Summary of Diabetes Self-care Activities: A confirmatory factor analytic approach

Jannoo, Zeinab; Khan, Naushad Mamode

doi:10.1016/j.pcd.2018.04.004

Cited by 18 publications

(16 citation statements)

References 29 publications

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“…24,25 Diabetes self-management performance was measured using the Summary of Diabetes Self-Care Activities Measure (SDSCA). 26–29 The higher the subscale mean score, the higher the level of self-care practice.…”

Section: Methodsmentioning

confidence: 99%

Sex-related differences in frailty factors in older persons with type 2 diabetes: a cross-sectional study

Nishimura

Harashima

Hosoda

et al. 2019

Therapeutic Advances in Endocrinology

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Background: This cross-sectional study aimed to describe sex-related differences in diabetes-specific factors underlying the development of frailty in older persons with type 2 diabetes. Methods: Older persons aged 60–80 years were sequentially enrolled. Frailty and sarcopenia were evaluated using the validated Kihon checklist (KCL) and Asian Working Group for Sarcopenia algorithm, respectively. Physical function and characteristics were measured by trained nurses independently. Results: This study included 213 participants. The mean age, body mass index (BMI), and glycated hemoglobin (HbA1c) level were 70.4 years, 24.3 kg/m 2 , and 7.4%, respectively. Prevalence of frailty was higher in women. Social and cognitive functions were lower in the prefrailty stage, while physical function was lower in the frailty stage, although there was no decrease in skeletal muscle mass. After adjustment for age, the KCL score was significantly associated with peripheral neuropathy, diet score, and coronary artery disease (CAD); frailty, with CAD and inoccupation; prefrailty, with diet score; and sarcopenia, with living alone in men. Meanwhile, the KCL score was significantly associated with living alone and skeletal muscle percentage; prefrailty, with peripheral neuropathy; and sarcopenia, with diabetes duration, LDL-cholesterol level, diet score, and irregular lifestyle in women. Conclusions: Sex differences in the risk factors of frailty should be considered when selecting preventive strategies for older persons with type 2 diabetes, early in the prefrailty stage. In particular, it is important to evaluate social participation and diet therapy in men and skeletal muscle mass and psychosocial function in women.

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Section: Methodsmentioning

confidence: 99%

Sex-related differences in frailty factors in older persons with type 2 diabetes: a cross-sectional study

Nishimura

Harashima

Hosoda

et al. 2019

Therapeutic Advances in Endocrinology

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“…It was originally considered that the structures underlying most instruments that assess diabetes self-measurement comprised first-order multidimensions. However, subsequent re-explorations and ancillary analyses of some instruments considered hierarchical structures (a single second-order construct with multiple dimensions) to investigate the more-complex nature of the constructs, such as the SDSCA-R [16], DSMI-29 [12], and DHPSC [19]. However, these investigations did not clearly describe the conceptual definitions or empirical/theoretical backgrounds that had been initially defined when developing the instruments.…”

Section: Psychometric Propertiesmentioning

confidence: 99%

“…Its subsequent short version, the DSMI-29, yielded single second-order structure [12]. The SDSCA-R has been demonstrated to have a first-order multifactor structure (with 4e6 factors) [13e15]; however, a single-order structure was recently suggested by Jannoo and Khan [16]. While these structural discrepancies need to be further explored, an appropriate instrument must also have a clear definition and rigorous content validity.…”

Section: Introductionmentioning

confidence: 99%

A New Self-management Scale with a Hierarchical Structure for Patients with Type 2 Diabetes

Lee

Chae

et al. 2020

Asian Nursing Research

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Purpose: The aims of this study were to develop a new instrument for measuring self-management with a hierarchical structure [the Diabetes Self-Management Scale (DSMS)] in patients with type 2 diabetes, and evaluate its psychometric properties. Method: The DSMS instrument was developed in three phases: (1) conceptualization and item generation; (2) content validity and pilot testing; and (3) field testing of its psychometric properties. A convenience sample of 473 participants was recruited in three university hospitals and one regional health center, South Korea. Results: Exploratory and confirmatory factor analyses yielded two second-order component models explaining the common variance among six first-order factors. Principal axis factoring with a varimax rotation accounted for 60.88% of the variance. Confirmatory factor analysis of the hierarchical structure revealed the following fit indices: c 2 /df ¼ 1.373, standardized root-mean-square residual ¼ .050, goodness-of-fit index ¼ .935, incremental fit index ¼ .975, comparative fit index ¼ .974, and root-meansquare error of approximation ¼ .039. All Cronbach' a values for internal consistency exceeded the criterion of .70. All of the intraclass correlation coefficients for testeretest reliability exceeded .70 except that for the taking-medication subscale. The components of the DSMS were moderately correlated with the comparator measures of self-efficacy and health literacy administered for convergent validity. Conclusion: The DSMS is a new instrument for measuring the complex nature of self-management in patients with type 2 diabetes, comprising 17 items scored on a five-point Likert scale. The DSMS exhibits satisfactory psychometric properties for five reliability and validity metrics, and so is a suitable instrument to apply in both research and clinical practices.

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“…Patient demographics were obtained from a 19-item demographic questionnaire. Two surveys consisting of the Summary of Diabetes Self-Care Activities (SDSCA) [31][32][33] and Diabetes-Dependent Quality of Life (ADDQOL) [34][35][36] were administered by trained research assistants at baseline and at 6 months, and the questionnaire of Work Productivity and Activity Impairment-General Health (WPAI-GH) 37 was administered once at 6 months. Permissions for the use of the questionnaires were attained.…”

Section: Outcome Measuresmentioning

confidence: 99%

“…It is validated, reliable, and widely used by researchers and clinicians. [31][32][33] Patients were asked to rate their frequency of performing each of the five self-care domains over the past 7 days. Each item was rated on a seven-point scale ranging from one to seven, with higher scores indicating higher frequencies at which the self-care activity was practiced (however, the score for item four was reversed).…”

Section: Study Toolsmentioning

confidence: 99%

Impact of team‐based pharmaceutical care on the humanistic outcomes among patients with long‐standing diabetes: An interim analysis of a randomized, controlled, multicenter study

Gallagher

Tan³

et al. 2021

J Am Coll Clin Pharm

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IntroductionEpidemiological studies have reported that diabetes‐related complications increase after 5 years of uncontrolled/suboptimal metabolic control. The risk of experiencing diabetes‐related microvascular diseases usually spike after 10 years of uncontrolled diabetes.ObjectivesThe objective of this study was to evaluate the impact of team‐based pharmaceutical care on glycemic control, self‐care, diabetes‐dependent quality of life, and productivity loss in patients with long‐standing diabetes (≥5 years).MethodsThis was a prospective, multicenter, randomized, controlled study. Patients with a glycosylated hemoglobin (HbA1c) > 7%, long‐standing diabetes defined as having a disease duration of at least 5 years, and polypharmacy defined as taking 5 or more chronic medications were included in the study. Patients in the intervention arm received team‐based pharmaceutical care regularly while patients in the control arm received physician‐centered care. Patients' humanistic outcomes were followed for 6 months.ResultsA total of 248 patients (126 intervention and 122 control) were included in the study. In addition to improved glycemic control observed in the intervention arm (mean difference: 0.44%, P = .003, 95% confidence interval: [0.15, 0.73]), the intervention arm showed significant improvements in overall self‐care level (+0.36, 95% confidence interval: [0.01, 0.72], P = .045) and self‐monitoring of blood glucose (+1.87, 95% confidence interval: [1.00, 2.99], P < .001) compared with the control arm. There were no significant differences in the changes in diabetes‐associated quality of life and overall work impairment between the two arms. A significant difference in activity impairment (affected productivity in regular unpaid activity) between the two arms was found, with 43.3% impairment having occurred in the control group vs 27.9% in the intervention group (P = .047).ConclusionTeam‐based pharmaceutical care significantly improved overall self‐care and glycemia without deteriorating quality of life and incurring productivity loss. Our findings highlighted the value of team‐based pharmaceutical care in managing diabetes‐experienced patients.

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Summary of Diabetes Self-care Activities: A confirmatory factor analytic approach

Cited by 18 publications

References 29 publications

Sex-related differences in frailty factors in older persons with type 2 diabetes: a cross-sectional study

Sex-related differences in frailty factors in older persons with type 2 diabetes: a cross-sectional study

A New Self-management Scale with a Hierarchical Structure for Patients with Type 2 Diabetes

Impact of team‐based pharmaceutical care on the humanistic outcomes among patients with long‐standing diabetes: An interim analysis of a randomized, controlled, multicenter study

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