Diabetes Problem-Solving Scale Development in an Adult, African American Sample
| Autor: | Hsin Chieh Yeh, Frederick L. Brancati, Tiffany L. Gary, Thomas J. D'Zurilla, Felicia Hill-Briggs, Marian Batts-Turner |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Predictive validity Endocrinology Diabetes and Metabolism Psychological intervention 030209 endocrinology & metabolism Type 2 diabetes Health Professions (miscellaneous) Developmental psychology 03 medical and health sciences 0302 clinical medicine 0504 sociology Cronbach's alpha Diabetes mellitus Diabetes Mellitus medicine Humans Problem Solving Maryland Depression 05 social sciences 050401 social sciences methods Construct validity medicine.disease Social problem-solving Black or African American Scale (social sciences) Educational Status Patient Compliance Psychology Attitude to Health Clinical psychology |
| Zdroj: | The Diabetes Educator. 33:291-299 |
| ISSN: | 1554-6063 0145-7217 |
| DOI: | 10.1177/0145721707299267 |
| Popis: | PURPOSE The purpose of this pilot study was to examine psychometric properties of the Diabetes Problem-Solving Scale (DPSS), which was designed to assess how adults with type 2 diabetes approach and manage problems encountered in diabetes self-management. METHODS Participants were 64 African American adults with type 2 diabetes. The 30-item DPSS and measures of social problem solving, diabetes self-management, and depressive symptoms were administered. Blood samples were collected to measure hemoglobin A1C level. RESULTS Cronbach alpha for the DPSS total scale was .77 and ranged from .72 to .78 for subscales. Correlations of the DPSS total score and subscale scores with a standardized social problem-solving scale ranged from 0.30 to 0.46 (all P < .01). Higher DPSS total scores, indicating better self-reported diabetes problem solving, were associated with higher medication adherence, more frequent self-monitoring of blood glucose, and lower hemoglobin A1C level. Of the DPSS subscales, Impulsive Style, Negative Transfer of Past Experience/Learning, and Negative Motivation were differentially associated with reduced self-management and disease control. CONCLUSION The DPSS demonstrated acceptable total scale and subscale internal consistency, construct validity, and predictive validity in this pilot sample. The scale may have utility both in identifying associations between diabetes-related problem solving and self-management and in guiding problem solving interventions to improve self-management and control. |
| Databáze: | OpenAIRE |
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