Abstract
BackgroundDiabetes related distress is common in type 1 diabetes patients (T1D). High levels of diabetes distress are related to poor metabolic control. An instrument to evaluate diabetes distress in T1D patients is “type 1 diabetes scale-T1DDS”. The aim of this study was to translate and culturally adapt the T1DDS into Brazilian culture.MethodsT1DDS scale was translated into Portuguese. Back translation was performed and evaluated by a specialists committee. Pre-test was performed with 40 T1D outpatients at State University of Campinas hospital. Internal consistency, external consistency and re-test were performed.Results72% women, mean age: 32, 1 ± 9, 7 years, mean diabetes duration: 15, 8 ± 9, 1 years, mean scholarity: 11, 5 ± 3, 6, glycosylated hemoglobin mean: 9 ± 2%. Internal consistency: Cronbach alpha of T1DDS Brazilian version was 0.93. External consistency: Spearman’s coefficient between T1DDS and PAID, Brazilian version, was 0.7781; (p < 0.0001).ConclusionsThe T1DDS Brazilian version is a reliable tool to evaluate diabetes distress in T1D patients in the Brazilian Population. This tool can be useful in clinical care and to identify patiens at risk and in need for psychosocial intervention.
Highlights
Diabetes related distress is common in type 1 diabetes patients (T1D)
High diabetes-related distress (DD) has been shown to be quite prevalent among T1D adults [6,7,8]
After authorization from original author, the translation of type 1 diabetes distress scale (T1DDS) was made by two qualified professionals fluent in English, whose native language is Brazilian Portuguese
Summary
Diabetes related distress is common in type 1 diabetes patients (T1D). High levels of diabetes distress are related to poor metabolic control. Uncontrolled hyperglycemia over time is associated with the development of micro and macrovascular complications [1]. To achieve these goals, T1D patients need to, monitor their blood sugar frequently and regularly, and address the effects of carbohydrate consumption and exercise to keep levels of blood sugar at acceptable levels. Living with T1D, the demands of glycemic control and dealing with the possibility of developing complications combine to increase diabetes-related distress (DD). DD may be defined as a group of reactions and emotional responses to life with diabetes, associated with treatment, diet and self-management demands. DD is distinct from clinical depression and is directly linked to poor glycemic control [10]
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