Go Back Research Article April, 2007

Brief Report: Initial Testing of Scales Measuring Parent and Adolescent Perceptions of Adolescents’ Assumption of Diabetes Management

Abstract

Objective This study tested parallel adolescent and parent versions of the Perceptions of Adolescents’ Assumption of Diabetes Management scales. Methods First, 78 items developed from interview data were reviewed by a panel of adolescent and diabetes experts. Next, the scales were piloted with 43 adolescents with type 1 diabetes and their parents and, finally, tested with 100 dyads. Item and principal component analyses were performed. Results Following content validity and item analyses, five and four items remained in the advantages and disadvantages scales, respectively. One factor accounted for between 54 and 63% of variance, and internal consistency reliability ranged between .78 and .84 for the various versions of the scales. Conclusions The Perceptions of Adolescents’ Assumption of Diabetes Management scales show promise as parsimonious and reliable tools for use in research and practice related to parent–adolescent relationships in regard to adolescents’ assumption of diabetes management.

Keywords

adolescents diabetes diabetes management responsibility perceptions parental involvement self-care chronic disease management type 1 diabetes adolescent health family dynamics health responsibility pediatric diabetes diabetes self-management parent-adolescent relationship health behavior diabetes care health perception disease management treatment adherence youth chronic illness health psychology adolescent independence caregiver perceptions diabetes education medical adherence family support behavioral health psychometric testing scale validation patient-centered care adolescent autonomy health measurement pediatric endocrinology diabetes self-efficacy psychological assessment shared decision-making health communication diabetes intervention diabetes monitoring parental influence health outcomes self-regulation adolescent development healthcare engagement psychosocial factors diabetes research measurement tools adherence scales family support systems healthcare research
Details
Volume 32
Issue 3
Pages 245–249
ISSN 1465-735X
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