Harris M A, Wysocki T, Sadler M, Wilkinson K, Harvey L M, Buckloh L M, Mauras N, White N H
Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Diabetes Care. 2000 Sep;23(9):1301-4. doi: 10.2337/diacare.23.9.1301.
The authors developed and validated a semi-structured interview; the Diabetes Self-Management Profile (DSMP), to measure self-management of type 1 diabetes. The DSMP includes the following regimen components: exercise, management of hypoglycemia, diet, blood glucose testing, and insulin administration and dose adjustment.
Families of youths with type 1 diabetes (n = 105) who were entering a controlled trial of intensive therapy (IT) versus usual care (UC) were administered the DSMP Analyses assessed the reliability and validity of the DSMP, including its associations with HbA1c and quality of life.
The DSMP total score has adequate internal consistency (Cronbach's alpha 0.76), 3-month test-retest reliability (Pearson correlation, r = 0.67), inter-interviewer agreement (r = 0.94), and parent-adolescent agreement (r = 0.61). DSMP total scores (r = -0.28) and 3 subscales correlated significantly with HbA1c (diet [r = -0.27], blood glucose testing [r = -0.37], and insulin administration and dose adjustment [r = -0.25 ]). Adolescents' reports of self-management did not differ from parental reports. Higher DSMP scores were associated with more favorable quality of life for mothers and youths.
The DSMP is a convenient measure that yields a reliable and valid assessment of diabetes self-management. Compared with extant similar measures, the DSMP is more strongly correlated with HbA1c.
作者开发并验证了一种半结构化访谈工具——糖尿病自我管理概况（DSMP），用于测量1型糖尿病的自我管理情况。DSMP包括以下治疗方案组成部分：运动、低血糖管理、饮食、血糖检测以及胰岛素注射和剂量调整。
对105名即将进入强化治疗（IT）与常规治疗（UC）对照试验的1型糖尿病青少年的家庭进行了DSMP访谈。分析评估了DSMP的信效度，包括其与糖化血红蛋白（HbA1c）和生活质量的关联。
DSMP总分具有足够的内部一致性（Cronbach's α系数为0.76）、3个月的重测信度（Pearson相关系数，r = 0.67）、访谈者间一致性（r = 0.94）以及父母与青少年间的一致性（r = 0.61）。DSMP总分（r = -0.28）及3个分量表与HbA1c显著相关（饮食[r = -0.27]、血糖检测[r = -0.37]、胰岛素注射和剂量调整[r = -0.25]）。青少年的自我管理报告与父母的报告无差异。DSMP得分越高，母亲和青少年的生活质量越佳。
DSMP是一种便捷的测量工具，能对糖尿病自我管理进行可靠且有效的评估。与现有的类似测量工具相比，DSMP与HbA1c的相关性更强。
