Summary Of Diabetes Self-Care Activities Questionnaire Research Articles

Validation and Cross-Cultural Adaptation of the Diabetes Self-Management Questionnaire (DSMQ) and the Social Phobia Inventory (SPIN) in Romanian Patients with Diabetes Mellitus.

Background and Objectives: Anxiety disorders are common in individuals with diabetes mellitus (DM) and have a negative impact on diabetes-related self-management and, therefore, on patients’ evolution and prognosis. In this context, it becomes necessary to accurately and easily assess anxiety and self-management behaviours. Thus, the aim of this research was translation and cultural adaptation for Romanian patients and validation of two instruments used for assessing diabetes self-management and anxiety, namely the Diabetes Self-Management Questionnaire (DSMQ) and the Social Phobia Inventory (SPIN). Materials and Methods: The Summary of Diabetes Self-Care Activities Questionnaire (SDSCA) and the DSMQ instruments for assessing diabetes self-management, as well as the Generalised Anxiety Disorder Scale (GAD-7) and the SPIN instruments for assessing anxiety, have been administered to 117 patients from Timisoara, Romania, previously diagnosed with DM. Results: The SPIN has proven to have good internal consistency, excellent acceptability of its questions without non-responders and a median completion time of 3 min and 10 s, an excellent test−retest performance (Spearman’s rho = 0.971, p < 0.001 between two administrations of the test) and good validity in comparison with the GAD-7, a previously validated and comprehensive instrument. The DSMQ has also proven to have acceptable internal consistency, excellent acceptability of its questions without non-responders and a median completion time of 2 min and 28 s; however, it has shown a weak, positive correlation without statistical significance in comparison with the SDSCA, a previously validated questionnaire. Conclusions: The SPIN, translated in Romanian and culturally adapted, is a valid tool for the screening of social phobias in individuals with DM. The DSMQ requires additional data for its validation in DM patients from Romania.

Evaluation of Self-Care and its Association with Quality of Life in Patients with Type 2 Diabetes

Background: Diabetes is a chronic illness which requires continuous self-care. Appropriate self-care can reduce the risks of developing complications and improve the Quality of Life (QoL). This study aimed to examine self-care and its association with quality of life in patients with type 2 diabetes (T2DM) in East Azerbaijan, Iran, in 2018.&#x0D; Methods: This was a cross-sectional study. The statistical population included all patients with type 2 diabetes in East Azerbaijan, in 2018. 310 patients were included using consecutive sampling. The summary of Diabetes Self-Care Activities Questionnaire (SDSCA) and the 12-Item Short Form Health Survey questionnaire (SF-12) were used for data collection. Data were analyzed using SPSS22. Descriptive statistics such as mean, Standard Deviation (SD), frequency, and percentage were applied to describe the characteristics of the respondents. The Spearman correlation, Mann Whitney U and Kruskal–Wallis tests were applied for statistical analysis.&#x0D; Results: The mean scores of self-care and QoL were estimated to be 42.14 ± 61.63 and 53.25 ± 51.73, respectively. The highest mean of self-care and QoL was related to medications and social functioning which were 96.03 and 68.34. There was no correlation between the total mean score of self-care and QoL (P-value = 0.65). Moreover, a significant correlation was found between medication (insulin), exercise, blood-glucose testing and the total score of QoL (P-value &lt; 0 .05).&#x0D; Conclusion: The results indicated that self-care in patients with diabetes is poor, and the patients’ QoL is moderate. Therefore, it is suggested that managers of health centres take appropriate measures such as educational programs and executive interventions to enhance self-care in patients with diabetes. Moreover, to increase QoL, more attention should be paid to promote exercise and diet behaviours.

Validation of the revised Diabetes Self-Management Questionnaire (DSMQ-R) in the primary care setting

BackgroundAvailable tools measuring self-management in diabetes are often improperly validated or do not correlate with glucose metabolism. The Diabetes Self-Management Questionnaire (DSMQ-R) is a valid tool, that showed strong relationship with glucose metabolism in tertiary care among people with mostly type 1 diabetes.Aim of the studyTo validate the translated DSMQ-R questionnaire in a Hungarian sample of people with predominantly type 2 diabetes in primary care.MethodsWe enrolled 492 adults from 38 practices in this cross-sectional cohort study, who filled out the self-administered questionnaire, consisting of DSMQ-R and the Summary of Diabetes Self-Care Activities (SDSCA) questionnaires. Family doctors provided clinical data. The translation process was performed in six steps, reaching the expert committee appraisal. The validity of the questionnaire was evaluated by assessing reliability and construct validity.ResultsCronbach’s alpha showed the questionnaire to reach good reliability (α = 0.845), although subscales had lower alphas. Contrary to the SDSCA questionnaire, the DSMQ-R sum scale differed significantly between persons on target vs not on target (median (interquartile range): 7.23 (6.17–8.44) vs 6.91 (5.91–8.02), and the DSMQ-R sum scale correlated significantly with BMI, HbA1c and SDSCA sum scale. In multivariate analysis higher DSMQ-R scores were significant predictor of achieving glycemic target goal.ConclusionThe Hungarian translation of the DSMQ-R is a comprehensible tool to assess self-management of persons with diabetes. The questionnaire is valid and reliable in family practice, although its association with achievement of diabetes HbA1c target is weaker in primary than in tertiary care.

Relationship between perceived social stigma and diabetes self-care activities in Iranian participants with type 1 diabetes.

A large percentage of side effects and problems associated with diabetesincluding social stigma interfere with health promotion behaviors in people with diabetes, minimize their social interactions, and indeed prevent them from asking for help regarding treatments and follow-up care services. Therefore, the present study was to elucidate the relationship between perceived social stigma (PSS) and diabetes self-care (DSC) activities in Iranian participants with type 1 diabetes (T1D). This correlational study was fulfilled on 135 participants with T1D in the city of Tabriz, Iran, selected through the convenience sampling method. The data were collected via the Demographic and Clinical Data Collection Form, the Type 1 Diabetes Stigma Assessment Scale (DSAS-1), and the Summary of Diabetes Self-Care Activities Questionnaire (SDSCAQ). The data were analyzed using the SPSS Statistics software (Version 16) incorporating descriptive and analytical statistics. The results revealed that the total score mean of PSS in the study participants was 51.43±12.16, which was at a moderate level. As well, the mean score of the DSC activities was 37.93±11.26. As a whole, no significant relationship was observed between the PSS and the DSC activities. According to the study findings, the PSS was not significantly correlated with the DSC activities; however, both variables in most study participants were at moderate levels. Therefore, further studies on the factors associated with the social stigma of diabetes are necessary. Knowing these factors can help treatment team plan to reduce the diabetes stigma and improve people with diabetes' self-care.

71-LB: Contour Next One Used with the Smartphone Application Contour Diabetes App Improved Self-Management and Adherence without Reducing Quality of Life in Patients with Diabetes

Objectives: Primary objective was to determine in daily routine if the use of Contour® Next One (CNO) with Smartphone Application Contour® Diabetes app (CDA) was associated with improved self-management by means of the Summary of Diabetes Self-Care Activities questionnaire (SDSCA). Secondary objectives were to evaluate impact on adherence to self-monitoring blood glucose (BG), change in HbA1c, quality of life and patient empowerment. Material and Methods: Prospective, observational study in 9 clinical practices in Spain. Eighty-seven multiple dose Insulin-treated patients with either type 1 or 2 diabetes mellitus were enrolled. All patients were using the CNO without the CDA, had a recent HbA1c test and previous 3 month glucose data. Each one had 2 on site visits at 0 days (visit 1) and 90 (visit 2). Results: Eighty-four patients were eligible (88.1% type 1; 11.9% type 2). Statistical significant differences were observed in SDSCA for general and specific diet questions with an increase of 1 day of median between visits. A significant increase was found in the number of total BG readings [median 259.1 vs. 276.1] and BG readings per day [median 2.9 vs. 3.1]. Furthermore, the % of BG values in range was significantly increased in visit 2 [median 51.0% vs. 54.0%] and the average of BG values decreased [median 169.0 vs. 161.5 mg/dl ]. Consequently a significant decrease in HbA1c value was observed [mean 7.6% vs. 7.38%]. No significant differences were found on the scores of the quality of life and empowerment questionnaires. Conclusion: These results suggest that the addition of the smartphone CDA to CNO in daily routine does not reduce the quality of life or empowerment of patients with diabetes but instead their joint use allows them to achieve a better glycemic control within a short period of time. This improvement seems to be obtained by following more days a healthier diet and by greater adherence to self-monitoring. Disclosure D. Fernandez-Garcia: Consultant; Self; Abbott, AstraZeneca, LifeScan, Inc., Lilly Diabetes, Madaus, Menarini Group, MSD, Novartis AG, Novo Nordisk A/S, Roche Diabetes Care, Sanofi. Other Relationship; Self; Ascensia Diabetes Care, Pfizer Inc., Sanofi. E. Aguilera: None. J. Arranz Martín: None. B. Gonzalez: None. B.G. Jauregui: None. E. Menéndez-Torre: None. R. Reyes-Garcia: None. A. Soto Gonzalez: Advisory Panel; Self; Novartis, Novo Nordisk. Consultant; Self; Mundipharma International, Novartis, Novo Nordisk. Speaker’s Bureau; Self; Eli Lilly and Company, Janssen/Mundipharma, Novartis, Novo Nordisk, Sanofi. C. Tejera: None. B. Fernandez-Tresguerres Torrecillas: Employee; Self; Ascensia Diabetes Care. T. Petruschke: Employee; Self; Ascensia Diabetes Care.

Psychometric properties of the Malay version of the Diabetes Empowerment Scale among Hospital Serdang type 2 diabetes mellitus patients using exploratory factor analysis

BackgroundThis study was initiated to examine the psychometric components of the Diabetes Empowerment Scale (DES) by translating and validating the scale into the Malay language (DES-M) which is the main language spoken in Malaysia. This study can determine the level of empowerment among diabetic patients towards diabetes management. In addition, the reliability and validity of the DES-M was also demonstrated.MethodsA total of 151 patients with type 2 diabetes mellitus were recruited (between June 2016 and October 2016) to complete sets of questionnaires, which were DES-M, the Malay versions of the Diabetes Quality of Life (DQOL) for Adults and Summary of Diabetes Self Care Activities Questionnaire (SDSCA). Confirmatory and Exploratory factor analysis (CFA and EFA) were carried out to determine the factor structures of the DES-M.ResultsThere were 100 males and 51 females with ages ranging from 19 to 81 years old (55 ± 13) included in this study. The instrument displayed good internal consistency (Cronbach’s α =0.920) and the respective coefficients ranged from 0.65–0.84. Discriminant validity showed adequate correlations ranged from 0.257–0.744. Concurrent validity with SDSCA (Pearson’s correlation = 0.313, p = 0.012). Predictive validity with DQOL (B = 0.27, p = 0.016). CFA indicated that four factor model of the DES-M has good fit to the data.ConclusionThis study indicates that the DES-M has a good internal consistency and validity. Therefore, it is a valid and reliable instrument for assessing empowerment score among patients with diabetes in Malaysia.Trial registrationNMRR-16-805-30503 (IIR).

Educational intervention to promote self-care in older adults with diabetes mellitus.

To evaluate the efficacy of an educational nursing intervention in self-care for older adults who have Diabetes Mellitus. A quasi-experimental study with control and intervention two groups conducted with older adults living with Diabetes Mellitus, attended at Primary Health Care Units of Fortaleza/Ceará. The intervention was a group educational approach with guidelines on diabetes treatment and foot care. The Brazilian adapted version of the Summary of Diabetes Self-Care Activities Questionnaire (SDSCA) was used for evaluating before-and-after self-care. A significance level of 0.05 was considered. 103 older adults participated in the study. There was an increase in self-care for diabetes after the educational intervention related to the aspects: healthy diet (p = 0.027), dietary instruction (p = 0.013) and foot examination (p = 0.012). The performed intervention promoted positive behavioral changes, favoring the adoption of healthy habits and the promotion of self-care in older adult patients with Diabetes Mellitus.

Impact of neuropathy on the adherence to diabetes-related self-care activities: a cross-sectional study

PurposeThe purpose of this study was to evaluate the impact of the presence and severity of neuropathy and depression on the patient’s adherence to diabetes-related self-care activities (DRSCA) in a cohort of patients with type 2 diabetes mellitus (T2DM).Patients and methodsIn this cross-sectional, noninterventional study, 198 patients with T2DM were enrolled according to a population-based, consecutive-case enrollment principle. In all patients, the adherence to DRSCA was evaluated using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire; a higher SDSCA score is associated with a better adherence. The presence and severity of neuropathy was assessed using the Michigan Neuropathy Screening Instrument (MNSI) and the severity of depression using the Patient Health Questionnaire-9 (PHQ-9).ResultsThe presence of neuropathy was associated with a decreased SDSCA score (26 points vs 37 points; P<0.001), an increased severe depression prevalence (24.7% vs 4.3%; P<0.001), and an increased PHQ-9 score (12 points vs 7 points; P<0.001). The MNSI score was reverse correlated with SDSCA score (r=−0.527; P<0.001) and positively correlated with PHQ-9 score (r=0.495; P<0.001). The reverse correlation between MNSI score and SDSCA score was present for all the subcomponents of SDSCA questionnaire (diet, exercise, glycemic monitoring, and foot care).ConclusionThe presence of neuropathy is associated with decreases in the quality of adherence to DRSCA in patients with T2DM and with increases in the symptomatology of depression. The significant, negative association between the severity of T2DM and the quality of disease self-management points to a possible loop-type relationship between these two components, being possible a reciprocal augmentation with negative consequences on the global management of the disease.

&lt;b&gt; Analysis of the self-care of diabetics according to by the Summary of Diabetes Self-Care Activities Questionnaire (SDSCA) &lt;/b&gt;

This is a cross-sectional correlational study that analyzed the self-care of diabetic patients according to the SDSCA. The sample was made up by 96 people di...

Psychometric properties of a Korean version of the summary of diabetes self-care activities measure

BackgroundThe summary of diabetes self-care activities (SDSCA) questionnaire is one of the most widely used self-report instruments for measuring diabetes self-management in adults. ObjectivesThis study aimed to examine the psychometric properties of a Korean version of the SDSCA questionnaire. MethodsThe 11-item English version of the SDSCA was translated into Korean following the standard translation methodology. The questionnaire was administered to 208 patients with type 2 diabetes. Exploratory and confirmatory factor analyses (EFA and CFA) were carried out for construct validity. Content validity index (CVI), internal consistency and a diabetes management self-efficacy scale (DMSES) were assessed. ResultsThe CVI of a Korean version of the SDSCA was .83. The EFA yielded a 9-item measure with a four factor solution with the same labels for original scales. The results of CFA showed the goodness of fit in the 9-item Korean SDSCA version (SDSCA-K). The internal consistency of SDSCA-K was moderate (Cronbach's α=.69) and the positive correlation between the SDSCA-K and the DMSES was identified. ConclusionThe current study provides the initial psychometric properties of SDSCA-K modified to 9 items and supports SDSCA-K as a reliable and valid measure of diabetes self-management in Korean patients.

The Validity and Reliability of a Spanish Version of the Summary of Diabetes Self-Care Activities Questionnaire

Translation of data collection instruments, paying careful attention to equivalency between the source and the target language, is important to obtain valid data collection instruments. To translate the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire (English) into Spanish and to evaluate the reliability and validity of the Spanish version. Translation and back-translation were used to develop the Spanish version of the SDSCA. The Spanish version of the SDSCA was reviewed by an expert panel for conceptual and content equivalence to the English version. Psychometric properties were assessed further by combining data from three studies that used the Spanish version as a data collection instrument. Correlation of each item of the Spanish and English version of the SDSCA instrument ranged from .78 to 1.00, with no variability in the responses of 2 of the 12 items. Test-retest correlations for the SDSCA ranged from .51 to 1.00. Internal consistency (Cronbach's alpha) for the Spanish version was .68. Items loaded on three factors, with the factors accounting for 61% of the variance in SDSCA. The findings for the psychometric properties of the Spanish version of the SDSCA questionnaire suggest that it has conceptual and content equivalency with the original English version and is valid and reliable. However, further testing with larger samples is required.

Complementary and Alternative Medicine Use Among a Multiethnic Sample of Older Adults with Diabetes

This study describes complementary and alternative medicine (CAM) use for diabetes self-management among a multiethnic sample with an aim of better understanding lay perspectives on CAM's utility and determining whether CAM practices undermine conventional diabetes self-management. During in-depth interviews with 80 older adults, data were collected on sociodemographics, the full range of self-management practices, and attitudes toward CAM. Analysis included descriptive measures of association and line-by-line coding. Trained interviewers recruited respondents from four health or social service sites. Sites were selected because they contained a large clientele of the targeted ethnic group and had been involved successfully in previous research studies. Twenty (20) adults age 50 and older from each of the groups most adversely affected by diabetes (African Americans, Hispanics, Native Americans, rural whites) participated in the study. Self-management strategies (included CAM) were assessed through a semistructured interview guide. Structured instruments obtained data on sociodemographics and health history. The 15-item Summary of Diabetes Self-Care Activities Questionnaire (SDSCA) assessed the frequency of completing recommended self-management activities. One in four elders reported using CAM, with respondents' cultural background associated with the CAM modality. We found no relationship between standard biomedical regimens and CAM use, supporting respondents' suggestion that CAM supplements rather than substitutes for biomedical self-management. Respondents suggested that use of CAM was limited by CAM's inaccessibility, and, underlying all, the dominance of conventional biomedical therapies that undermines belief in CAM's effectiveness. Older adults with diabetes use a flexible configuration of diabetes-self-management techniques, including culturally specific CAM modalities. CAM use, however, occupies a limited role in diabetes self-management, largely because of the predominance of conventional biomedical regimens.

The summary of diabetes self-care activities measure: results from 7 studies and a revised scale.

To review reliability, validity, and normative data from 7 different studies, involving a total of 1,988 people with diabetes, and provide a revised version of the Summary of Diabetes Self-Care Activities (SDSCA) measure. The SDSCA measure is a brief self-report questionnaire of diabetes self-management that includes items assessing the following aspects of the diabetes regimen: general diet, specific diet, exercise, blood-glucose testing, foot care, and smoking. Normative data (means and SD), inter-item and test-retest reliability, correlations between the SDSCA subscales and a range of criterion measures, and sensitivity to change scores are presented for the 7 different studies (5 randomized interventions and 2 observational studies). Participants were typically older patients, having type 2 diabetes for a number of years, with a slight preponderance of women. The average inter-item correlations within scales were high (mean = 0.47), with the exception of specific diet; test-retest correlations were moderate (mean = 0.40). Correlations with other measures of diet and exercise generally supported the validity of the SDSCA subscales (mean = 0.23). There are numerous benefits from standardization of measures across studies. The SDSCA questionnaire is a brief yet reliable and valid self-report measure of diabetes self-management that is useful both for research and practice. The revised version and its scoring are presented, and the inclusion of this measure in studies of diabetes self-management is recommended when appropriate.