HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Iannotti, R. J. Articles by Clark, L. Search for Related Content PubMed PubMed Citation Articles by Iannotti, R. J. Articles by Clark, L. Social Bookmarking                What's this?

Assessing Regimen Adherence of Adolescents With Type 1 Diabetes

¹ Division of Epidemiology, Statistics and Prevention Research, National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, Bethesda, Maryland
² Department of Pediatrics, Georgetown University School of Medicine, Washington, DC
³ Pediatric Endocrinology Clinic, Mount Washington Pediatric Hospital, Baltimore, Maryland
⁴ Pediatric Endocrinology Department, Johns Hopkins Medical Center, Baltimore, Maryland

Address correspondence and reprint requests to Ronald J. Iannotti, PhD, Prevention Research Branch, Division of Epidemiology, Statistics, and Prevention Research, National Institute of Child Health and Human Development/National Institutes of Health/Department of Health and Human Services, 6100 Executive Blvd., 7B05, Bethesda, MD 20892-7510. E-mail: iannottr{at}mail.nih.gov

OBJECTIVE—The purpose of this study is to evaluate two updated measures of diabetes regimen adherence. The Diabetes Self-Management Profile (DSMP) is a widely used, structured interview. Limitations include a substantial interviewer and respondent time burden and the need for well-trained interviewers to use appropriate prompts and score the open-ended responses. The Diabetes Behavior Rating Scale (DBRS) is a self-administered, fixed-choice survey.

RESEARCH DESIGN AND METHODS—Both measures were administered to 146 youth with type 1 diabetes (aged 11–18 years) and their parents. Items were added to the DBRS to allow for both flexible and conventional regimens, and the DSMP was modified to use standardized wording across items, accommodate flexible regimens, and permit administration by nonmedical interviewers.

RESULTS—Both measures had good evidence of internal consistency (for the DSMP: parent 0.75 and youth 0.70; for the DBRS: parent 0.84 and youth 0.84). Scores on the DSMP and the DBRS were significantly related (r = 0.72 for parents and 0.74 for youth). There was moderate agreement between parent and youth (DSMP, r = 0.51; DBRS, r = 0.48). The measures were correlated with HbA_1c for both parent (DSMP, r = –0.35; DBRS, r = –0.35) and youth (DSMP, r = –0.36; DBRS, r = –0.34) reports.

CONCLUSIONS—Both measures exhibit good psychometric properties and good criterion validity but varied in terms of respondent and interviewer burden, issues that should be considered in selecting assessment procedures.

Abbreviations: DBRS, Diabetes Behavior Rating Scale • DSMP, Diabetes Self-Management Profile

CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?