diabetes Attitude Scale

R M Anderson1, J T Fitzgerald, M M Funnell

  • 1Department of Medical Education, University of Michigan Medical School, Ann Arbor, USA. boba@umich.edu

Diabetes Care
|September 4, 1998
PubMed
Summary

The Diabetes Attitude Scale-3 (DAS-3) is a shorter, reliable tool measuring healthcare professionals' and patients' attitudes toward diabetes care. It assesses views on training, disease seriousness, glucose control, psychosocial impact, and patient autonomy.

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Area of Science:

  • Endocrinology
  • Medical Education
  • Psychometrics

Background:

  • Diabetes management requires understanding patient and provider attitudes.
  • Previous versions of the Diabetes Attitude Scale (DAS) had limitations in reliability and length.
  • A need existed for an updated scale reflecting current diabetes knowledge.

Purpose of the Study:

  • To develop the third version of the Diabetes Attitude Scale (DAS-3).
  • To ensure DAS-3 aligns with current diabetes scientific knowledge.
  • To improve subscale reliability and reduce the overall length of the instrument.

Main Methods:

  • The second DAS was revised by a panel of diabetes experts and patients.
  • The revised scale was distributed to physicians, nurses, dietitians, and patients with diabetes.

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  • Data from 1,814 usable surveys were analyzed.

    • Main Results:

    • A 33-item, five-subscale DAS-3 was developed.
    • Subscales measure attitudes toward: 1) training needs, 2) type 2 diabetes seriousness, 3) glucose control value, 4) psychosocial impact, and 5) patient autonomy.
    • DAS-3 demonstrated superior subscale reliabilities compared to earlier versions.

    Conclusions:

    • The DAS-3 is a valid and reliable measure of diabetes-related attitudes.
    • It is suitable for comparing attitudes across diverse healthcare professional and patient groups.
    • DAS-3 can evaluate educational programs focused on its measured topic areas.