Domingo Orozco-Beltrán, Edurne Lecumberri-Pascual, Jose A Quesada, Oscar Moreno-Pérez, Manuel A Ruiz-Quintero, Francisco J Pomares-Gómez, Esteban Jodar-Gimeno, Carlos Pardo-Ruiz, Isabel Mascarell-Martinez, Rosa M Mirete-López, Borja Morant-Bes, Jose M Borrachero-Guijarro, Miriam Zapatero-Larrauri, Maria Carmen Aparicio-Egea, Carmen Paniagua-Merchán, Rosa M Requena-Ferrer, Elena Caride-Miana, Antonio Fernández-Giménez, Adriana López-Pineda, Rauf Nouni-García, Concepción Carratalá-Munuera, Ana M Cebrián-Cuenca
{"title":"Clarke问卷对西班牙2型糖尿病患者低血糖意识的心理测量特性","authors":"Domingo Orozco-Beltrán, Edurne Lecumberri-Pascual, Jose A Quesada, Oscar Moreno-Pérez, Manuel A Ruiz-Quintero, Francisco J Pomares-Gómez, Esteban Jodar-Gimeno, Carlos Pardo-Ruiz, Isabel Mascarell-Martinez, Rosa M Mirete-López, Borja Morant-Bes, Jose M Borrachero-Guijarro, Miriam Zapatero-Larrauri, Maria Carmen Aparicio-Egea, Carmen Paniagua-Merchán, Rosa M Requena-Ferrer, Elena Caride-Miana, Antonio Fernández-Giménez, Adriana López-Pineda, Rauf Nouni-García, Concepción Carratalá-Munuera, Ana M Cebrián-Cuenca","doi":"10.1080/00325481.2022.2138469","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>The Clarke questionnaire, validated in Spanish language, assesses hypoglycemia awareness in patients with type 1 diabetes. This study aimed to analyze its psychometric properties in patients with type 2 diabetes (T2DM).</p><p><strong>Methods: </strong>This was a questionnaire validation study. Patients with T2DM and treated with insulin, sulfonylureas or glinides were consecutively recruited from six endocrinology consultations and six primary care centers. The internal structure of the 8-item Clarke questionnaire was analyzed by exploratory (training sample) and confirmatory (testing sample) factor analysis; the internal consistency using Omega's McDonald coefficient; and goodness of fit with comparative fit index (CFI, cutoff >0.9), Goodness of Fit Index (GFI, cutoff >0.9), and root mean-square error of approximation (RMSEA, cutoff <0.09), as well as unidimensionality indicators.</p><p><strong>Results: </strong>The 265 participants (56.8% men) had a mean age of 67.8 years. Confirmatory factor analysis for one dimension obtained poor indicators: fit test (p < 0.001); CFI = 0.748; RMSEA = 0.122 and SRMR = 0.134. Exploratory factor analysis showed 2 or 3 dimensions with poor adjustment indicators. Omega's McDonald was 0.739.</p><p><strong>Conclusions: </strong>The Spanish version of the Clarke questionnaire was not valid or reliable for assessing hypoglycemia awareness in people with T2DM in Spanish population.</p>","PeriodicalId":20329,"journal":{"name":"Postgraduate Medicine","volume":"135 2","pages":"141-148"},"PeriodicalIF":2.6000,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Psychometric properties of the Clarke questionnaire for hypoglycemia awareness in the Spanish population with type 2 diabetes.\",\"authors\":\"Domingo Orozco-Beltrán, Edurne Lecumberri-Pascual, Jose A Quesada, Oscar Moreno-Pérez, Manuel A Ruiz-Quintero, Francisco J Pomares-Gómez, Esteban Jodar-Gimeno, Carlos Pardo-Ruiz, Isabel Mascarell-Martinez, Rosa M Mirete-López, Borja Morant-Bes, Jose M Borrachero-Guijarro, Miriam Zapatero-Larrauri, Maria Carmen Aparicio-Egea, Carmen Paniagua-Merchán, Rosa M Requena-Ferrer, Elena Caride-Miana, Antonio Fernández-Giménez, Adriana López-Pineda, Rauf Nouni-García, Concepción Carratalá-Munuera, Ana M Cebrián-Cuenca\",\"doi\":\"10.1080/00325481.2022.2138469\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>The Clarke questionnaire, validated in Spanish language, assesses hypoglycemia awareness in patients with type 1 diabetes. This study aimed to analyze its psychometric properties in patients with type 2 diabetes (T2DM).</p><p><strong>Methods: </strong>This was a questionnaire validation study. Patients with T2DM and treated with insulin, sulfonylureas or glinides were consecutively recruited from six endocrinology consultations and six primary care centers. The internal structure of the 8-item Clarke questionnaire was analyzed by exploratory (training sample) and confirmatory (testing sample) factor analysis; the internal consistency using Omega's McDonald coefficient; and goodness of fit with comparative fit index (CFI, cutoff >0.9), Goodness of Fit Index (GFI, cutoff >0.9), and root mean-square error of approximation (RMSEA, cutoff <0.09), as well as unidimensionality indicators.</p><p><strong>Results: </strong>The 265 participants (56.8% men) had a mean age of 67.8 years. Confirmatory factor analysis for one dimension obtained poor indicators: fit test (p < 0.001); CFI = 0.748; RMSEA = 0.122 and SRMR = 0.134. Exploratory factor analysis showed 2 or 3 dimensions with poor adjustment indicators. Omega's McDonald was 0.739.</p><p><strong>Conclusions: </strong>The Spanish version of the Clarke questionnaire was not valid or reliable for assessing hypoglycemia awareness in people with T2DM in Spanish population.</p>\",\"PeriodicalId\":20329,\"journal\":{\"name\":\"Postgraduate Medicine\",\"volume\":\"135 2\",\"pages\":\"141-148\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2023-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Postgraduate Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/00325481.2022.2138469\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Postgraduate Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/00325481.2022.2138469","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Psychometric properties of the Clarke questionnaire for hypoglycemia awareness in the Spanish population with type 2 diabetes.
Objectives: The Clarke questionnaire, validated in Spanish language, assesses hypoglycemia awareness in patients with type 1 diabetes. This study aimed to analyze its psychometric properties in patients with type 2 diabetes (T2DM).
Methods: This was a questionnaire validation study. Patients with T2DM and treated with insulin, sulfonylureas or glinides were consecutively recruited from six endocrinology consultations and six primary care centers. The internal structure of the 8-item Clarke questionnaire was analyzed by exploratory (training sample) and confirmatory (testing sample) factor analysis; the internal consistency using Omega's McDonald coefficient; and goodness of fit with comparative fit index (CFI, cutoff >0.9), Goodness of Fit Index (GFI, cutoff >0.9), and root mean-square error of approximation (RMSEA, cutoff <0.09), as well as unidimensionality indicators.
Results: The 265 participants (56.8% men) had a mean age of 67.8 years. Confirmatory factor analysis for one dimension obtained poor indicators: fit test (p < 0.001); CFI = 0.748; RMSEA = 0.122 and SRMR = 0.134. Exploratory factor analysis showed 2 or 3 dimensions with poor adjustment indicators. Omega's McDonald was 0.739.
Conclusions: The Spanish version of the Clarke questionnaire was not valid or reliable for assessing hypoglycemia awareness in people with T2DM in Spanish population.
期刊介绍：
Postgraduate Medicine is a rapid peer-reviewed medical journal published for physicians. Tracing its roots back to 1916, Postgraduate Medicine was established by Charles Mayo, MD, as a peer-to-peer method of communicating the latest research to aid physicians when making treatment decisions, and it maintains that aim to this day. In addition to its core subscriber base, Postgraduate Medicine is distributed to hundreds of US-based physicians within internal medicine and family practice.
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