Development and validation of the diabetes adolescent problem solving questionnaire.

Mulvaney SA, Jaser SS, Rothman RL, Russell WE, Pittel EJ, Lybarger C, Wallston KA
Patient Educ Couns. 2014 97 (1): 96-100

PMID: 25063715 · PMCID: PMC4162751 · DOI:10.1016/j.pec.2014.07.005

OBJECTIVE - Problem solving is a critical diabetes self-management skill. Because of a lack of clinically feasible measures, our aim was to develop and validate a self-report self-management problem solving questionnaire for adolescents with type 1 diabetes (T1D).

METHODS - A multidisciplinary team of diabetes experts generated questionnaire items that addressed diabetes self-management problem solving. Iterative feedback from parents and adolescents resulted in 27 items. Adolescents from two studies (N=156) aged 13-17 were recruited through a pediatric diabetes clinic and completed measures through an online survey. Glycemic control was measured by HbA1c recorded in the medical record.

RESULTS - Empirical elimination of items using principal components analyses resulted in a 13-item unidimensional measure, the diabetes adolescent problem solving questionnaire (DAPSQ) that explained 56% of the variance. The DAPSQ demonstrated internal consistency (Cronbach's alpha=0.92) and was correlated with diabetes self-management (r=0.53, p<.001), self-efficacy (r=0.54, p<.001), and glycemic control (r=-0.24, p<.01).

CONCLUSION - The DAPSQ is a brief instrument for assessment of diabetes self-management problem solving in youth with T1D and is associated with better self-management behaviors and glycemic control.

PRACTICE IMPLICATIONS - The DAPSQ is a clinically feasible self-report measure that can provide valuable information regarding level of self-management problem solving and guide patient education.

Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

MeSH Terms (17)

Adolescent Adult Child Diabetes Mellitus, Type 1 Disease Management Feedback Female Humans Male Problem Solving Psychology, Adolescent Quality of Life Reproducibility of Results Self Care Self Efficacy Self Report Surveys and Questionnaires

Connections (3)

This publication is referenced by other Labnodes entities: