采用参与式方法编制糖尿病前期压力量表(PRSS)。

IF 1.8
Deshira D Wallace, Tiffiany Portacio, Paris Wiechecki Vergara
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引用次数: 0

摘要

前驱糖尿病是2型糖尿病的危险因素。从前驱糖尿病到2型糖尿病的转变是不公平的,拉美裔报告的风险高于其他群体。压力会影响这种转变;然而,我们没有办法测量与糖尿病前期相关的压力。研究设计和研究样本:我们使用群体概念图,一种参与式混合方法,从美国的英语和西班牙语拉丁裔成年人(18岁以上)中收集糖尿病前期患者或临床提供者的数据。参与者被邀请参加多个活动。首先,围绕糖尿病前期诊断和管理压力的焦点问题进行头脑风暴。其次,分别将86个头脑风暴陈述分成类似的组,并根据感知到的重要性对这些陈述进行评级。第三,解释定量结果。概念映射后,我们邀请参与者完成最初的英语和西班牙语版本量表的认知访谈。结果40名参与者参与了一项或多项活动。排序和评级活动的结果产生了10个集群,反映了参与者如何对86个陈述进行分组。这些分类与参与者共享,以支持对数据的解释。认知访谈揭示了参与者的建议,以提高对说明,回答选项和项目的理解。这个反复的过程产生了用英语和西班牙语编制的29项量表。结论本研究以参与者体验为中心,编制了第一个关注与前驱糖尿病诊断和管理相关的情绪健康量表。该量表可以通过测量糖尿病前期特异性压力来支持糖尿病预防研究,并支持临床互动,为患者和提供者之间量身定制的对话提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using Participatory Methods to Develop the Prediabetes-Related Stress Scale (PRSS).

BackgroundPrediabetes is a risk factor for type 2 diabetes. The transition from prediabetes to type 2 diabetes is inequitable, with Latinos reporting an increased risk than other groups. Stress can affect this transition; however, we have no means of measuring prediabetes-related stress.Research Design and Study SampleWe used group concept-mapping, a participatory mixed-methods approach to collect data from English- and Spanish-speaking Latino adults (18+ years old) living with prediabetes, or clinical providers, in the United States. Participants were invited to multiple activities. First, brainstorming around focal questions about the stress of prediabetes diagnosis and management. Second, individually sorting 86 brainstormed statements into like groups, and rating these statements based on perceived importance. Third, interpreting quantitative results. Post-concept mapping, we invited participants to complete cognitive interviews of the initial English and Spanish versions of the scale.ResultsForty participants engaged in one or more activities. Results from the sorting and rating activities resulted in 10 clusters that reflect how participants grouped the 86 statements. The clusters were shared with participants to support the interpretation of the data. Cognitive interviews revealed participant suggestions to improve comprehension of instructions, response options, and items. This iterative process resulted in a 29-item scale developed in English and Spanish.ConclusionWe centered participant experiences to create the first scale that focuses on the emotional health related to prediabetes diagnosis and management. This scale can support diabetes prevention research by measuring prediabetes-specific stress and support clinical interactions to inform tailored conversations between patients and providers.

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