Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research (NIPER), S.A.S. Nagar (Mohali), India.
Department of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Pediatr Diabetes. 2021 Feb;22(1):101-111. doi: 10.1111/pedi.13071. Epub 2020 Jul 23.
No validated measures exist for evaluating diabetes self-management in Indian type 1 diabetes (T1D) patients.
To cross culturally adapt and evaluate the psychometric properties of Hindi version of Diabetes Self-Management Profile-Self Report (DSMP-SR-Hindi) in Indian T1D patients.
Total 160 T1D patients and their parents participated in the study. The mean age of patients was 13.5 ± 2.5 years and HbA1c was 8.6 ± 2.2%.
Exploratory factor analysis employing principle axis factoring with promax rotation was conducted. Monte Carlo parallel analysis identified three sub-scales instead of five sub-scales proposed in original version. Because of underlying ceiling and floor effects and insufficient loadings, five items were eliminated. Consequently, final Hindi version of DSMP-SR contained 19 items from DSMP-SR-24. Internal consistencies were adequate for overall scale (Cronbach's α = 0.835), identified sub-scales (Cronbach's α = 0.702-0.802) and comparable between genders. DSMP-19 total scores (r = -0.74) and three subscales correlated significantly with HbA1c (SMBG and Corrective Adjustments [r = -0.58], Exercise [r = -0.48], and Conformity to Diet and Insulin Routine [r = -0.64]). For every one SD improvement (11.2 marks) in DSMP-SR-Hindi score, odds of falling into poor glycaemic group (HbA1c > 7.5%) dropped to 0.242 times (95% CI 0.144-0.405; P < .001).
DSMP-SR-Hindi is a reliable and valid self-report measure of diabetes self-management behavior in Indian T1D patients. The revealed three subscales are reliable to use in isolation and across the genders. It will help in monitoring patient's progress in stepwise manner, ranging from their basic understanding of prescribed regimen to taking advance corrective actions in face of altered needs.
目前尚无针对印度 1 型糖尿病（T1D）患者的糖尿病自我管理评估的经过验证的测量工具。
对印度 T1D 患者的糖尿病自我管理概况 - 自我报告（DSMP-SR-Hindi）的印地语版本进行跨文化适应性改编和心理测量学特性评估。
共有 160 名 T1D 患者及其父母参与了这项研究。患者的平均年龄为 13.5±2.5 岁，HbA1c 为 8.6±2.2%。
采用主成分因子分析和 promax 旋转进行探索性因素分析。蒙特卡罗平行分析确定了三个而非五个亚量表，因为存在潜在的上限和下限效应以及不足的负荷，因此删除了五个项目。最终，DSMP-SR 的印地语版本包含了 19 个来自 DSMP-SR-24 的项目。整体量表的内部一致性良好（Cronbach's α=0.835），确定的亚量表的内部一致性也良好（Cronbach's α=0.702-0.802），并且在性别间具有可比性。DSMP-19 总分（r=-0.74）和三个亚量表与 HbA1c 显著相关（SMBG 和纠正调整 [r=-0.58]，运动 [r=-0.48]，以及饮食和胰岛素常规的一致性 [r=-0.64]）。DSMP-SR-Hindi 评分每提高 1 个标准差（11.2 分），HbA1c＞7.5%的不良血糖组的几率降低到 0.242 倍（95%CI 0.144-0.405；P＜0.001）。
DSMP-SR-Hindi 是一种可靠且有效的印度 T1D 患者糖尿病自我管理行为的自我报告测量工具。所揭示的三个亚量表可以单独使用，并且在性别间具有可靠性。它将有助于以逐步的方式监测患者的进展，范围从他们对规定方案的基本理解到面对改变的需求时采取先进的纠正措施。
