Nursing ResearchPub Date : 2025-03-01DOI: 10.1097/NNR.0000000000000777
Eunhee Cho, Hyangkyu Lee, Jo Woon Seok
{"title":"Heterogeneous Circadian Rhythms, Sleep Patterns, and Hormone Levels in Older Adults Living With Dementia.","authors":"Eunhee Cho, Hyangkyu Lee, Jo Woon Seok","doi":"10.1097/NNR.0000000000000777","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000777","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":"74 2","pages":"E16-E17"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing ResearchPub Date : 2025-03-01Epub Date: 2024-11-28DOI: 10.1097/NNR.0000000000000796
Youri Hwang, M Tish Knobf, Lois S Sadler
{"title":"Integration in Mixed-Methods Research With an Exemplar Explanatory Sequential Study.","authors":"Youri Hwang, M Tish Knobf, Lois S Sadler","doi":"10.1097/NNR.0000000000000796","DOIUrl":"10.1097/NNR.0000000000000796","url":null,"abstract":"<p><strong>Objectives: </strong>The authors aim to synthesize methodological discussions of the MMR integration process and provide an illustration of integration across all phases of an exemplar explanatory sequential study.</p><p><strong>Methods: </strong>Integration in MMR includes four distinct dimensions encompassing philosophical assumptions and paradigms, methodological methods, and dissemination of integrated study findings. This article presents our integrated study findings, illustrated by a research study conducted to investigate sleep health among women with breast cancer.</p><p><strong>Results: </strong>Integration of quantitative and qualitative data analyses is demonstrated through consistently matching the guiding paradigm with design choice, meta-inferences, and visual joint displays. The connecting displays linking quantitative and qualitative data compare sleep characteristics scores and the relationship between anxiety and vasomotor symptoms. The results highlight the significance of visual tools in enhancing the analytic processes and providing a comprehensive understanding of complex clinical phenomena.</p><p><strong>Discussion: </strong>Integrating across all stages of MMR studies presents many challenges. The proposed four-dimension model of integration contributes to understanding the unique value of fully integrated mixed-methods results. The exemplary study findings confirm the value of integration in achieving a nuanced and comprehensive understanding of a significant clinical problem.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"144-149"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing ResearchPub Date : 2025-03-01Epub Date: 2024-08-22DOI: 10.1097/NNR.0000000000000774
Alli Walsh, Dola Pathak, Emma C Schlegel
{"title":"A Comparative Analysis of Recruitment Methods to Reach Emerging Adults Outside the Clinical Setting.","authors":"Alli Walsh, Dola Pathak, Emma C Schlegel","doi":"10.1097/NNR.0000000000000774","DOIUrl":"10.1097/NNR.0000000000000774","url":null,"abstract":"<p><strong>Background: </strong>Emerging adults are a hard-to-recruit population for health researchers, as many do not routinely access healthcare services and are best recruited outside clinical settings. Social media and research volunteer registries (e.g., ResearchMatch) offer great potential among this population, yet a comparison of these two recruitment methods has not been done.</p><p><strong>Objectives: </strong>The aim of this study was to compare participant enrollment and completion rates, participant demographics, and recruitment costs between recruitment methods (social media advertisements compared to ResearchMatch) deployed with a sample of emerging adults assigned female at birth.</p><p><strong>Methods: </strong>Participants were recruited from October to November 2022 via ResearchMatch and social media (Instagram and Snapchat) advertisements. This analysis involves a subset of recruitment data from a larger institutional review board-approved study. Enrollment and survey completion rates were calculated using the number of individuals contacted and survey completion data from Qualtrics. Chi-square and independent t -test analyses were used to compare demographic data. Advertisement data collected included total cost, cost per click, link clicks, and paid impressions.</p><p><strong>Results: </strong>Two hundred forty-five emerging adults completed the survey, and 24 completed follow-up interviews. ResearchMatch and social media enrollment rates differed (58% and 39%, respectively). Survey completion rates for both methods were the same (~93%). Participants' ages and levels of education were significantly different. Social media resulted in recruitment of younger participants (18-21 years old), and ResearchMatch garnered participants with a higher level of education. Differences in race were also significant, as social media recruited higher numbers of White participants. Lastly, the researcher-incurred cost per survey was $0 for ResearchMatch versus $13 for social media.</p><p><strong>Discussion: </strong>Although social media and ResearchMatch are both successful tools for research recruitment, each provides distinct benefits for recruiting specific populations. ResearchMatch offers a lower-cost option and access to an older emerging adult population with higher education, whereas social media provides access to a younger emerging adult population. This knowledge can be imperative for deciding which recruitment methods best fit research study needs. Future research should explore differences in race by recruitment method to highlight potential sampling biases or recruitment opportunities.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"130-135"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing ResearchPub Date : 2025-02-13DOI: 10.1097/NNR.0000000000000814
Yenupini Joyce Adams, John Stephen Agbenyo, Elizabeth Lau, Jessica Young, David Haas
{"title":"Randomized Trial of Group Postpartum Care Model Improves Knowledge and Clinical Outcomes.","authors":"Yenupini Joyce Adams, John Stephen Agbenyo, Elizabeth Lau, Jessica Young, David Haas","doi":"10.1097/NNR.0000000000000814","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000814","url":null,"abstract":"<p><strong>Background: </strong>In sub-Saharan Africa, the risk of obstetric complications remains high throughout the postpartum period.</p><p><strong>Objective: </strong>We developed and tested a novel, integrated model of group postpartum care titled Focused-Postpartum Care (Focused-PPC) to improve outcomes. In this paper, we report clinical outcomes of participants in the intervention arm and differences in knowledge of post-birth warning signs among those in the intervention and control arms.</p><p><strong>Methods: </strong>Focused-PPC encompassed recommended clinical assessments, targeted education, and peer support up to 1 year after birth. Focused-PPC was implemented as a parallel randomized controlled trial involving 192 postpartum women across four health centers in Tamale, Ghana, from February 2022 to August 2023. Eligible participants 18 years or older with a live birth were randomly assigned to either the Focused-PPC intervention arm or the control arm at a 1:1 allocation and were not blinded to their allocation. At each health center, 48 participants were allocated to either an intervention or control arm. Focused-PPC groups in the intervention arm consisted of eight participants per group. Participants in the intervention arm received the Focused-PPC integrated group model of care. Participants in the control arm received the standard of postnatal care already administered at each health center.</p><p><strong>Results: </strong>Baseline analysis included 96 participants from the control arm and 91 participants from the intervention arm. We found that vital signs and clinical outcomes were relatively stable; however, incidences of hypertension substantially decreased among participants in the intervention arm. By 3 months post-birth, most participants in the intervention arm were able to identify all post-birth warning signs and retain this knowledge compared to the control arm. Those in the intervention arm were also knowledgeable of more warning signs at each time point compared to the control arm.</p><p><strong>Discussion: </strong>An integrated, evidence-based approach to postpartum care, such as Focused-PPC, has potential to increase knowledge and improve clinical outcomes among mothers in Ghana.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing ResearchPub Date : 2025-02-11DOI: 10.1097/NNR.0000000000000813
Xiaojie Chen, Xiaohan Xu, Yunhong Du, Wei Liu, Xiao Zhang, Li Wang
{"title":"Self-advocacy Among Women With Uterine Malignancies.","authors":"Xiaojie Chen, Xiaohan Xu, Yunhong Du, Wei Liu, Xiao Zhang, Li Wang","doi":"10.1097/NNR.0000000000000813","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000813","url":null,"abstract":"<p><strong>Abstract: </strong>Background: Self-advocacy plays a crucial role in the mental health and treatment outcomes of oncology patients, particularly those with uterine malignancies. Despite its significance, research on the self-advocacy levels and influencing factors among Chinese patients with uterine malignancies remains limited.Objectives: To assess the self-advocacy levels among Chinese patients with uterine malignancies and identify the demographic, psychological resilience, and decision self-efficacy factors that influence self-advocacy.Methods: This cross-sectional study was conducted from March 1 to September 1, 2023, involving 220 inpatients with uterine malignancies from three tertiary hospitals in Shandong Province, China. Participants were recruited using convenience sampling and completed the General Information Questionnaire, Female Cancer Survivorship Self-advocacy Scale, Connor-Davidson Resilience Scale, and Decision Self-efficacy Scale.Results: The average self-advocacy score among participants was 59.44 ± 10.14. Significant positive correlations were found between self-advocacy, psychological resilience, and decision self-efficacy. The random forest algorithm identified decision self-efficacy, psychological resilience, family average income, type of medical insurance, educational level, and residence as the six most important influencing factors, with the optimal model performance observed when lambda (λ) = 1.191. Multiple linear regression analysis further confirmed that decision self-efficacy, psychologic resilience, family average income, educational level, and residence were significant predictors of self-advocacy.Discussion: The self-advocacy levels of Chinese patients with uterine malignancies were relatively low, with decision self-efficacy, psychological resilience, and socioeconomic factors significantly influencing their self-advocacy abilities. Future targeted interventions should focus on enhancing patients' decision self-efficacy and psychological resilience, thereby guiding them to actively respond and participate in decision-making, ultimately improving self-advocacy among patients with uterine malignancies.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing ResearchPub Date : 2025-02-06DOI: 10.1097/NNR.0000000000000809
Fatima Alzyoud
{"title":"Psychometric Analysis of Disrespect and Abuse Scale.","authors":"Fatima Alzyoud","doi":"10.1097/NNR.0000000000000809","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000809","url":null,"abstract":"<p><strong>Background: </strong>Disrespect and abuse of laboring and child-birthing women in health care is a global problem that violates the universal human rights of childbearing women. There is a lack of reliable and valid tools for measuring these behaviors. One instrument, the Disrespect and Abuse scale, has preliminary data with no established psychometrics in diverse populations. Further analysis is required to ensure the reliability and validity of this tool in diverse populations and health care settings.</p><p><strong>Objectives: </strong>We examined the psychometric properties of the Disrespect and Abuse scale in diverse international nursing and midwifery populations.</p><p><strong>Methods: </strong>A cross-sectional descriptive design was used to measure disrespect and abuse toward women during childbirth. Data were collected from 231 nurses and midwives across international labor and delivery units. Exploratory factor analysis was conducted using principal component analysis with oblimin rotation as the factor extraction method.</p><p><strong>Results: </strong>The psychometric assessment yielded a two-factor structure. Factor 1 consisted of 13 items characterizing physical and verbal abuse. Factor 2 contained nine items reflecting disrespectful behaviors. The Cronbach's alpha coefficients reflected high internal consistency.</p><p><strong>Discussion: </strong>The scale was shown to be reliable and valid in assessing self-reported disrespectful and abusive behaviors among nurses and midwives in a diverse international sample. Use could assist in the assessment of these behaviors in maternal health care facilities. Further research is warranted to confirm the scale's robustness and applicability across various populations and settings and use the Disrespect and Abuse scale to identify the burden and predictors of mistreatment of women in different health care settings.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing ResearchPub Date : 2025-02-06DOI: 10.1097/NNR.0000000000000810
Shelley A Blozis, Hayat Botan
{"title":"Two-Part Mixed-Effects Location Scale Models for Health Diary Data.","authors":"Shelley A Blozis, Hayat Botan","doi":"10.1097/NNR.0000000000000810","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000810","url":null,"abstract":"<p><strong>Background: </strong>The analysis of health diary data has long relied on inferential statistical methods focusing on sample means and ad hoc methods to calculate each individual's variation in health outcomes.</p><p><strong>Objectives: </strong>In this paper, an advanced statistical model is applied to daily diary self-reported health outcomes to simultaneously study an individual's likeliness to report an outcome, daily mean intensity level, and variability in daily measures.</p><p><strong>Methods: </strong>Using observational, secondary data from 782 adults, we analyzed self-report daily fatigue symptoms, distinguishing between whether an individual reported fatigue and its severity when reported. Self-reported depressed affect and participant characteristics were used as predictors of daily fatigue symptoms.</p><p><strong>Results: </strong>A higher likeliness to report fatigue correlated with higher mean fatigue severity and greater stability in severity ratings. Higher mean severity correlated with greater stability in severity ratings. Females and those with high depressed affect were more likely to report fatigue. Females and those with high depressed affect reported greater mean severity.</p><p><strong>Discussion: </strong>The model applied to daily measures allowed for the simultaneous study of an individual's likeliness to report a symptom, daily mean symptom severity, and variability in severity across days. An individual's daily variation in symptom severity was represented as a model parameter that did not contain measurement error that is present in ad hoc methods.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing ResearchPub Date : 2025-01-29DOI: 10.1097/NNR.0000000000000811
Hsuan-Ju Kuo, Ya-Ching Huang, Aprile D Benner, Alexandra A García
{"title":"Latent Profile Analysis of Fatigue Subtypes in Adults with Type 2 Diabetes.","authors":"Hsuan-Ju Kuo, Ya-Ching Huang, Aprile D Benner, Alexandra A García","doi":"10.1097/NNR.0000000000000811","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000811","url":null,"abstract":"<p><strong>Background: </strong>People with type 2 diabetes mellitus (T2DM) commonly report a higher fatigue intensity than the general population. However, effective fatigue management is lacking because little is known about other fatigue characteristics, including timing, distress, and quality, as well as the potential fatigue subtypes experienced in people with T2DM.</p><p><strong>Objective: </strong>To describe fatigue intensity, timing, distress, and quality, and identify fatigue subtypes in people with T2DM.</p><p><strong>Methods: </strong>This cross-sectional, descriptive study included a sample of 150 participants with T2DM recruited from two diabetes outpatient clinics in Taiwan. Fatigue intensity, timing, and distress were measured using the Fatigue Symptom Inventory. Fatigue quality was measured using the Multidimensional Fatigue Inventory. Fatigue subtypes were identified using a latent profile analysis.</p><p><strong>Results: </strong>Participants reported a mild fatigue intensity, experiencing fatigue for about 22% of the day with worse fatigue in the afternoon and evening and having mild disturbances. Three fatigue subtypes were identified. The \"high/persistent fatigue with mild distress\" subtype was characterized by high fatigue intensity and duration with severe general, physical, and mental fatigue that mildly interfered with functioning. The \"moderate/frequent fatigue with minimal distress\" group showed moderate levels of fatigue intensity and duration levels with intermediate of general, physical, and mental fatigue and minimal fatigue disturbances. The \"no fatigue and distress\" subtype was characterized by overall low fatigue scores.</p><p><strong>Discussion: </strong>We identified fatigue characteristics and subtypes in people with T2DM, providing insights into better fatigue management. People with T2DM reported having mild but persistent fatigue. The latent profile analysis revealed that fatigue is likely composed of a mixture of physical and mental components. Nurses should assess both the physical and mental aspects of fatigue while addressing features of the fatigue characteristics in tailored management strategies to alleviate all aspects of fatigue in people with T2DM.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing ResearchPub Date : 2025-01-24DOI: 10.1097/NNR.0000000000000807
Jamie E Newman, Megan Dhawan, Leslie Clarke, Sharon Owen, Traci Beiersdorfer, Lindsay M Parlberg, Stephanie Merhar, Sara B DeMauro, Scott A Lorch, Deanne Wilson-Costello, Namasivayam Ambalavanan, Myriam Peralta-Carcelen, Brenda Poindexter, Jonathan M Davis, Nicole Mack, Catherine Limperopoulos, Carla M Bann
{"title":"Lessons Learned in Virtual Launch of an Antenatal Opioid Exposure Study During the COVID-19 Pandemic.","authors":"Jamie E Newman, Megan Dhawan, Leslie Clarke, Sharon Owen, Traci Beiersdorfer, Lindsay M Parlberg, Stephanie Merhar, Sara B DeMauro, Scott A Lorch, Deanne Wilson-Costello, Namasivayam Ambalavanan, Myriam Peralta-Carcelen, Brenda Poindexter, Jonathan M Davis, Nicole Mack, Catherine Limperopoulos, Carla M Bann","doi":"10.1097/NNR.0000000000000807","DOIUrl":"10.1097/NNR.0000000000000807","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic prompted researchers to develop new ways to design and launch studies and recruit and retain participants. Pregnant women and infants are considered vulnerable populations in research, and families affected by substance use are particularly difficult to recruit and retain. Recruitment for studies involving medical technologies such as MRI can also be difficult due to misconceptions and fear of the technologies.</p><p><strong>Objectives: </strong>To describe \"lessons learned\" during the launch of the Outcomes of Babies with Opioid Exposure (OBOE) study, including successes and challenges when working with high-risk infants and families and the importance of engaging participants through recruitment materials and retention efforts.</p><p><strong>Methods: </strong>The OBOE study is a multisite prospective longitudinal cohort study comparing infants with antenatal opioid exposure to unexposed controls from birth to 2 years of age. Chi-square tests were used to examine refusal reasons among caregivers of eligible infants by exposure group and differences in 6-month retention among subgroups based on social determinants of health.</p><p><strong>Results: </strong>Four factors were essential in establishing the Consortium, implementing the study, and retaining participants: (a) creating venues for collaboration, (b) pivoting from in-person to virtual training, (c) anticipating potential enrollment barriers and addressing them directly, and (d) engaging participants through recruitment materials and retention efforts. With these factors in place, only 5% of caregivers of eligible opioid-exposed infants and 8% of control infants declined to participate in the study because of MRIs. Of 310 enrolled infants, 234 infants had attended the 6-month visit. Subgroups of enrolled infants were similar in retention at 6 months.</p><p><strong>Discussion: </strong>Reporting our successes and challenges in setting up a nationwide consortium during the pandemic may help other consortia that need to be set up virtually. We anticipated that the serial MRIs would be a barrier to participation; however, few indicated they refused to participate because of MRIs, suggesting our efforts to address this potential barrier to enrollment were successful.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing ResearchPub Date : 2025-01-24DOI: 10.1097/NNR.0000000000000808
Mei-Chuan Huang, Ya-Ping Yang, Hua-Tsen Hsiao, Mei-Yueh Lee
{"title":"Development and Validation of the Scale of Hypoglycemia Self-Care Behavior in Type 2 Diabetes.","authors":"Mei-Chuan Huang, Ya-Ping Yang, Hua-Tsen Hsiao, Mei-Yueh Lee","doi":"10.1097/NNR.0000000000000808","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000808","url":null,"abstract":"<p><strong>Background: </strong>Inappropriate dietary, exercise, and medication self-care behaviors among persons with diabetes can easily trigger hypoglycemia. Clinically, it is necessary to quickly identify high-risk groups for hypoglycemic events to provide targeted hypoglycemia education. However, there is currently a lack of precise tools to assess self-care behaviors related to hypoglycemia.</p><p><strong>Objectives: </strong>To develop and validate a hypoglycemia self-care behavior scale for evaluating the behaviors of persons with diabetes in handling and preventing hypoglycemic events.</p><p><strong>Methods: </strong>A cross-sectional study with purposive sampling was conducted to recruit 300 persons with type 2 diabetes who had experienced hypoglycemic events from a medical center and a primary care clinic in southern Taiwan. Data were collected using a structured questionnaire from December 2021 to September 2023.</p><p><strong>Results: </strong>The original hypoglycemia self-care behavior scale, comprising 26 items, was reduced to 17 items, measuring six factors after exploratory factor analysis. Subsequently, the scale was further refined to 10 items covering four factors through structural equation modeling. The validity and reliability were assessed during this process, and the developed scale was subsequently verified for both. Factor loadings ranged from .50-.97, explaining 76% of the total variance. The four factors included \"hypoglycemia recognition and carbohydrate supplementation,\" \"prevention of hypoglycemia during exercise,\" \"carbohydrate assessment,\" and \"seeking medical assistance.\" The hypoglycemia self-care behavior scale-developed and validated through structural equation modeling-demonstrates satisfactory model fit, convergent validity, and discriminant validity. Internal consistency was within the range of .73-.94, indicating strong reliability.</p><p><strong>Discussion: </strong>The hypoglycemia self-care behavior scale not only functions as a tool for the rapid assessment of self-care behaviors during hypoglycemic events by clinical health care professionals but can also serve as reference for hypoglycemia-related health education.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}