Searchable Title

Development and Validation of the Diabetes Adolescent Problem Solving Questionnaire. Copyright: Elsevier Ireland Ltd.

Reference Type

Journal Article

Authors, Section

Mulvaney, S. A.; Jaser, S. S.; Rothman, R. L.; Russell, W. E.; Pittel, E. J.; Lybarger, C.; Wallston, K. A.

Title, Section

Development and Validation of the Diabetes Adolescent Problem Solving Questionnaire. Copyright: Elsevier Ireland Ltd.

Publication Year

2014

Journal Title

Patient Education and Counseling

Volume

97

Issue

1

Pages

96-100

Availability

online

PMID

PMID: 25063715

DOI

10.1016/j.pec.2014.07.005

Abstract

Full text Instrument in Table 2. OBJECTIVE: Problem solving is a critical diabetes self-management skill. Because of a lack of clinically feasible measures, our aim was to develop and validate a self-report self-management problem solving questionnaire for adolescents with type 1 diabetes (T1D). METHODS: A multidisciplinary team of diabetes experts generated questionnaire items that addressed diabetes self-management problem solving. Iterative feedback from parents and adolescents resulted in 27 items. Adolescents from two studies (N=156) aged 13-17 were recruited through a pediatric diabetes clinic and completed measures through an online survey. Glycemic control was measured by HbA1c recorded in the medical record. RESULTS: Empirical elimination of items using principal components analyses resulted in a 13-item unidimensional measure, the diabetes adolescent problem solving questionnaire (DAPSQ) that explained 56% of the variance. The DAPSQ demonstrated internal consistency (Cronbach's alpha=0.92) and was correlated with diabetes self-management (r=0.53, p<.001), self-efficacy (r=0.54, p<.001), and glycemic control (r=-0.24, p<.01). CONCLUSION: The DAPSQ is a brief instrument for assessment of diabetes self-management problem solving in youth with T1D and is associated with better self-management behaviors and glycemic control. PRACTICE IMPLICATIONS: The DAPSQ is a clinically feasible self-report measure that can provide valuable information regarding level of self-management problem solving and guide patient education.

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