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泰国老年2型糖尿病患者痴呆预防自我管理:两份问卷的编制与心理测量学特性

Dementia Prevention Self-Management in Older Thai Adults with Type 2 Diabetes: Development and Psychometric Properties of Two Questionnaires.

作者信息

Pipatpiboon Noppamas, Sripetchwandee Jirapas, Kantawong Eakachai, Budda Ruksanudt, Bressington Daniel

机构信息

Department of Public Health, Faculty of Nursing, Chiang Mai University, Chiang Mai 50200, Thailand.

Neurophysiology Unit, Cardiac Electrophysiology Research and Training Center, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.

出版信息

Nurs Rep. 2024 Dec 2;14(4):3786-3802. doi: 10.3390/nursrep14040277.

Abstract

BACKGROUND/OBJECTIVES: The prevalence of dementia, a complication of uncontrolled type 2 diabetes (T2DM), is rising among older adults. Effective self-management for dementia prevention is essential, but no validated questionnaires currently exist to evaluate these behaviors.

METHODS

The Dementia Preventive Individual and Family Self-Management Process Questionnaire (DP-IFSM-PQ) and the Dementia Preventive Self-Management Behavior Questionnaire (DPSMBQ) were developed based on the Individual and Family Self-Management Theory to evaluate dementia prevention self-management behaviors in older adults with T2DM. Items for the DP-IFSM-PQ (30 items) and DPSMBQ (29 items) were generated through literature review and tested for face validity. A quantitative cross-sectional study evaluated their psychometric properties using exploratory factor analysis (EFA) (n = 311) and confirmatory factor analysis (CFA) (n = 254).

RESULTS

The final DP-IFSM-PQ comprises four factors and 29 items, showing acceptable fit with limited discriminant validity. The DPSMBQ includes seven factors and 27 items, demonstrating good fit and acceptable discriminant validity.

CONCLUSIONS

The Thai-language DP-IFSM-PQ and DPSMBQ show reasonable psychometric properties for application in Thai older adults, but revisions of certain items and further studies are recommended to reassess their properties.

摘要

背景/目的:痴呆症是2型糖尿病(T2DM)控制不佳的一种并发症,在老年人中的患病率正在上升。有效的痴呆症预防自我管理至关重要,但目前尚无经过验证的问卷来评估这些行为。

方法

基于个体和家庭自我管理理论开发了痴呆症预防个体和家庭自我管理过程问卷(DP-IFSM-PQ)和痴呆症预防自我管理行为问卷(DPSMBQ),以评估T2DM老年患者的痴呆症预防自我管理行为。通过文献综述生成了DP-IFSM-PQ(30项)和DPSMBQ(29项)的条目,并对其表面效度进行了测试。一项定量横断面研究使用探索性因子分析(EFA)(n = 311)和验证性因子分析(CFA)(n = 254)评估了它们的心理测量特性。

结果

最终的DP-IFSM-PQ包括四个因子和29个条目,显示出可接受的拟合度和有限的区分效度。DPSMBQ包括七个因子和27个条目,显示出良好的拟合度和可接受的区分效度。

结论

泰语版的DP-IFSM-PQ和DPSMBQ在泰国老年人中应用时显示出合理的心理测量特性,但建议对某些条目进行修订并进一步研究以重新评估其特性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e33/11677148/59c78a054840/nursrep-14-00277-g001.jpg

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