Department of Child and Adolescent Psychiatry, Hatay Mustafa Kemal University Faculty of Medicine, Hatay, Türkiye.
Department of Medical Education, Sivas Cumhuriyet University Faculty of Medicine, Sivas, Türkiye.
Turk J Pediatr. 2024 Nov 16;66(5):588-598. doi: 10.24953/turkjpediatr.2024.4535.
Management of type 1 diabetes (T1DM) is quite challenging for both adolescents and their families. In this study, we aimed to translate the 14-item Problem Areas in Diabetes-Teen (PAID-T) scale, which measures variables that influence diabetes distress, to Turkish and investigate the Turkish version's reliability and validity.
One hundred and ninety-four adolescents with T1DM participated in the study. PAID-T and forms for sociodemographic and diabetes characteristics were used for data collection. The scale's content validity was checked using the Davis technique. Cronbach's α was used to analyze the scale's internal reliability and the test-retest for the scale's reliability. Exploratory factor analysis (EFA) was utilized to examine the factor structure. The fit of the scale was assessed using confirmatory factor analysis (CFA).
Of the participants, 54.6% (n=106) were girls. The content validity index values of the scale items ranged between 0.86 and 1.0. The PAID-T scores of girls and boys were similar. No significant difference was found between PAID-T scores with sociodemographic data and diabetes characteristics (p>0.05). The test-retest correlation coefficient of the scale was found to be 0.952. The three-factor (emotional burden, family and friend distress, and regimen-specific distress) model identified in EFA explained 61.8% of the common variance. Fit analysis was performed using CFA for the three-factor model, which did not show adequate fit (x2/df = 2.402, GFI = 0.822, CFI = 0.815, NFI = 0.727, NNFI = 0.772, RMSEA = 0.118). The Cronbach α value of the scale was 0.864.
The Turkish version of the 14-item PAID-T showed moderate validity and strong reliability. Accordingly, it can be used as a reliable measurement tool to assess diabetes stress in adolescents with T1DM.
1 型糖尿病（T1DM）的管理对青少年及其家庭来说极具挑战性。本研究旨在将测量影响糖尿病困扰的变量的 14 项青少年糖尿病问题领域量表（PAID-T）翻译成土耳其语，并对土耳其语版本的信度和效度进行研究。
194 名患有 T1DM 的青少年参与了这项研究。使用 PAID-T 量表和社会人口统计学及糖尿病特征的表格来收集数据。采用戴维斯技术检查量表的内容效度。采用克朗巴赫α分析量表的内部信度，采用重测法分析量表的信度。采用探索性因子分析（EFA）检验因子结构。采用验证性因子分析（CFA）评估量表的拟合度。
参与者中，54.6%（n=106）为女性。量表项目的内容效度指数值在 0.86 到 1.0 之间。女孩和男孩的 PAID-T 评分相似。PAID-T 评分与社会人口统计学数据和糖尿病特征之间无显著差异（p＞0.05）。量表的重测相关系数为 0.952。EFA 确定的三因素（情绪负担、家庭和朋友困扰、治疗方案特异性困扰）模型解释了 61.8%的共同方差。采用 CFA 对三因素模型进行拟合分析，结果显示拟合度欠佳（x2/df=2.402，GFI=0.822，CFI=0.815，NFI=0.727，NNFI=0.772，RMSEA=0.118）。量表的克朗巴赫α值为 0.864。
14 项 PAID-T 土耳其语版本具有中等的效度和较强的信度。因此，它可以作为一种可靠的测量工具，用于评估 T1DM 青少年的糖尿病应激。
