Tanaka Rika, Trief Paula M, Scales Kasandra, Weinstock Ruth S
Behavioural Cardiology Research Unit, Toronto General Hospital.
Department of Psychiatry & Behavioral Sciences, SUNY Upstate Medical University.
Fam Syst Health. 2017 Dec;35(4):409-419. doi: 10.1037/fsh0000289.
Family-partner support has been associated with better blood glucose control, self-care adherence, and quality of life in adult patients with Type 2 diabetes (T2D). "Miscarried helping" has described interactions between youth with chronic diseases and their family members, in which a family member is helpful, but efforts are perceived as negative by the patient. Miscarried helping has not, however, been measured in adults with diabetes, which was the purpose of our study.
Data from a randomized clinical trial (n = 268) were analyzed to establish the psychometric properties and correlates of an adaptation of a measure of miscarried helping developed in pediatric populations, for use with adults with T2D.
The Helping for Health Inventory-Couples Version (HHI-C) was found to have three underlying factors and demonstrated adequate internal consistency across time (α at baseline = .86, 4 months = .87, 8 months = .86, and 12 months = .83) and showed high test-retest reliability (p < .01) over a 12-month period. Convergent validity was partially supported, because baseline HHI-C was positively associated with maladaptive conflict resolution strategies (p = .03) and negatively associated with adaptive conflict resolution strategies (p = .04) and diabetes knowledge (p < .01). The HHI-C did not correlate with body mass index or hemoglobin A1c, a measure of glycemic control. The HHI-C was positively associated with diabetes distress (p < .01) and depressive symptoms (p = .01).
This study is the 1st known reporting of the psychometric properties of a measure of miscarried helping for adults with T2D. This valid measure of miscarried helping could be useful in future studies evaluating novel, relationship-based approaches to assist adults with T2D in disease management. (PsycINFO Database Record
家庭伴侣支持与成年2型糖尿病（T2D）患者更好的血糖控制、自我护理依从性及生活质量相关。“流产式帮助”描述了患有慢性病的青少年与其家庭成员之间的互动，即家庭成员虽提供了帮助，但患者却将这些努力视为负面的。然而，尚未对成年糖尿病患者的流产式帮助进行测量，这正是我们这项研究的目的。
对一项随机临床试验（n = 268）的数据进行分析，以确定一种适用于儿科人群的流产式帮助测量方法改编版的心理测量特性及其相关因素，该改编版用于成年T2D患者。
健康帮助量表-伴侣版（HHI-C）被发现有三个潜在因素，且在不同时间点均表现出足够的内部一致性（基线时α = 0.86，4个月时 = 0.87，8个月时 = 0.86，12个月时 = 0.83），并在12个月期间显示出较高的重测信度（p < 0.01）。收敛效度得到部分支持，因为基线HHI-C与适应不良的冲突解决策略呈正相关（p = 0.03），与适应性冲突解决策略呈负相关（p = 0.04），与糖尿病知识呈负相关（p < 0.01）。HHI-C与体重指数或糖化血红蛋白（一种血糖控制指标）无关。HHI-C与糖尿病困扰呈正相关（p < 0.01），与抑郁症状呈正相关（p = 0.01）。
本研究是首次报道针对成年T2D患者的流产式帮助测量方法的心理测量特性。这种有效的流产式帮助测量方法可能有助于未来评估基于关系的新方法以协助成年T2D患者进行疾病管理的研究。（PsycINFO数据库记录
