Adaptation and psychometric validation of Diabetes Health Profile (DHP-18) in patients with type 2 diabetes in Quito, Ecuador: a cross-sectional study

Autor: Montserrat Ferrer, Aida Ribera, Mari Carmen Bernal-Soriano, Blanca Lumbreras, Lucy Anne Parker, Jordi Alonso, Ikram Benazizi, Andrés Peralta-Chiriboga, Alfonso Alonso-Jaquete, Yolanda Pardo
Přispěvatelé: Institut Català de la Salut, [Benazizi I] Department of Public Health, Universidad Miguel Hernández, Sant Joan d’Alacant, Alicante, Spain. [Bernal-Soriano MC] Department of Public Health, Universidad Miguel Hernández, Sant Joan d’Alacant, Alicante, Spain. CIBER de Epidemiología y Salud Pública (CIBER ESP), Madrid, Spain. [Pardo Y, Ferrer M] CIBER de Epidemiología y Salud Pública (CIBER ESP), Madrid, Spain. Health Services Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Ribera A] CIBER de Epidemiología y Salud Pública (CIBER ESP), Madrid, Spain. Unitat d'Epidemiologia i Recerca Cardiovascular, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. [Peralta-Chiriboga A] Department of Public Health, Universidad Miguel Hernández, Sant Joan d’Alacant, Alicante, Spain. Instituto de Salud Pública, Pontificia Universidad Católica del Ecuador, Quito, Ecuador, Vall d'Hebron Barcelona Hospital Campus
Rok vydání: 2021
Předmět:
Male
Investigative Techniques::Epidemiologic Methods::Data Collection::Surveys and Questionnaires [ANALYTICAL
DIAGNOSTIC AND THERAPEUTIC TECHNIQUES
AND EQUIPMENT]
enfermedades nutricionales y metabólicas::enfermedades metabólicas::trastornos del metabolismo de la glucosa::diabetes mellitus::diabetes mellitus tipo II [ENFERMEDADES]
Cross-sectional study
Intraclass correlation
Diabetes Health Profile-18
Type 2 diabetes
Linguistic validation
Diabetes mellitus
0302 clinical medicine
Quality of life
Surveys and Questionnaires
Other subheadings::/psychology [Other subheadings]
Diabetis no-insulinodependent - Aspectes psicològics
030212 general & internal medicine
ambiente y salud pública::salud pública::medidas epidemiológicas::demografía::estado de salud::calidad de vida [ATENCIÓN DE SALUD]
030503 health policy & services
Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Diabetes Mellitus::Diabetes Mellitus
Type 2 [DISEASES]
Otros calificadores::/psicología [Otros calificadores]
General Medicine
Reliability
Confirmatory factor analysis
Convergent validity
Diabetes Health Profle-18
Diabetes mellitus
Quality of life
Validity
Reliability
Ecuador
Female
Ecuador
0305 other medical science
Psychology
Qualitat de vida - Avaluació
Clinical psychology
Psychometrics
Computer applications to medicine. Medical informatics
R858-859.7
Enquestes
Validity
03 medical and health sciences
Cronbach's alpha
medicine
Humans
Hypoglycemic Agents
Research
Public Health
Environmental and Occupational Health
Reproducibility of Results
técnicas de investigación::métodos epidemiológicos::recopilación de datos::encuestas y cuestionarios [TÉCNICAS Y EQUIPOS ANALÍTICOS
DIAGNÓSTICOS Y TERAPÉUTICOS]
medicine.disease
Environment and Public Health::Public Health::Epidemiologic Measurements::Demography::Health Status::Quality of Life [HEALTH CARE]
Cross-Sectional Studies
Diabetes Mellitus
Type 2
Zdroj: Scientia
Health and Quality of Life Outcomes
Health and Quality of Life Outcomes, Vol 19, Iss 1, Pp 1-12 (2021)
Dipòsit Digital de Documents de la UAB
Universitat Autònoma de Barcelona
ISSN: 1477-7525
DOI: 10.1186/s12955-021-01818-5
Popis: Introduction The Diabetes Health Profile (DHP‐18), structured in three dimensions (psychological distress (PD), barriers to activity (BA) and disinhibited eating (DE)), assesses the psychological and behavioural burden of living with type 2 diabetes. The objectives were to adapt the DHP‐18 linguistically and culturally for use with patients with type 2 DM in Ecuador, and to evaluate its psychometric properties. Methods Participants were recruited using purposive sampling through patient clubs at primary health centres in Quito, Ecuador. The DHP-18 validation consisted in the linguistic validation made by two Ecuadorian doctors and eight patient interviews. And in the psychometric validation, where participants provided clinical and sociodemographic data and responded to the SF-12v2 health survey and the linguistically and culturally adapted version of the DHP-18. The original measurement model was evaluated with confirmatory factor analysis (CFA). Reliability was assessed through internal consistency using Cronbach’s alpha and test–retest reproducibility by administering DHP-18 in a random subgroup of the participants two weeks after (n = 75) using intraclass correlation coefficient (ICC). Convergent validity was assessed by establishing previous hypotheses of the expected correlations with the SF12v2 using Spearman’s coefficient. Results Firstly, the DHP-18 was linguistically and culturally adapted. Secondly, in the psychometric validation, we included 146 participants, 58.2% female, the mean age was 56.8 and 31% had diabetes complications. The CFA indicated a good fit to the original three factor model (χ2 (132) = 162.738, p −0.40 in two of three hypotheses). Conclusions The original three factor model showed good fit to the data. Although reliability parameters were adequate for PD and DE dimensions, the BA presented lower internal consistency and future analysis should verify the applicability and cultural equivalence of some of the items of this dimension to Ecuador.
Databáze: OpenAIRE
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