Introduction: Several adjustment scales are available for
Diabetes, but, unfortunately most of them focused on the limited dimensions of diabetes
and are not specific for type 2 diabetes. The aim of this study was to develop a
multidimensional scale for Diabetes type 2 Adjustment Assessment and to test preliminary
validity, reliability and clinical utility of the scale for this population.
Methods: In this methodological design study, the Diabetes
Adjustment Assessment Scale was developed and the psychometric properties of this scale
was assessed in patients with Type 2 diabetes. This study included internal consistency,
content validity and exploratory factor analysis.
Results: 1000 patients with type 2 diabetes completed the
45-item Diabetes Adjustment Scale. After eliminating two item, the 43-item measure
demonstrated good internal consistency (Cronbach’s α= 0.75). Factor analysis identified
eight factors including; reshape (11 questions), seek to acceptance of illness (7
questions), normal life with the disease (6 questions), initial self-management (2
questions), comparing (4 questions), initial imaging of illness (4 questions), return to
resources(3 questions), and advanced self- management (6 questions).
Conclusion: Considering that validity and reliability
indexes of the scale are reported in an appropriate level, it can be used as a valid and
reliable tool in measuring level of adjustment with type2 diabetes.