Translation and psychometric properties of the Persian version of self-management of type 1 diabetes for adolescents
-
Fatemeh Alaee Karahroudy
, Mohammad Ali Hosseini
Abstract
Background: The present study was conducted to translate and assess the validation of the measure of self-management of type 1 diabetes for adolescents that developed by Schilling et al [Schilling LS, Knafl KA, Grey M. Changing patterns of self-management in youth with type I diabetes. J Pediatr Nurs 2006;21:412–24].
Methods: The first stage of the study involved the translation of the measure of self-management of type 1 diabetes for adolescents into Persian based on the model proposed by Wild et al. in two versions [Wild D, Grove A, Martin M, Eremenco S, McElroy S, et al. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health 2005;8:94–104; Wild D, Eremenco S, Mear I, Martin M, Houchin C, et al. Multinational trials – recommendations on the translations required, approaches to using the same language in different countries, and the approaches to support pooling the data: the ISPOR patient-reported outcomes translation and linguistic validation good research practices task force report. Value Health 2009;12:430–40]. The translated versions were reviewed in consultation sessions with experts and the more appropriate items were selected and the final version was translated back into English in two versions and was then sent to the measure’s designer for confirmation. The content validity of the measure was then evaluated by a group of experts and found to be acceptable. The next stage evaluated the measure’s construct validity. This measure contains 52 items classified under five subscales. The confirmatory factor analysis was performed to assess the measure’s construct validity and was found to be acceptable. For evaluating the reliability of the measure, its internal consistency was assessed through calculating its Cronbach’s alpha and intra-class correlation. The measure’s consistency was measured through calculating its test-retest reliability.
Results: The assessment of the measure’s content validity revealed a content validity index of 0.98. For the construct validity of the measure using the confirmatory factor analysis, the following figures were obtained: NFI=0.97, RMSA=0.001, AGFI=0.81, IFI=0.833, GFI=0.83. In the assessment of the measure’s reliability, the intra-class correlation showed an overall Cronbach’s alpha of 0.88. The test-retest showed a consistency of 0.73 for the measure.
Conclusions: The validation of the 48-item measure revealed that it can be used in the population of Iranian adolescents with type 1 diabetes (8 items changed their subscales and 4 items were removed).
Acknowledgments:
The present paper is the result of the quantitative part of a mixed research thesis written by Fatemeh Alaei Karahroudi, PhD nursing student, and supervised by Farahnaz Mohammadi Shahbolaghi. The authors would like to thank Dr. Knafl for reviewing the article. Hereby, the author would like to express her gratitude to all the professors who helped carry out the study through their assistance, all the adolescents who participated in the study and all the treatment centers that cooperated in different stages of the research.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
References
1. Bhatia V, Arya V, Dabadghao P, Balasubramanian K, Sharma K, et al. Etiology and outcome of childhood and adolescent diabetes mellitus in North India. J Pediatr Endocr Met 2004;17:993–9.10.1515/JPEM.2004.17.7.993Search in Google Scholar PubMed
2. Lee E-H, Bijl J, Lillie M, Shortridge-Baggett SJ, Hei Moon S. Psychometric properties of the diabetes management self-efficacy scale in Korean patients with type 2 diabetes. Int J Endocrinol 2015;2015:780701.10.1155/2015/780701Search in Google Scholar PubMed PubMed Central
3. Rohani H, Eslami AA, Raei M, Tavakoli Ghouchani H, Afshari, A. Psychometric properties of the healthful eating belief scales for type 2 diabetics. J North Khorasan U Med Sci 2014;6:319–28.10.29252/jnkums.6.2.319Search in Google Scholar
4. Hemmati Maslak Pak M, Ahmadi F, Feizi A. Diabetes girls parent’s anxiety: a qualitative study. Hayat J 2011;17:5–15.Search in Google Scholar
5. Giannini C, de Giorgis T, Mohn A, Chiarelli F. Role of physical exercise in children and adolescents with diabetes mellitus. J Pediatr Endocr 2007;20:173–84.10.1515/JPEM.2007.20.2.173Search in Google Scholar PubMed
6. Anderson BJ. Children with diabetes mellitus and family functioning: translating research into practice. J Pediatr Endocri Meta 2001;14:645–52.10.1515/JPEM.2001.14.S1.645Search in Google Scholar
7. Hockenbury MJ, Wilson D. Wong’s infant and children nursing care, 9th ed. St Louis: Mosby, 2011.Search in Google Scholar
8. Guo J, Dixon JK, Whittemore R, He G-P. Instrument translation and initial psychometric evaluation of the Chinese version of the self-management of type 1 diabetes for adolescents scale. J Adv Nurs 2012;69:960–9.10.1111/j.1365-2648.2012.06129.xSearch in Google Scholar PubMed
9. Schilling LS, Grey M, Knafl KA. The concept of self-management of type1 diabetes in children and adolescents: an evolutionary concept analysis. J Adv Nurs 2002;37:87–99.10.1046/j.1365-2648.2002.02061.xSearch in Google Scholar PubMed
10. Schilling LS, Knafl KA, Grey M. Changing patterns of self-management in youth with type I diabetes. J Pediatr Nurs 2006;21:412–24.10.1016/j.pedn.2006.01.034Search in Google Scholar PubMed
11. Schilling LS, Dixon JK, Knafl KA, Lynn MR, Murphy K, et al. A new self-report measure of self-management of type 1 diabetes for adolescents. Nurs Res 2009;58:228–36.10.1097/NNR.0b013e3181ac142aSearch in Google Scholar PubMed PubMed Central
12. Schilling LS, Dixon JK, Knafl KA, Grey M, Ives B, et al. Determining content validity of a self-report instrument for adolescents using a heterogeneous expert panel. Nurs Res 2007;56:361–6.10.1097/01.NNR.0000289505.30037.91Search in Google Scholar PubMed
13. Keough L. Self-management of type 1 diabetes across adolescence. Diabetes Educr 2011;37:486–500.10.1177/0145721711406140Search in Google Scholar PubMed
14. Wild D, Grove A, Martin M, Eremenco S, McElroy S, et al. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health 2005;8:94–104.10.1111/j.1524-4733.2005.04054.xSearch in Google Scholar PubMed
15. Wild D, Eremenco S, Mear I, Martin M, Houchin C, et al. Multinational trials – recommendations on the translations required, approaches to using the same language in different countries, and the approaches to support pooling the data: the ISPOR patient-reported outcomes translation and linguistic validation good research practices task force report. Value Health 2009;12:430–40.10.1111/j.1524-4733.2008.00471.xSearch in Google Scholar PubMed
16. Zamanzadeh V, Ghahremanian A, Rassouli M, Abbaszadeh A, Alavi Majd H, et al. Design and implementation content validity study: development of an instrument for measuring patient-centered communication. J Caring Sci 2015;4:165–78.10.15171/jcs.2015.017Search in Google Scholar PubMed PubMed Central
17. Mounro BH. Statistical methods for healthcare research & application of SPSS in data analysis, translate and edited by Kazemnezhad A, Heidari MR, Nourouzadeh R. Tehran: Salami Published, 2011.Search in Google Scholar
18. Polit DF, Beck CH. Essential of nursing research methos, apprasial’s and utilization, 7th ed. Philadelphia: Wolters Kluwer Lippincott Williams & Wilkins, 2010.Search in Google Scholar
19. Burns N, Grove SK. The practice of nursing research, 6th ed. St Louis: W.B. Saunders Co., 2009.Search in Google Scholar
20. Stewart SM, Lee PW, Waller D, Hughes CW, Low LC, et al. A follow-up study of adherence and glycemic control among Hong Kong youth with diabetes. J Pediatr Psych 2003;28:67–79.10.1093/jpepsy/28.1.67Search in Google Scholar PubMed
21. Houman HA, Asghari A. Factor analysis and challenges. Psych Olum Tarbiati J 2005;35:1–20.Search in Google Scholar
22. Grove S, Burnse N, Gray JR. The practice nursing research apprasial, synthesis, and generation of evidence, 7th ed. Elsevier: St Louise, 2013.Search in Google Scholar
23. Alavie M. Structural equation modeling (SEM) in health sciences education researches: an overview of the method and its application. Iranian J Med Educ 2013;13:519–30.Search in Google Scholar
24. Naderimagham S, Niknami S, Abolhassani F, Hajizadeh E. Development and psychometric properties of perceived self-efficacy scale (SES) for self-care in middle-aged patients with diabetes mellitus type 2. J Iranian Inst Health Sci Res (Payesh) 2013;12:679–90.Search in Google Scholar
©2016 by De Gruyter
Articles in the same Issue
- Frontmatter
- Original Articles
- Translation and psychometric properties of the Persian version of self-management of type 1 diabetes for adolescents
- Generic and disease-specific quality of life in adolescents with type 1 diabetes: comparison to age-matched healthy peers
- Relationship between HOMA-IR and serum vitamin D in Chinese children and adolescents
- Low 25-hydroxyvitamin D level is not an independent risk factor for hepatosteatosis in obese children
- Pediatric thyroid nodules: ultrasonographic characteristics and inter-observer variability in prediction of malignancy
- Frequency of thyroid status monitoring in the first year of life and predictors for more frequent monitoring in infants with congenital hypothyroidism
- Biochemical, radiological, and genetic characterization of congenital hypothyroidism in Abu Dhabi, United Arab Emirates
- High prevalence of DUOX2 mutations in Japanese patients with permanent congenital hypothyroidism or transient hypothyroidism
- Children with severe Osteogenesis imperfecta and short stature present on average with normal IGF-I and IGFBP-3 levels
- Association between physical activity and bone in children with Prader-Willi syndrome
- CNDP1 genotype and renal survival in pediatric nephropathies
- 17-Hydroxyprogesterone responses to human chorionic gonadotropin are not associated with serum anti-Mullerian hormone levels among adolescent girls with polycystic ovary syndrome
- Near-final height in 82 Chinese patients with congenital adrenal hyperplasia due to classic 21-hydroxylase deficiency: a single-center study from China
- Case Reports
- Sertoli cell only syndrome with ambiguous genitalia
- Childhood parathyroid adenoma: a rare but important cause of nephrolithiasis
- A unique case of growth hormone and human chorionic gonadotropin treatment in a 45,X male with Y: autosome translocation and literature review
- Propionic acidemia: a Turkish case report of a successful pregnancy, labor and lactation
- Unusual phenotype of congenital adrenal hyperplasia (CAH) with a novel mutation of the CYP21A2 gene
- Central diabetes insipidus as a very late relapse limited to the pituitary stalk in Langerhans cell histiocytosis
Articles in the same Issue
- Frontmatter
- Original Articles
- Translation and psychometric properties of the Persian version of self-management of type 1 diabetes for adolescents
- Generic and disease-specific quality of life in adolescents with type 1 diabetes: comparison to age-matched healthy peers
- Relationship between HOMA-IR and serum vitamin D in Chinese children and adolescents
- Low 25-hydroxyvitamin D level is not an independent risk factor for hepatosteatosis in obese children
- Pediatric thyroid nodules: ultrasonographic characteristics and inter-observer variability in prediction of malignancy
- Frequency of thyroid status monitoring in the first year of life and predictors for more frequent monitoring in infants with congenital hypothyroidism
- Biochemical, radiological, and genetic characterization of congenital hypothyroidism in Abu Dhabi, United Arab Emirates
- High prevalence of DUOX2 mutations in Japanese patients with permanent congenital hypothyroidism or transient hypothyroidism
- Children with severe Osteogenesis imperfecta and short stature present on average with normal IGF-I and IGFBP-3 levels
- Association between physical activity and bone in children with Prader-Willi syndrome
- CNDP1 genotype and renal survival in pediatric nephropathies
- 17-Hydroxyprogesterone responses to human chorionic gonadotropin are not associated with serum anti-Mullerian hormone levels among adolescent girls with polycystic ovary syndrome
- Near-final height in 82 Chinese patients with congenital adrenal hyperplasia due to classic 21-hydroxylase deficiency: a single-center study from China
- Case Reports
- Sertoli cell only syndrome with ambiguous genitalia
- Childhood parathyroid adenoma: a rare but important cause of nephrolithiasis
- A unique case of growth hormone and human chorionic gonadotropin treatment in a 45,X male with Y: autosome translocation and literature review
- Propionic acidemia: a Turkish case report of a successful pregnancy, labor and lactation
- Unusual phenotype of congenital adrenal hyperplasia (CAH) with a novel mutation of the CYP21A2 gene
- Central diabetes insipidus as a very late relapse limited to the pituitary stalk in Langerhans cell histiocytosis