Department of Psychology, Loyola University of Chicago.
Department of Psychiatry and Behavioral Health, Ann & Robert H. Lurie Children's Hospital of Chicago.
J Pediatr Psychol. 2018 Jun 1;43(5):561-571. doi: 10.1093/jpepsy/jsx146.
This study adds to the literature on the psychometric properties of the Problem Areas in Diabetes-Teen (PAID-T) and Parent (P-PAID-T) Versions. It also aims to shorten the measures of diabetes-specific distress, determine construct validity, and establish cutoff scores.
Data are from two independent studies (N = 1,265). Adolescent-caregiver dyads completed measures of emotional distress, diabetes strengths, hemoglobin A1c, blood glucose checks, and average blood glucose. Exploratory and confirmatory factor analyses assessed factor structures for each measure. Correlational analyses provided support for concurrent validity. Receiver-operating characteristic curves identified cutoff scores based on clinically meaningful groups identified with latent profile analysis.
Analyses supported a 14-item PAID-T and a 15-item P-PAID-T, with preliminary cutoff scores ≥44 and ≥54, respectively. Measures were associated with emotional and health outcomes as hypothesized.
The PAID-T and P-PAID-T are valid, reliable, and useful measures of diabetes-specific distress for teenagers with type 1 diabetes and parents of teenagers.
本研究旨在补充青少年糖尿病问题领域量表（PAID-T）和家长版（P-PAID-T）心理测量特性的文献。本研究还旨在缩短糖尿病特异性困扰的测量，确定结构效度，并建立截断分数。
数据来自两项独立研究（N=1265）。青少年-照顾者对完成了情感困扰、糖尿病优势、糖化血红蛋白、血糖检查和平均血糖的测量。探索性和验证性因子分析评估了每种测量的因子结构。相关分析提供了同时效度的支持。根据潜在剖面分析确定的具有临床意义的群组，接收者操作特征曲线确定了截断分数。
分析支持了一个 14 项的 PAID-T 和一个 15 项的 P-PAID-T，分别具有初步的截断分数≥44 和≥54。这些测量与情感和健康结果相关，这与假设一致。
PAID-T 和 P-PAID-T 是用于 1 型糖尿病青少年及其父母的有效、可靠和有用的糖尿病特异性困扰的测量工具。
