Yogarabindranath Swarna Nantha, Ker-Rou Chung, Hans Willard Nelson Suresh, Venus Kai Ing Heng, Christina Gertrude Yap, Hui Lynn Tan, Chong Jie Lau, Kai Jun Soh, Rujul Suresh Babu, Jia Xin Lim
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引用次数: 0
Abstract
Background: The optimal control of type 2 diabetes (T2D) is defined by the innate mastery of self-management behaviours. This study is designed to condense the lived experiences of people with T2D in relation to factors 'exterior' to themselves into a universal self-management inventory (Assessment of Self-Management Questionnaire in Diabetes Mellitus-External Reality; ASQ-DM-EX).
Methods: We collected responses to an online and physical survey from people living with T2D through a quantitative cross-sectional study. First, we tested the contextual validity and cultural preciseness of ASQ-DM-EX prototype through a preliminary pilot testing phase. These processes culminated in the development of a 91-item version of the questionnaire which was disseminated widely to evaluate the predictive strength of the ASQ-DM-EX.
Results: All constructs within ASQ-DM-EX showed internal consistencies within good to excellent range (Cronbach's ⍺ = 0.70-0.94), except for the Influence construct (Cronbach's ⍺ = 0.33). An increase in ASQ-DM-EX scores was associated with a reduction in HbA1c control (r = -0.17, P < 0.05). The ASQ-DM-EX model had excellent goodness-of-fit [root mean square error of approximation < 0.01; comparative fit index = 1.00; Tucker-Lewis index = 1.00].
Conclusion: The ASQ-DM-EX is a novel and holistic inventory that broadens the scope of diabetes assessment absent from contemporary self-management tools.
期刊介绍:
Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries.
Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration.
The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.