评估父母对儿童1型糖尿病管理的自我效能感
Evaluating Parents' Self-Efficacy for Diabetes Management in Pediatric Type 1 Diabetes.
作者信息
Noser Amy E, Patton Susana R, Van Allen Jason, Nelson Michael B, Clements Mark A
机构信息
Clinical Child Psychology Program, University of Kansas, Lawrence, Kansas, USA.
Department of Pediatrics, University of Kansas Medical Center, Kansas, USA.
出版信息
J Pediatr Psychol. 2017 Apr 1;42(3):296-303. doi: 10.1093/jpepsy/jsw072.
OBJECTIVE
To examine the factor structure and construct validity of the Maternal Self-Efficacy for Diabetes Management Scale (MSED) in 135 youth ( Mage = 13.50 ± 1.83 years), with type 1 diabetes mellitus.
METHOD
The study used exploratory factor analysis (EFA) to examine the factor structure and correlations to examine relationships among MSED factors and select parent and child diabetes-related health behaviors and outcomes.
RESULTS
EFA identified an 11-item three-factor solution (χ 2 (25, n = 133) = 40.22, p < .03, RMSEA = 0.07, CFI = 0.98, TLI = 0.97), with factors corresponding to parents' perceived ability to manage their child's diabetes (MSED-M), problem-solve issues surrounding glycemic control (MSED-P), and teach their child about diabetes care (MSED-T). Correlational analyses revealed significant associations between the MSED-M and MSED-T and parent-reported optimism and youth's diabetes-specific self-efficacy. The MSED-T was also associated with glycated hemoglobin and self-monitoring blood glucose.
CONCLUSIONS
Results provide preliminary evidence for the reliability and validity of a three-factor solution of the MSED.
目的
检验135名1型糖尿病青少年（年龄中位数=13.50±1.83岁）的糖尿病管理自我效能感量表（MSED）的因子结构和结构效度。
方法
本研究采用探索性因子分析（EFA）来检验因子结构，并通过相关性分析来检验MSED各因子之间的关系，以及选择父母与子女糖尿病相关的健康行为和结果。
结果
探索性因子分析确定了一个包含11个条目的三因子结构（χ²(25, n = 133) = 40.22, p <.03, RMSEA = 0.07, CFI = 0.98, TLI = 0.97），这些因子分别对应父母对管理孩子糖尿病的感知能力（MSED-M）、解决血糖控制相关问题的能力（MSED-P）以及向孩子传授糖尿病护理知识的能力（MSED-T）。相关性分析显示，MSED-M和MSED-T与父母报告的乐观情绪以及青少年的糖尿病特异性自我效能感之间存在显著关联。MSED-T还与糖化血红蛋白和自我监测血糖相关。
结论
研究结果为MSED三因子结构的信效度提供了初步证据。
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