1型糖尿病青少年及其照顾者解决糖尿病问题的情况：测量、验证以及与血糖控制的纵向关联
Diabetes problem solving by youths with type 1 diabetes and their caregivers: measurement, validation, and longitudinal associations with glycemic control.
作者信息
Wysocki Tim, Iannotti Ronald, Weissberg-Benchell Jill, Laffel Lori, Hood Korey, Anderson Barbara, Chen Rusan
机构信息
Center for Pediatric Psychology Research, Nemours Children's Clinic, 807 Children's Way, Jacksonville, FL 32207-8426, USA.
出版信息
J Pediatr Psychol. 2008 Sep;33(8):875-84. doi: 10.1093/jpepsy/jsn024. Epub 2008 Mar 17.
Abstract
OBJECTIVES
This article introduces a new measure of problem-solving skills of youths with type 1 diabetes (T1DM) and adult caregivers in correcting glycemic fluctuations.
METHODS
The Diabetes Problem Solving Interview (DPSI), a structured interview, was validated during a pilot study of a behavioral intervention. DPSI data and measures of diabetes management were obtained at baseline from 114 youths (ages 9-14.5) and 109 caregivers. Glycosylated hemoglobin (HbA(1c)) was measured quarterly over 9 months.
RESULTS
Results confirmed the psychometric adequacy of the DPSI. For caregivers, but not youths, low DPSI scores (indicating poor problem-solving skills) were significantly associated with worse HbA(1c) over 9 months.
CONCLUSIONS
The DPSI has clinical and research utility as a measure of diabetes problem-solving skills. Identification and targeted remediation of caregivers' deficient diabetes problem-solving skills or promotion of youths' utilization of these skills could possibly enhance glycemic control in youths with T1DM.
摘要
目的
本文介绍了一种衡量1型糖尿病（T1DM）青少年及其成年照顾者纠正血糖波动的问题解决能力的新方法。
方法
在一项行为干预的试点研究中，对结构化访谈“糖尿病问题解决访谈（DPSI）”进行了验证。在基线时从114名青少年（9 - 14.5岁）和109名照顾者那里获取了DPSI数据和糖尿病管理指标。在9个月内每季度测量糖化血红蛋白（HbA(1c)）。
结果
结果证实了DPSI的心理测量学充分性。对于照顾者而非青少年，低DPSI得分（表明问题解决能力差）与9个月内更差的HbA(1c)显著相关。
结论
DPSI作为一种衡量糖尿病问题解决能力的方法具有临床和研究用途。识别并针对性地纠正照顾者不足的糖尿病问题解决能力，或促进青少年对这些技能的运用，可能会改善T1DM青少年的血糖控制。
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本文引用的文献
1
A multisite trial of a clinic-integrated intervention for promoting family management of pediatric type 1 diabetes: feasibility and design.一项关于促进1型糖尿病患儿家庭管理的门诊综合干预措施的多中心试验：可行性与设计
Pediatr Diabetes. 2009 Apr;10(2):105-15. doi: 10.1111/j.1399-5448.2008.00448.x. Epub 2008 Aug 20.
2
Diabetes self-management profile for flexible insulin regimens: cross-sectional and longitudinal analysis of psychometric properties in a pediatric sample.灵活胰岛素治疗方案的糖尿病自我管理概况：儿科样本中心理测量学特性的横断面和纵向分析
Diabetes Care. 2005 Aug;28(8):2034-5. doi: 10.2337/diacare.28.8.2034.
3
National standards for diabetes self-management education.糖尿病自我管理教育国家标准。
Diabetes Care. 2005 Jan;28 Suppl 1:S72-9. doi: 10.2337/diacare.28.suppl_1.s72.
4
The effect of severe hypoglycaemia on cognition in children and adolescents with type 1 diabetes mellitus.
Diabetes Nutr Metab. 2002 Dec;15(6):426-9.
5
Development of the diabetes problem-solving measure for adolescents.青少年糖尿病问题解决措施的制定。
Diabetes Educ. 2001 Nov-Dec;27(6):865-74. doi: 10.1177/014572170102700612.
6
Validation of a structured interview for the assessment of diabetes self-management.用于评估糖尿病自我管理的结构化访谈的验证
Diabetes Care. 2000 Sep;23(9):1301-4. doi: 10.2337/diacare.23.9.1301.
7
Problem solving and diabetes regimen adherence by children and adolescents with IDDM in social pressure situations: a reflection of normal development.
J Pediatr Psychol. 1997 Aug;22(4):541-61. doi: 10.1093/jpepsy/22.4.541.
8
Deviation from developmentally appropriate self-care autonomy. Association with diabetes outcomes.偏离发育适宜的自我护理自主性。与糖尿病结局的关联。
Diabetes Care. 1996 Feb;19(2):119-25. doi: 10.2337/diacare.19.2.119.
9
The impact of the Trial Coordinator in the Diabetes Control and Complications Trial (DCCT). The DCCT Research Group.
Diabetes Educ. 1993 Nov-Dec;19(6):509-12. doi: 10.1177/014572179301900606.
10
Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus: Diabetes Control and Complications Trial. Diabetes Control and Complications Trial Research Group.强化糖尿病治疗对胰岛素依赖型糖尿病青少年长期并发症发生和发展的影响：糖尿病控制与并发症试验。糖尿病控制与并发症试验研究组
J Pediatr. 1994 Aug;125(2):177-88. doi: 10.1016/s0022-3476(94)70190-3.
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