Glycemia Self-Management
The validity and reliability of the revised Chinese version of diabetes self-management scales for adult type 1 diabetes patients
Qiongyan Lin, Jinhua Yan, Xueying Zheng, Sihui Luo, Yao Zhang, Lili Jiang, Daizhi Yang, Wen Xu, Bin Yao, Jianping Weng
Published 2019-05-25
Cite as Chin J Endocrinol Metab, 2019, 35(5): 378-382. DOI: 10.3760/cma.j.issn.1000-6699.2019.05.005
Abstract
ObjectiveIn this study, we aimed to translate and revise the Summary of Diabetes Self-Care Activities(SDSCA) and the Confidence In Diabetes Self-care(CIDS) scales, to test the reliability and validity of the two scales in Chinese adult type 1 diabetes(T1D) patients.
MethodsIn the first step, Chinese versions(C-SDSCA and C-CIDS) were developed conceptually equivalent to the English versions. And the investigation was conducted in 100 patients from Guangdong T1D Translational Medicine Study. 15 of them were randomly chosen to be retested 4 weeks later. Cronbach′s α were used to assess reliability, and factor analysis to its validity. The relationship between scores of C-SDSCA and C-CIDS were analyzed using Spearman correlation analysis.
ResultsThe overall Cronbach′s α of C-SDSCA was 0.72 and the retest reliability was 0.95(sub-scale: 0.67-1.00). 4 common factors were extracted by factor analysis, and the cumulative contribution was 87.39%. As for C-CIDS, the general Cronbach′s α was 0.84 and the retest reliability was 0.70(sub-scale: 0.49-0.86). 6 common factors were extracted and the cumulative contribution was 75.41%. The score of the two scales was positively related(r=0.61, P<0.01).
ConclusionThe revised C-CIDS and C-SDSCA scales turn out to have good reliability and validity, and can be used as instruments to assess diabetes self-management efficacy and self-care activities of Chinese adult T1D patients.
Key words:
Diabetes mellitus, type 1; Self-management; Self-efficacy; Adults
Contributor Information
Qiongyan Lin
Department of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Jinhua Yan
Department of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Xueying Zheng
Department of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Sihui Luo
Department of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Yao Zhang
Department of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Lili Jiang
Department of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Daizhi Yang
Department of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Wen Xu
Department of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Bin Yao
Department of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Jianping Weng
Department of Endocrinology, The First Affiliated Hospital of University of Science and Technology of China, Hefei 230001, China