Diabetes Care, Vol 23, Issue 6 739-743, Copyright © 2000 by American Diabetes Association

ARTICLES

The Diabetes Empowerment Scale: a measure of psychosocial self-efficacy

RM Anderson, MM Funnell, JT Fitzgerald and DG Marrero
Department of Medical Education, University of Michigan Medical School, Ann Arbor 48109-0201, USA. boba@umich.edu

OBJECTIVE: The purpose of this study was to assess the validity, reliability, and utility of the Diabetes Empowerment Scale (DES), which is a measure of diabetes-related psychosocial self-efficacy. RESEARCH DESIGN AND METHODS: In this study (n = 375), the psychometric properties of the DES were calculated. To establish validity, DES subscales were compared with 2 previously validated subscales of the Diabetes Care Profile (DCP). Factor and item analyses were conducted to develop subscales that were coherent, meaningful, and had an acceptable coefficient alpha. RESULTS: The psychometric analyses resulted in a 28-item DES (alpha = 0.96) with 3 subscales: Managing the Psychosocial Aspects of Diabetes (alpha = 0.93), Assessing Dissatisfaction and Readiness To Change (alpha = 0.81), and Setting and Achieving Diabetes Goals (alpha = 0.91). Consistent correlations in the expected direction between DES subscales and DCP subscales provided evidence of concurrent validity. CONCLUSIONS: This study provides preliminary evidence that the DES is a valid and reliable measure of diabetes-related psychosocial self-efficacy. The DES should be a useful outcome measure for various educational and psychosocial interventions related to diabetes.
CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				M. McAllister, K. Payne, R. MacLeod, S. Nicholls, Dian Donnai, and L. Davies Patient Empowerment in Clinical Genetics Services J Health Psychol, October 1, 2008; 13(7): 895 - 905. [Abstract] [PDF]

				R. M. Anderson and M. M. Funnell The Art and Science of Diabetes Education: A Culture Out of Balance The Diabetes Educator, January 1, 2008; 34(1): 109 - 117. [Abstract] [Full Text] [PDF]

				G. Demiris, L. B. Afrin, S. Speedie, K. L. Courtney, M. Sondhi, V. Vimarlund, C. Lovis, W. Goossen, and C. Lynch Patient-centered Applications: Use of Information Technology to Promote Disease Management and Wellness. A White Paper by the AMIA Knowledge in Motion Working Group J. Am. Med. Inform. Assoc., January 1, 2008; 15(1): 8 - 13. [Abstract] [Full Text] [PDF]

				Y. Nakawatase, C. Taru, A. Tsutou, H. Shiotani, Y. Kido, T. Ohara, W. Ogawa, and I. Miyawaki Development of an Evaluation Scale for Self-Management Behavior Related to Physical Activity of Type 2 Diabetic Patients Diabetes Care, November 1, 2007; 30(11): 2843 - 2848. [Abstract] [Full Text] [PDF]

				U. Sarkar, L. Fisher, and D. Schillinger Is Self-Efficacy Associated With Diabetes Self-Management Across Race/Ethnicity and Health Literacy? Diabetes Care, April 1, 2006; 29(4): 823 - 829. [Abstract] [Full Text] [PDF]

				L. M. Siminerio, G. Piatt, and J. C. Zgibor Implementing the Chronic Care Model for Improvements in Diabetes Care and Education in a Rural Primary Care Practice The Diabetes Educator, March 1, 2005; 31(2): 225 - 234. [Abstract] [Full Text] [PDF]

				A. T.Y. Shiu, S.-m. Li, and D. R. Thompson The Concurrent Validity of the Chinese Version of the Diabetes Empowerment Scale Diabetes Care, February 1, 2005; 28(2): 498 - 499. [Full Text] [PDF]

				A. B. Evert Tools and Techniques for Working With Young People With Diabetes Diabetes Spectr, January 1, 2004; 17(1): 8 - 13. [Full Text] [PDF]

				A. T.Y. Shiu, R. Y.M. Wong, and D. R. Thompson Development of a Reliable and Valid Chinese Version of the Diabetes Empowerment Scale Diabetes Care, October 1, 2003; 26(10): 2817 - 2821. [Abstract] [Full Text] [PDF]

				R. M. Anderson, J. T. Fitzgerald, L. D. Gruppen, M. M. Funnell, and M. S. Oh The Diabetes Empowerment Scale-Short Form (DES-SF) Diabetes Care, May 1, 2003; 26(5): 1641 - 1642. [Full Text] [PDF]

				N. C.W. van der Ven, K. Weinger, J. Yi, F. Pouwer, H. Ader, H. M. van der Ploeg, and F. J. Snoek The Confidence in Diabetes Self-Care Scale: Psychometric properties of a new measure of diabetes-specific self-efficacy in Dutch and U.S. patients with type 1 diabetes Diabetes Care, March 1, 2003; 26(3): 713 - 718. [Abstract] [Full Text] [PDF]

				S. M. Stewart, P. W. H. Lee, D. Waller, C. W. Hughes, L. C. K. Low, B. D. Kennard, A. Cheng, and K.-F. Huen A Follow-Up Study of Adherence and Glycemic Control Among Hong Kong Youths With Diabetes J. Pediatr. Psychol., January 1, 2003; 28(1): 67 - 79. [Abstract] [Full Text] [PDF]

				C. D. Samuel-Hodge, R. F. DeVellis, A. Ammerman, T. C. Keyserling, and T. A. Elasy Reliability and Validity of a Measure of Perceived Diabetes and Dietary Competence in African American Women With Type 2 Diabetes The Diabetes Educator, November 1, 2002; 28(6): 979 - 988. [Abstract] [PDF]

				I. R. Bell, O. Caspi, G. E. R. Schwartz, K. L. Grant, T. W. Gaudet, D. Rychener, V. Maizes, and A. Weil Integrative Medicine and Systemic Outcomes Research: Issues in the Emergence of a New Model for Primary Health Care Arch Intern Med, January 28, 2002; 162(2): 133 - 140. [Abstract] [Full Text] [PDF]

				C. M. Clark Jr., M. H. Chin, S. N. Davis, E. Fisher, R. G. Hiss, D. G. Marrero, E. A. Walker, and J. Wylie-Rosett Incorporating the Results of Diabetes Research Into Clinical Practice: Celebrating 25 years of Diabetes Research and Training Center translation research Diabetes Care, December 1, 2001; 24(12): 2134 - 2142. [Full Text] [PDF]

				G. H. Brody, L. Jack Jr, V. M. Murry, M. Landers-Potts, and L. Liburd Heuristic Model Linking Contextual Processes to Self-Management in African American Adults With Type 2 Diabetes The Diabetes Educator, September 1, 2001; 27(5): 685 - 693. [Abstract] [PDF]

				R. E. Glasgow, D. J. Toobert, and C. D. Gillette Psychosocial Barriers to Diabetes Self-Management and Quality of Life Diabetes Spectr, January 1, 2001; 14(1): 33 - 41. [Abstract] [Full Text] [PDF]