Instrument Development and Validation of theDiabetes Social Support Questionnaire-Friend(DSSQ-Friends) Chinese Version

Autor: Pei-Yun Yang, 楊培筠
Rok vydání: 2017
Druh dokumentu: 學位論文 ; thesis
Popis: 105
Background The prevalence of type 1 diabetes in adolescents is higher than that in adults. Adolescents with diabetes are required to undergo long-term blood glucose tests, receive insulin injections, exercise regularly, and be monitored for diet. The complex self-management process is extremely challenging to the patients. Because many adolescents are concerned about how they appear to their peers, those with diabetes strive to play their original roles (i.e., prior to being diagnosed with diabetes) as well as new roles that their peers deem acceptable. Peer support has a substantial effect on diabetes self-care among adolescents. However, despite these concepts being immensely influenced by social culture, no Chinese translations of the Diabetes Social Support Questionnaire-Friends Version (DSSQ-F) have been made for Taiwanese adolescents with diabetes. In addition, few studies on the peer support that is received by adolescents with diabetes when engaging in self-care have been conducted in the Greater China Region. Objective The main objectives of this study were to develop and validate the DSSQ-F (Chinese version) for adolescents with diabetes. The reliability and validity of the DSSQ-F (Chinese version) were tested to determine the peer support situations experienced by adolescents with diabetes. Methods This study was divided into two stages. The first stage involved translating the scale and performing a qualitative assessment of the scale to verify its effectiveness. The second stage entailed performing field tests using the translated scale. For the first stage, the questionnaire was translated from English to Chinese and then back-translated from Chinese to English before two expert reviews were performed to determine its content validity. Qualitative data obtained from interviews with 12 adolescents were also incorporated. Furthermore, local-based (i.e., Taiwan-based) items were added to the questionnaire after approval was received from the authors of the English questionnaire. For the second stage, a purposive sampling method was adopted to recruit 123 adolescent participants who met the study criteria. Field tests were performed using the DSSQ-F (Chinese version), and the construct validity and internal consistency of the scale were subsequently tested to validate the applicability of the scale in clinical practice. The DSSQ-F (Chinese version) for adolescents with diabetes was authorized and approved by Bearman and La Greca, the authors of the original English version of the questionnaire. The original scale focused on diabetes self-care behavior and contained 28 items that measured the support felt by adolescents who were sick and the frequency at which supportive behavior occurred. Specifically, 2, 6, 13, 4, and 3 items addressed insulin injection, blood glucose testing, diet, exercise, and emotional support, respectively. The Type 1 Diabetes Self-care behavior scale was later used to test the criterion-related validity of the DSSQ-F (Chinese version). Results The results showed that the original scale and the revised scale (which included additional local-based items) produced a content validity index CVI of 0.67 and 0.80, respectively. To measure the constructive validity of the scale, an exploratory factor analysis and confirmatory factor analysis was performed. The analysis extracted five factors that explained 76.16% of the total variance among 35 items of the DSSQ-F (Chinese version); these factors were diet (14 items, explained 23.97% of variance), insulin injection and blood glucose test (9 items, explained 19.17% of variance), emotional support (3 items, explained 12.03% of variance), emergency and symptom management (5 items, explained 11.15% of variance), and exercise (4 items, explained 7.85% of variance). Finally, the DSSQ-F (Chinese version) displayed a Cronbach’s alpha of 0.98 and its subscales yielded Cronbach’s alphas between 0.88 and 0.96, highlighting the favorable internal consistency of the scale. Conclusion The study results showed that the DSSQ-F (Chinese version) features outstanding reliability and validity and can be used to understand the current peer support situation of adolescents with diabetes in Taiwan. The scale helps identify the peer support received by adolescents with diabetes when they engage in self-care practices in school and helps them achieve more complete diabetes self-care in school. Because this study adopted a cross-sectional study method, future studies are suggested to utilize a longitudinal study design to more thoroughly investigate the current diabetes self-care and peer support situations of adolescents with diabetes who are at different diabetes stages, as well as those who are treated in different regions. Such research will expand the current scope of application of the DSSQ-F (Chinese version) scale.
Databáze: Networked Digital Library of Theses & Dissertations
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