Development and psychometric evaluation of the life management skills scale for children with type 1 diabetes

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-09-09 DOI:10.1016/j.pedn.2025.09.002

Adnan Batuhan Coşkun , Nermin Olgun , Nuran Tosun , Hakan Dokumuş , Nimet Barna , Erhan Elmaoğlu , Nurdan Yildirim

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引用次数: 0

Abstract

Objective

This study aimed to develop and psychometrically evaluate the Life Management Skills Scale (LMSS-T1D), designed to assess coping and self-management skills in children with Type 1 Diabetes Mellitus (T1DM).

Methods

A methodological and correlational study was conducted between May and December 2024 with 367 children aged 10–18 years. Content validity was assessed by expert review (CVI: 0.80–1.00). Construct validity was tested via exploratory and confirmatory factor analyses. Internal consistency was measured with Cronbach's alpha; test-retest reliability was assessed using Pearson correlation.

Results

The scale revealed a two-factor structure “Diabetes Coping Skills” and “Diabetes Management Knowledge” explaining 70.9 % of the total variance. Factor loadings ranged from 0.832 to 0.963. Confirmatory factor analysis indicated a good model fit (χ²/df = 1.683, RMSEA = 0.069, CFI = 0.968). Cronbach's alpha was 0.980 for the total scale; 0.971 for the “Diabetes Coping Skills” subscale and 0.984 for the “Diabetes Management Knowledge” subscale. Item-total correlations were significant (r = 0.823–0.904). Test-retest reliability was high (r = 0.979–0.988), and no significant differences were found between applications (p > 0.05).

Conclusion

The LMSS-T1D is a valid and reliable instrument for evaluating life management skills in children with T1DM. It offers a structured framework for assessing coping and self-management capabilities and may support individualized interventions.

Implications for practice

The scale may assist healthcare providers in identifying strengths and weaknesses in pediatric diabetes management, guiding personalized care plans.

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1型糖尿病儿童生活管理技能量表的编制及心理测量学评价

目的编制1型糖尿病（T1DM）儿童生活管理技能量表（LMSS-T1D），并对其进行心理计量学评价。方法于2024年5月~ 12月对367名10 ~ 18岁儿童进行方法学和相关性研究。采用专家评价法评估内容效度（CVI: 0.80-1.00）。通过探索性因子分析和验证性因子分析检验结构效度。内部一致性采用Cronbach’s alpha测量；采用Pearson相关评估重测信度。结果量表显示“糖尿病应对技能”和“糖尿病管理知识”的双因子结构解释了总方差的70.9%。因子负荷范围为0.832 ~ 0.963。验证性因子分析显示模型拟合良好（χ2/df = 1.683, RMSEA = 0.069, CFI = 0.968）。总量表的Cronbach's alpha为0.980；“糖尿病应对技能”量表得分为0.971，“糖尿病管理知识”量表得分为0.984。项目-总相关性显著（r = 0.823-0.904）。重测信度高（r = 0.979 ~ 0.988），不同应用间无显著差异（p > 0.05）。结论LMSS-T1D是评价T1DM患儿生活管理技能的有效、可靠的工具。它为评估应对和自我管理能力提供了一个结构化框架，并可能支持个性化干预。该量表可以帮助医疗保健提供者确定儿科糖尿病管理的优势和劣势，指导个性化护理计划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.