Center for Healthcare Delivery Science, Nemours Children's Hospital, Orlando, Florida.
Center for Healthcare Delivery Science, Nemours Alfred I. duPont Hospital for Children, Wilmington, Delaware.
Pediatr Diabetes. 2019 Aug;20(5):652-660. doi: 10.1111/pedi.12860. Epub 2019 May 20.
Benefit finding, perceived positive effects of adversity, has been associated with psychological well-being in people with chronic illnesses and with better adherence for adolescents with type 1 diabetes (T1D). Our qualitative research with parents of young children (< 6 years old) with T1D indicated that benefit finding (BF) is a common parental coping mechanism, but no tools exist to measure BF in parents. We determined psychometric properties of the Diabetes Benefit Finding Scale for Parents (DBFS-P), a 16-item questionnaire adapted from the validated adolescent version. Parents of young children with T1D (n = 172) were participants in a randomized trial of an online intervention. We examined the DBFS-P factor structure through principal component analysis (PCA); internal consistency through Cronbach's alpha; convergent validity via bivariate correlations between the DBFS-P and measures of parental depression, anxiety, T1D self-efficacy, and hypoglycemia fear; and discriminant validity via bivariate correlations between the DBFS-P and measures of parental somatization and child behavior problems. PCA revealed one factor (56.47% variance) with Cronbach's α = 0.95. Convergent validity of the DBFS-P was supported by significant correlations with parental depression (r = -0.35, P < 0.001), anxiety (r = -0.20, P = 0.008), T1D self-efficacy (r = 0.36, P < 0.001), and hypoglycemia fear (r = 0.27, P < 0.001). Non-significant correlations with parental somatization (r = -0.06, P = 0.42) and child behavior problems (r = -0.12, P = 0.14) support its discriminant validity. The DBFS-P demonstrated good psychometric properties as a tool for assessing BF among caregivers.
益处发现，即逆境的感知积极影响，与慢性病患者的心理健康以及 1 型糖尿病（T1D）青少年的更好依从性相关。我们对患有 T1D 的幼儿（<6 岁）父母进行的定性研究表明，益处发现（BF）是一种常见的父母应对机制，但目前尚无用于测量父母 BF 的工具。我们确定了父母糖尿病益处发现量表（DBFS-P）的心理测量特性，该量表是从经过验证的青少年版本改编而来的 16 项问卷。172 名患有 T1D 的幼儿父母是一项在线干预随机试验的参与者。我们通过主成分分析（PCA）检查 DBFS-P 的因子结构；通过 Cronbach 的 alpha 检查内部一致性；通过 DBFS-P 与父母抑郁、焦虑、T1D 自我效能和低血糖恐惧的测量之间的双变量相关性检查聚合效度；通过 DBFS-P 与父母躯体化和儿童行为问题的测量之间的双变量相关性检查判别效度。PCA 显示一个因子（56.47%方差），Cronbach 的 alpha 为 0.95。DBFS-P 的聚合效度得到支持，与父母抑郁（r=-0.35，P<0.001）、焦虑（r=-0.20，P=0.008）、T1D 自我效能（r=0.36，P<0.001）和低血糖恐惧（r=0.27，P<0.001）呈显著相关。与父母躯体化（r=-0.06，P=0.42）和儿童行为问题（r=-0.12，P=0.14）的非显著相关性支持其判别效度。DBFS-P 作为评估照顾者 BF 的工具具有良好的心理测量特性。
