Development and Validation of a Questionnaire to Assess Carbohydrate and Insulin-Dosing Knowledge in Youth With Type 1 Diabetes
| Autor: | Mark R. Palmert, Michaela B. Koontz, Elaine A. Borawski, Elizabeth F O Kern, MaryAnn O'Riordan, Leona Cuttler, Judy McConnell |
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| Rok vydání: | 2009 |
| Předmět: |
Male
Research design medicine.medical_specialty Educational measurement Adolescent Endocrinology Diabetes and Metabolism medicine.medical_treatment Test validity Patient Education as Topic Cronbach's alpha Surveys and Questionnaires Diabetes mellitus Internal medicine Dietary Carbohydrates Internal Medicine medicine Humans Insulin Child Original Research Advanced and Specialized Nursing Type 1 diabetes Dose-Response Relationship Drug business.industry Clinical Care/Education/Nutrition/Psychosocial Research Reproducibility of Results medicine.disease Self Care Diabetes Mellitus Type 1 Knowledge Endocrinology Carbohydrate Metabolism Disorder Educational Status Female Educational Measurement business |
| Zdroj: | Diabetes Care |
| ISSN: | 1935-5548 0149-5992 |
| DOI: | 10.2337/dc09-0390 |
| Popis: | OBJECTIVE The American Diabetes Association advocates insulin regimens for youth with type 1 diabetes that involve adjusting insulin dose based on carbohydrate intake and blood glucose level. Implementing these regimens requires knowledge about carbohydrate content of foods and subsequent calculations of insulin dose, skills that may be difficult to gauge in practice. Therefore, we sought to develop and validate a questionnaire, the PedCarbQuiz (PCQ), to assess carbohydrate and insulin-dosing knowledge in youth with type 1 diabetes. RESEARCH DESIGN AND METHODS After development by an expert panel, the PCQ was administered to 75 youth with type 1 diabetes or their parents. Reliability was assessed by Cronbach α and split-half testing. To assess validity, scores were correlated with A1C, expert assessments, parent educational level, and complexity of insulin regimen. RESULTS PCQ mean score was 87 ± 9.7% (range 42–98%). Cronbach α was 0.88, and correlation of split halves was 0.59 (P < 0.0001). Higher PCQ scores correlated significantly with lower A1C (r = −0.29, P = 0.01) and expert assessments (r = 0.56, P < 0.001). Scores were significantly higher in parents with college degrees than in those without (P = 0.01) and in participants with more complex insulin regimens (P = 0.003). CONCLUSIONS The PCQ is a novel, easily administered instrument to assess knowledge about carbohydrates and insulin dosing calculations. Initial analyses support the reliability and validity of the PCQ. |
| Databáze: | OpenAIRE |
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