促进 2 型糖尿病患者参与自我管理：开发葡萄糖监测对自我管理影响量表 (IGMSS)。

IF 2.3 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Canadian Journal of Diabetes Pub Date : 2024-10-01 DOI:10.1016/j.jcjd.2024.07.001

Michael Vallis PhD , Lori Berard RN , Emmanuel Cosson MD , Finn Boerlum Kristensen PhD , Fleur Levrat-Guillen PhD , Nicolas Naiditch PhD , Rémi Rabasa-Lhoret MD, PhD , William Polonsky PhD

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引用次数: 0

摘要

导言：2 型糖尿病（T2D）管理需要行为参与，才能取得最佳效果。连续血糖监测（CGM）有助于自我管理。本文介绍了葡萄糖监测对自我管理的影响量表（IGMSS）的开发情况，评估了设备使用（CGM 或 SMBG）对自我管理的能力、动机和机会的影响：量表项目来自三个方面：对使用 CGM 的 T2D 成人进行的定性研究的主题和引文；能力、机会和动机的行为改变理论；以及专家委员会的评审。共生成 42 个项目，分别评估个性化知识、改善健康状况（能力）、改善人际关系、具有积极的设备特性（机会）和改善自我管理（动机）。心理测量评估（514 名使用 CGM 的讲英语的加拿大人）通过项目反应分布、内部一致性、因素分析和专家意见，产生了 22 个最终项目。使用以下方法对结构有效性和收敛有效性进行了评估：评估方法包括：血糖监测满意度量表、糖尿病自我管理问卷、糖尿病压力量表、WHO-5 幸福指数和流行病学中心抑郁量表。对 130 名参与者进行了重测信度测定：结果：所有量表的内部一致性都很高（α0.73 - 0.91），重测信度也可以接受（ICC0.58 - 0.79，设备特征除外）。结构效度和收敛效度指数均可接受，IGMSS 与 CGM 满意度、自我管理行为和情绪功能之间存在大量重叠。根据专家审查结果，编写的项目可供使用 SMBG 或 CGM 的人员填写：IGMSS具有积极的心理测量特征，其得分反映了能力（个性化知识、健康改善）、机会（关系和设备特征）和动机。

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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Promoting Self-Management in Adults With Type 2 Diabetes: Development of the Impact of Glucose Monitoring on Self-Management Scale

Objectives

Type 2 diabetes (T2D) management requires behavioural engagement to achieve optimal outcomes and continuous glucose monitoring (CGM) technologies may facilitate self-management. In this study, we describe the development and validation of a self-report instrument, the Impact of Glucose Monitoring on Self-Management Scale (IGMSS), assessing the impact of device use (primarily CGM but also self-monitored blood glucose [SMBG]) on the capability, motivation, and opportunity to engage in self-management.

Methods

Potential items were generated from 3 sources: themes and quotes from 13 adults with T2D motivated by CGM use who participated in a qualitative study; behaviour change theory identifying capability, opportunity, and motivation to self-manage; and expert committee review of items. An initial pool of 42 items were generated describing CGM as promoting personalized knowledge, improved health (Capability), improved relationships, having positive device characteristics (Opportunity), and improved engagement in self-management (Motivation). Based on expert committee consensus, items were written so as to be completed by those using any glucose-sensing device (SMBG and CGM). Psychometric evaluation was conducted with 514 English-speaking Canadians. Scale reduction (22 final items) was completed using item-response distribution, internal consistency, factor analysis, and expert opinion. Construct and convergent validity were evaluated using the Impact of Glucose Monitoring Satisfaction Scale, the Diabetes Self-Management Questionnaire, the Diabetes Distress Scale, the 5-item World Health Organization Well-Being Index, and the Centre for Epidemiology Depression Scale. Test–retest reliability was determined for 130 participants.

Results

Internal consistency was high for all scales, ranging from 0.73 to 0.91. Test–retest reliability ranged from 0.58 to 0.79, except for Device Characteristics. Construct and convergent validity indices were acceptable. There was substantial overlap between the IGMSS and established measures of CGM satisfaction. IGMSS findings were also predictive of self-management behaviour and emotional functioning.

Conclusions

The IGMSS has positive psychometric characteristics and has the potential to screen people with T2D for engagement in diabetes self-management using CGM or any sensing device. Scores can be determined for various aspects of Capability (Personalized Knowledge, Improved Health), Opportunity (Relationships and Device Characteristics), and Motivation.

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来源期刊

Canadian Journal of Diabetes ENDOCRINOLOGY & METABOLISM-

CiteScore

4.80

自引率

4.00%

发文量

130

审稿时长

54 days

期刊介绍： The Canadian Journal of Diabetes is Canada''s only diabetes-oriented, peer-reviewed, interdisciplinary journal for diabetes health-care professionals. Published bimonthly, the Canadian Journal of Diabetes contains original articles; reviews; case reports; shorter articles such as Perspectives in Practice, Practical Diabetes and Innovations in Diabetes Care; Diabetes Dilemmas and Letters to the Editor.