Development and validation of a Type 1 and Type 2 diabetes-specific patient-reported experience measure e-questionnaire: Diabetes reported experience measures (DREMS)

IF 1 Q4 ENDOCRINOLOGY & METABOLISM
Coline Hehn , Amine Ounajim , Guy Fagherazzi , Antonia Gasch-Illescas , Guillaume Montagu , Catherine Rumeau-Pichon , Jean-Arnaud Elissalde , Ben Braithwaite , Hervé Servy , Charles Thivolet , Jean-François Thébaut , Nicolas Naïditch
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引用次数: 0

Abstract

Introduction

Successful diabetes management is associated with an effective partnership between People with Diabetes (PwD) and healthcare professionals. Though possible to measure using Patient-Reported Experience Measures (PREMs), none are specific to Type 1 or Type 2 Diabetes (T1D/T2D) and validated in French. Thus, we developed and validated the DREMS (Diabetes Reported Experience MeasureS) e-questionnaire.

Methodology

DREMS is comprised of 18 items evaluating 5 different factors. Validation for use by PwT1D and PwT2D (recruited online) was performed using: Exploratory Factor Analysis (EFA); Confirmatory Factor Analysis (CFA) and Cronbach's Alpha. Test-retest reliability was evaluated through Intraclass Correlation Coefficients (ICC) in a subsample.

Results

DREMS was tested by 2,513 respondents, including 942 PwT1D and 1,571 PwT2D. For both groups, EFA results indicated 18 items loaded substantially onto 5 clear factors. CFA showed all coefficients were significant in their respective factors. Goodness-of-fit, assessed using the Comparative Fit Index was >0.90 and by the RMSEA was <0.080. Cronbach's α for the entire DREMS e-questionnaire was ≥0.90. ICC was 0.87 for PwT1D (n = 136) and 0.74 for PwT2D (n = 169).

Innovation

DREMS is the first validated French-language diabetes-specific PREM for both PwT1D and PwT2D and can be useful to evaluate and improve health care management and patient health.

1型和2型糖尿病患者报告体验测量电子问卷的开发和验证:糖尿病报告体验测量(DREMS)
成功的糖尿病管理与糖尿病患者(PwD)和医疗保健专业人员之间的有效合作有关。虽然可以使用患者报告体验测量(PREMs)来测量,但没有一种是针对1型或2型糖尿病(T1D/T2D)并在法国验证的。因此,我们开发并验证了DREMS(糖尿病报告经验测量)电子问卷。DREMS由18个项目组成,评估5个不同的因素。使用探索性因素分析(EFA)验证PwT1D和PwT2D(在线招募)的使用;验证性因子分析(CFA)和Cronbach's Alpha。通过子样本的类内相关系数(ICC)评估重测信度。DREMS测试了2513名受访者,其中包括942名PwT1D和1571名PwT2D。对于两组,EFA结果显示18个项目大量加载到5个明确的因素上。经CFA分析,各因子的系数均显著。使用比较拟合指数评估的拟合优度>0.90,RMSEA评估的拟合优度<0.080。整个DREMS电子问卷的Cronbach’s α≥0.90。PwT1D的ICC为0.87 (n=136), PwT2D的ICC为0.74 (n=169)。DREMS是首个经过验证的针对PwT1D和PwT2D的法语糖尿病特异性PREM,可用于评估和改善医疗保健管理和患者健康。
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来源期刊
Diabetes epidemiology and management
Diabetes epidemiology and management Endocrinology, Diabetes and Metabolism, Public Health and Health Policy
CiteScore
1.10
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