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Development of the Diabetes Problem-Solving Measure for Adolescents

University of Chicago, Department of Medicine, Chicago, Illinois; University of Chicago, Biological Science Learning Center, 924 E. 57th Street, Suite 104, Chicago, IL 60637 scook{at}delphi.bsd.uchicago.edu

James E. Aikens, PhD

University of Michigan, Department of Family Medicine, Ann Arbor, Michigan

Carolyn A. Berry, PhD

New York University, Center for Health and Public Service Research, New York, New York

Wylle L. MoNabb, EdD

University of Chicago, Department of Medicine, Chicago, Illinois

PURPOSE

this paper describes the development and psychometric properties of the Diabetes Problem-Solving Measure for Adolescents (DPSMA).

METHODS

The DPSMA is a structured, interview-based questionnaire that examines how adolescents with type 1 diabetes solve diabetes-related self-management problems. Seventeen diabetes-related self-management problem vignettes were derived from a survey of adolescents and their parents. The vignettes were reviewed and finalized by a multidisciplinary team of diabetes experts. A sample of 43 adolescents, 13 to 17 years old, with type 1 diabetes, was used to establish the psychometric properties of the instrument.

RESULTS

The scale demonstrated acceptable internal consistency and interrater reliability. Predicted relationships with scores on concurrently administered measures of adherence, diabetes quality of life, and metabolic control provided support for construct validity.

CONCLUSIONS

The results suggest that the DPSMA has acceptable internal consistency, interrater reliability, and construct validity. It may be a useful tool to help healthcare providers understand the diabetes-related problem-solving abilities of their adolescent patients.

The Diabetes Educator, Vol. 27, No. 6, 865-874 (2001)
DOI: 10.1177/014572170102700612


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