Dataset Information

Development of an assessment scale for treatment compliance in type 2 Diabetes Mellitus in Turkish population: Psychometric evaluation.

ABSTRACT:

Objectives

Compliance to treatment is important for the management of type 2 diabetes mellitus (DM) and the prevention of complications. The purpose of the study was to develop a scale and test its psychometric properties for the treatment compliance of the diabetic Turkish population.

Methods

This multicenter study was conducted in four training and research hospitals. The convenience sample consisted of 350 patients with type 2 DM. The items of the scale were determined after a literature review and qualitative interviews with the patients. Items were psychometrically analyzed. Content validity of the scale was evaluated using opinions from experts and a pilot study. Principal component analysis and the varimax rotation technique were used to evaluate construct validity in exploratory factor analysis. Criterion validity was evaluated with the Attitudes Towards Diabetes Scale, a subgroup of the Diabetes Care Profile scale. Reliability was evaluated with Cronbach's ? coefficient and test-retest analysis of internal consistency.

Results

The scale consisted of 7 factors that explained 47.36% of the total variance. The KMO test was conducted to determine whether the sample size was sufficient before the factor analysis. The KMO test result of the data was 0.75. The Cronbach's ? value of the sample was 0.77. The test-retest reliability analysis result was r = 0.991. We found a positive correlation between total scores of the developed scale and the Attitudes Towards Diabetes Scale (r = 0.31).

Conclusion

The results of the study demonstrated that the scale with 30 items is a valid and reliable scale for the evaluation of patient compliance with type 2 DM treatment. Thus, by using this scale, nurses and healthcare providers can evaluate the treatment compliance of patients with type 2 DM.

SUBMITTER: Demirtas A

PROVIDER: S-EPMC6626227 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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Publications

Development of an assessment scale for treatment compliance in type 2 Diabetes Mellitus in Turkish population: Psychometric evaluation.

Demirtaş Ayla A Akbayrak Nalan N

International journal of nursing sciences 20170608 3

<h4>Objectives</h4>Compliance to treatment is important for the management of type 2 diabetes mellitus (DM) and the prevention of complications. The purpose of the study was to develop a scale and test its psychometric properties for the treatment compliance of the diabetic Turkish population.<h4>Methods</h4>This multicenter study was conducted in four training and research hospitals. The convenience sample consisted of 350 patients with type 2 DM. The items of the scale were determined after a ...[more]

PMID: 31406748

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Project description:BackgroundThe internet has become a major source of health information, and obtaining appropriate information requires various abilities and skills, labeled as electronic health literacy (eHealth literacy). The existing instruments for measuring eHealth literacy are outdated because they were developed during the Web 1.0 era, or not sufficiently sensitive for people with a specific condition or disease because they were designed to assess eHealth literacy over a broad range for a general population. Approximately one in ten adults worldwide live with diabetes. Health professionals have a responsibility to identify patients with low eHealth literacy to prevent them from obtaining misleading internet diabetes information.AimsThe aims were to develop a condition-specific eHealth literacy scale for diabetes and to evaluate its psychometric properties among people with type 2 diabetes.MethodsAn instrument development design was used. This study recruited 453 people diagnosed with type 2 diabetes at the outpatient clinics of hospitals in 2021. Psychometric properties (internal consistency, measurement invariance, and content, structural, convergent, and known-groups validities) were analyzed.ResultsAn expert panel assessed content validity. Exploratory factor analysis, exploratory graph analysis, and confirmatory factor analysis (CFA) for structural validity yielded a two-factor solution (CFI = 0.977, SRMR = 0.029, RMSEA = 0.077). Cronbach's alpha and omega values were excellent for each factor (0.87-0.94). Multigroup CFA yielded configural and metric measurement invariance across the gender, age, and glycemic control status groups. Convergent validity with a comparator instrument to measure health literacy was supported by a moderate correlation, and known-groups validity determined using groups with different internet-use frequencies was satisfied with a high effect size.ConclusionA new condition-specific eHealth literacy scale for people with type 2 diabetes was developed, comprising 10 items. The scale exhibited good psychometric properties; however, test-retest reliability must be determined for the stability of the scale and cross-cultural validity is required among different languages. The brief scale has the merits of being feasible to use in busy clinical practice and being less burdensome to respondents. The scale can be applied in clinical trials of internet-based diabetes interventions for assessing the eHealth literacy of respondents.

Dataset Information

Development of an assessment scale for treatment compliance in type 2 Diabetes Mellitus in Turkish population: Psychometric evaluation.

Objectives

Methods

Results

Conclusion

Publications

Development of an assessment scale for treatment compliance in type 2 Diabetes Mellitus in Turkish population: Psychometric evaluation.

Similar Datasets

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