Wagner Julie A
Department of Behavioral Sciences and Community Health, University of Connecticut, School of Dental Medicine, 263 Farmington Avenue, Farmington, CT 06030, USA.
Health Qual Life Outcomes. 2005 Jun 14;3:38. doi: 10.1186/1477-7525-3-38.
The purpose of this study was to investigate the scale recalibration construct of response shift and its relationship to glycemic control in children with diabetes.
At year 1, thirty-eight children with type 1 diabetes attending a diabetes summer camp participated. At baseline and post-camp they completed the Problem Areas in Diabetes (PAID) questionnaire. Post-camp, the PAID was also completed using the 'thentest' method, which requires a retrospective judgment about their baseline functioning. At year 2, fifteen of the original participants reported their HbA1c.
PAID scores significantly decreased from baseline to post-camp. An even larger difference was found between thentest and post-camp scores, suggesting scale recalibration. There was a significant positive correlation between year 1 HbA1c and thentest scores. Partial correlation analysis between PAID thentest scores and year 2 HbA1c, controlling for year 1 HbA1c, showed that higher PAID thentest scores were associated with higher year 2 HbA1c.
Results from this small sample suggest that children with diabetes do show scale recalibration, and that it may be related to glycemic control.
本研究旨在调查反应转移的量表重新校准结构及其与糖尿病儿童血糖控制的关系。
在第1年，38名参加糖尿病夏令营的1型糖尿病儿童参与研究。在基线期和夏令营结束后，他们完成了糖尿病问题领域（PAID）问卷。夏令营结束后，PAID问卷还采用了“事后测试”方法完成，该方法要求对他们的基线功能进行回顾性判断。在第2年，15名最初的参与者报告了他们的糖化血红蛋白（HbA1c）水平。
PAID评分从基线期到夏令营结束后显著降低。在事后测试和夏令营结束后的评分之间发现了更大的差异，表明量表重新校准。第1年的HbA1c水平与事后测试评分之间存在显著正相关。在控制第1年HbA1c水平的情况下，对PAID事后测试评分与第2年HbA1c水平进行偏相关分析，结果显示，PAID事后测试评分越高，第2年的HbA1c水平越高。
这个小样本的研究结果表明，糖尿病儿童确实存在量表重新校准现象，并且这可能与血糖控制有关。
