Development and initial validation of the diabetes family conflict scale (revised)-short form in a racially and income diverse sample.

Autor:	Semenkovich KA; Department of Psychology, The University of Memphis, Memphis, Tennessee, USA., Berlin KS; Department of Psychology, The University of Memphis, Memphis, Tennessee, USA.; Department of Endocrinology, University of Tennessee Health Science Center, Memphis, Tennessee, USA., Ankney RL; Department of Psychology, The University of Memphis, Memphis, Tennessee, USA., Keenan ME; Department of Psychology, The University of Memphis, Memphis, Tennessee, USA., L Cook J; Department of Psychology, The University of Memphis, Memphis, Tennessee, USA., Klages KL; Department of Psychology, The University of Memphis, Memphis, Tennessee, USA.; Department of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA., Banks GG; Department of Psychology, The University of Memphis, Memphis, Tennessee, USA.; Department of Pediatrics, University of Mississippi Medical Center, Mississippi, USA., Rybak TM; Department of Psychology, The University of Memphis, Memphis, Tennessee, USA.; Department of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA., Alemzadeh R; Department of Endocrinology, University of Tennessee Health Science Center, Memphis, Tennessee, USA., Eddington AR; Department of Psychology, The University of Memphis, Memphis, Tennessee, USA.; Department of Endocrinology, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Jazyk:	angličtina
Zdroj:	Pediatric diabetes [Pediatr Diabetes] 2021 May; Vol. 22 (3), pp. 529-539. Date of Electronic Publication: 2021 Feb 02.
DOI:	10.1111/pedi.13182
Abstrakt:	Objective: The purpose of the study was to develop a short form of the revised diabetes family conflict scale (DFCS) in a racially and income diverse sample while retaining strong psychometric properties. Methods: One seventy nine youth with type 1 diabetes (ages 12-18 years) and caregivers completed the DFCS-Revised as well as assessments of adherence, psychosocial functioning, and diabetes-related stress. Hemoglobin A1c was also obtained. The sample was split at random into a development sample and validation sample. Results: Confirmatory factor analyses in the validation sample supported the use of a six-item short form (DFCS-SF) either as a total score (6-items) or a direct (3-item) and indirect (3-item) score. Variations of the DFCS-SF (three items of the 6-item short form) also had acceptable model fit. The short-form questionnaires had acceptable internal consistency and convergent validity (6-item: Cronbach's a = 0.865, full scale DFCS r = 0.954; 3-item: Cronbach's a = 0.757, full scale DFCS r = 0.912). The DFCS-SF showed measurement invariance across both youth and caregiver respondents. Greater report of the DFCS-SF by both youth and caregivers was significantly associated with higher HbA1c, more diabetes-related stress, and more psychosocial concerns. Conclusions: The DFCS-SF developed in the present study shows psychometric integrity in a diverse population of youth and can be utilized by providers to rapidly assess and potentially implement interventions to reduce diabetes family conflict, a psychosocial concern which is associated with elevated HbA1c, non-optimal adherence, diabetes-related stress, and psychological distress. (© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze:	MEDLINE
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