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Design and psychometric evaluation of self-care behavior assessment tool in diabetic patients

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Journal of Diabetes & Metabolic Disorders Aims and scope Submit manuscript

Abstract

Objective (s)

Diabetes is the most common metabolic disease with an increasing prevalence throughout the world due to the changes in lifestyle. Appropriate self-care promotes the life condition of people with chronic illnesses and reduces the side effects of such diseases, so this study was designed to develop a scale for evaluating self-care in middle-aged patients diabetes.

Methods

In this methodological study, the following 4 steps were conducted for design and psychometric measurement of the questionnaire: 1) Data collection was carried out during a supplementary cross-sectional survey of the qualitative study; 2) determining the face validity (the assessment of facility, difficulty, and ambiguity of the items and their importance for patients) and content validity of the questionnaire (the assessment of appropriateness and necessity of items by experts opinions and measuring CVR and CVI; 3) the internal consistency of the questionnaire was evaluated by determining the Cranach’s alpha coefficient (α = 0.85), and 4) test-retest of the scale with a 2-weeks interval confirmed appropriate stability for the scale (ICC = 0.81). The normality of data was also evaluated using skewness and kurtosis. CFA was performed using AMOS version 24 software.

Results

The first version of this questionnaire was produced with 71 items, of which 27 items were deleted during the process of validity and reliability confirmation. The final version of the questionnaire was provided with 44 items. For this study, 460 samples were used to examine the psychometric properties of the self-care scale.The confirmatory factor analysis showed a good fit to the data. Before the performing CFA, KMO and Bartlett’s test of sphericity were evaluated and the results indicated an adequate sample (KMO = 0.956 and Bartlett’s test: χ2 = 14,288.048, df = 946, P < 0.001).

Conclusion

The findings showed that the designed questionnaire could assess self-care in patients with diabetes. This is a short, easy-to-use questionnaire that helps you understand what the patient needs to perform self-care behaviors.

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Acknowledgements

We would like to express our gratitude and appreciation to all respected professors, clinics, comprehensive health centers and participants in this study, and we wish God the best for each of these dear ones. The authors thanks to the many colleagues whose vignettes about dilemmas of improving quality shaped this paper, and the anonymous reviewers for their suggestions.

Funding

Financial support was received from the Mashhad University of Medical Science.

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Authors and Affiliations

  1. Mashhad University of Medical Sciences, Mashhad, Iran

    Davood RobatSarpooshi

  2. Department of Epidemiology and Biostatistics, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran

    Ali Taghipour

  3. Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

    Ali Taghipour, Saki Azadeh & Nooshin Peyman

  4. Department of Health Education and Health Promotion, Social Determinants of Health Research Center, School of health, Mashhad University of Medical Sciences, Mashhad, Iran

    Mehrsadat Mahdizadeh

  5. Department of Epidemiology and Biostatistics, Evidence-Based Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

    Saki Azadeh

  6. Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran

    Jafari AliReza

  7. Department of Health Education and Health Promotion, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran

    Nooshin Peyman

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  1. Davood RobatSarpooshi
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Correspondence to Nooshin Peyman.

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Conflict of interest

The authors report no conflicts of interest in this work. The authors alone are responsible for the content and writing of the paper.

Ethics approval and consent to participate

This study is based on a research project approved by the Ethics Committee of Mashhad University of Medical Sciences with the code of ethics IR.MUMS.REC.1398.006 All procedures performed in this study were under the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable.

All project participants were informed of the project goals before the interview and have completed a written consent form and they have been assured of confidentiality. This research project is funded by Mashhad University of Medical Sciences.

All project participants were informed of the project goals before the interview and have completed a written consent form and they have been assured of confidentiality.

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RobatSarpooshi, D., Taghipour, A., Mahdizadeh, M. et al. Design and psychometric evaluation of self-care behavior assessment tool in diabetic patients. J Diabetes Metab Disord 19, 709–716 (2020). https://doi.org/10.1007/s40200-020-00549-6

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  • DOI: https://doi.org/10.1007/s40200-020-00549-6

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