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2型糖尿病患者自主性与关联性量表的心理测量学研究

Psychometrics of the autonomy and relatedness inventory in persons with type 2 diabetes.

作者信息

Al-Dwaikat Tariq N, Hayajneh Audai, Khatatbeh Haitham, Alasqah Ibrahim

机构信息

Community and Mental Health Nursing Department, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan.

Department of Adult Health Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan.

出版信息

BMC Psychol. 2025 Aug 31;13(1):994. doi: 10.1186/s40359-025-03374-9.

DOI:10.1186/s40359-025-03374-9
PMID:40887609
Abstract

BACKGROUND

Social support is essential for the self-management of type 2 diabetes mellitus (T2DM); no specific measure of the quality of social support has been designed and tested for people with T2DM. Having a validated questionnaire that is culturally and linguistically appropriate in this field would nurture research in this area and contribute to better patient health outcomes.

AIMS

This study investigated the psychometric features of the Autonomy in Relatedness Inventory (ARI) among individuals with T2DM in Jordan.

METHODOLOGY

We used a secondary dataset on self-management and outcomes of individuals with T2DM to examine the psychometric properties of the ARI. The ARI's items' overall reliability was assessed using internal consistency (Cronbach's alpha). Exploratory Factor Analysis (EFA) was used to evaluate the validity of the ARI. Confirmatory factor analysis (CFA) was performed using structural equation modeling (SEM) to test the yielded factors.

RESULTS

The ARI demonstrated high reliability (Cronbach's alpha value was 0.90) and validity in T2DM patients. Convergent validity of the ARI was established. The findings showed that ARI was strongly correlated with functional social support (r = .61, p < .001), in addition to negative correlations with depression (r= -.26, p < .001), anxiety (r= -.18, p < .001), and stress (r= -.24, p < .001). Regarding the factor structure of ARI, two latent factors were determined using a scree plot and EFA.

CONCLUSION

ARI provides a psychometrically sound method for measuring autonomy and relatedness in T2DM patients in Jordan.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

社会支持对于2型糖尿病(T2DM)的自我管理至关重要;尚未针对T2DM患者设计和测试社会支持质量的具体衡量标准。拥有一份在该领域具有文化和语言适应性的经过验证的问卷将促进该领域的研究,并有助于改善患者的健康结果。

目的

本研究调查了约旦T2DM患者中关系自主性量表(ARI)的心理测量特征。

方法

我们使用了关于T2DM患者自我管理和结果的二次数据集来检验ARI的心理测量特性。使用内部一致性(克朗巴哈系数)评估ARI项目的总体可靠性。探索性因子分析(EFA)用于评估ARI的有效性。使用结构方程模型(SEM)进行验证性因子分析(CFA)以检验得出的因子。

结果

ARI在T2DM患者中显示出高可靠性(克朗巴哈系数值为0.90)和有效性。确立了ARI的收敛效度。研究结果表明,ARI与功能性社会支持密切相关(r = 0.61,p < 0.001),此外与抑郁(r = -0.26,p < 0.001)、焦虑(r = -0.18,p < 0.001)和压力(r = -0.24,p < 0.001)呈负相关。关于ARI的因子结构,使用碎石图和EFA确定了两个潜在因子。

结论

ARI为测量约旦T2DM患者的自主性和关联性提供了一种心理测量上合理的方法。

临床试验编号

不适用。

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本文引用的文献

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BMC Nurs. 2025 Feb 10;24(1):156. doi: 10.1186/s12912-025-02743-4.
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Identifying the key components of social support for patients living with type 2 diabetes: A protocol for a systematic review and meta-analysis of type 2 diabetes social support interventions.确定2型糖尿病患者社会支持的关键组成部分:一项关于2型糖尿病社会支持干预措施的系统评价和荟萃分析方案
PLoS One. 2024 Aug 1;19(8):e0306709. doi: 10.1371/journal.pone.0306709. eCollection 2024.
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Diabetes-related stress in older adults with type 2 diabetes and chronic complication: Multiple effects of social-ecological support on self-management behavior.
老年人 2 型糖尿病合并慢性并发症相关应激:社会生态支持对自我管理行为的多重影响。
Medicine (Baltimore). 2024 Apr 26;103(17):e37951. doi: 10.1097/MD.0000000000037951.
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The role of social support and self-management on glycemic control of type 2 diabetes mellitus with complications in Ghana: A cross-sectional study.社会支持与自我管理对加纳2型糖尿病并发症患者血糖控制的作用:一项横断面研究。
Health Sci Rep. 2024 Apr 21;7(4):e2054. doi: 10.1002/hsr2.2054. eCollection 2024 Apr.
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