Development and validation of a diabetes mellitus treatment adherence scale
The aim of this study was to develop a Diabetes Mellitus Treatment Adherence Scale (DMTAS) to fill the gap in the internationally accepted comprehensive scale. An initial item pool for the Diabetes Mellitus Treatment Adherence Scale (DMTAS) was generated based on a review of the literature and an op...
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| Vydáno v: | Diabetes research and clinical practice Ročník 172; s. 108629 |
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| Hlavní autoři: | , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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Ireland
Elsevier B.V
01.02.2021
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| ISSN: | 0168-8227, 1872-8227, 1872-8227 |
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| Abstract | The aim of this study was to develop a Diabetes Mellitus Treatment Adherence Scale (DMTAS) to fill the gap in the internationally accepted comprehensive scale.
An initial item pool for the Diabetes Mellitus Treatment Adherence Scale (DMTAS) was generated based on a review of the literature and an open-ended interview. An expert group screened this initial item pool using an item-level content validity index. Then, pilot testing with 116 participants was conducted. After removing redundant and cross-loading items by exploratory factor analysis, 630 subjects were recruited to evaluate the reliability and validity of DMTAS. Analyses included internal consistency, test-retest reliability, split-half reliability, construct validity, convergent validity, and discriminant validity analysis.
The final DMTAS consisted of 19 items and six dimensions. The results of the exploratory factor analysis indicated that the variances of each factor explained were 23.07%, 12.28%, 9.50%, 8.25%, 7.85%, and 5.80%, and all six factors explained 66.75% of the variance in the 19 items. The items’ factor loadings were all above 0.6. The results of the confirmatory factor analysis indicated that adequate fit indices (χ2 value to degrees of freedom = 3.62; root mean square error of approximation = 0.06; goodness-of-fit index = 0.92) were achieved. The Cronbach’s alpha coefficient was 0.79, test–retest reliability was 0.73, and split-half reliability was 0.75.
The DMTAS showed good validity and reliability to measure the out-of-hospital treatment adherence in patients with diabetes mellitus. |
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| AbstractList | The aim of this study was to develop a Diabetes Mellitus Treatment Adherence Scale (DMTAS) to fill the gap in the internationally accepted comprehensive scale.
An initial item pool for the Diabetes Mellitus Treatment Adherence Scale (DMTAS) was generated based on a review of the literature and an open-ended interview. An expert group screened this initial item pool using an item-level content validity index. Then, pilot testing with 116 participants was conducted. After removing redundant and cross-loading items by exploratory factor analysis, 630 subjects were recruited to evaluate the reliability and validity of DMTAS. Analyses included internal consistency, test-retest reliability, split-half reliability, construct validity, convergent validity, and discriminant validity analysis.
The final DMTAS consisted of 19 items and six dimensions. The results of the exploratory factor analysis indicated that the variances of each factor explained were 23.07%, 12.28%, 9.50%, 8.25%, 7.85%, and 5.80%, and all six factors explained 66.75% of the variance in the 19 items. The items’ factor loadings were all above 0.6. The results of the confirmatory factor analysis indicated that adequate fit indices (χ2 value to degrees of freedom = 3.62; root mean square error of approximation = 0.06; goodness-of-fit index = 0.92) were achieved. The Cronbach’s alpha coefficient was 0.79, test–retest reliability was 0.73, and split-half reliability was 0.75.
The DMTAS showed good validity and reliability to measure the out-of-hospital treatment adherence in patients with diabetes mellitus. The aim of this study was to develop a Diabetes Mellitus Treatment Adherence Scale (DMTAS) to fill the gap in the internationally accepted comprehensive scale.AIMSThe aim of this study was to develop a Diabetes Mellitus Treatment Adherence Scale (DMTAS) to fill the gap in the internationally accepted comprehensive scale.An initial item pool for the Diabetes Mellitus Treatment Adherence Scale (DMTAS) was generated based on a review of the literature and an open-ended interview. An expert group screened this initial item pool using an item-level content validity index. Then, pilot testing with 116 participants was conducted. After removing redundant and cross-loading items by exploratory factor analysis, 630 subjects were recruited to evaluate the reliability and validity of DMTAS. Analyses included internal consistency, test-retest reliability, split-half reliability, construct validity, convergent validity, and discriminant validity analysis.METHODSAn initial item pool for the Diabetes Mellitus Treatment Adherence Scale (DMTAS) was generated based on a review of the literature and an open-ended interview. An expert group screened this initial item pool using an item-level content validity index. Then, pilot testing with 116 participants was conducted. After removing redundant and cross-loading items by exploratory factor analysis, 630 subjects were recruited to evaluate the reliability and validity of DMTAS. Analyses included internal consistency, test-retest reliability, split-half reliability, construct validity, convergent validity, and discriminant validity analysis.The final DMTAS consisted of 19 items and six dimensions. The results of the exploratory factor analysis indicated that the variances of each factor explained were 23.07%, 12.28%, 9.50%, 8.25%, 7.85%, and 5.80%, and all six factors explained 66.75% of the variance in the 19 items. The items' factor loadings were all above 0.6. The results of the confirmatory factor analysis indicated that adequate fit indices (χ2 value to degrees of freedom = 3.62; root mean square error of approximation = 0.06; goodness-of-fit index = 0.92) were achieved. The Cronbach's alpha coefficient was 0.79, test-retest reliability was 0.73, and split-half reliability was 0.75.RESULTSThe final DMTAS consisted of 19 items and six dimensions. The results of the exploratory factor analysis indicated that the variances of each factor explained were 23.07%, 12.28%, 9.50%, 8.25%, 7.85%, and 5.80%, and all six factors explained 66.75% of the variance in the 19 items. The items' factor loadings were all above 0.6. The results of the confirmatory factor analysis indicated that adequate fit indices (χ2 value to degrees of freedom = 3.62; root mean square error of approximation = 0.06; goodness-of-fit index = 0.92) were achieved. The Cronbach's alpha coefficient was 0.79, test-retest reliability was 0.73, and split-half reliability was 0.75.The DMTAS showed good validity and reliability to measure the out-of-hospital treatment adherence in patients with diabetes mellitus.CONCLUSIONSThe DMTAS showed good validity and reliability to measure the out-of-hospital treatment adherence in patients with diabetes mellitus. |
| ArticleNumber | 108629 |
| Author | Hou, Guoqiang Fang, Ziwei Dong, Jiaxin Cao, Wenjun Xu, Xinrong Han, Mei Shi, Yan |
| Author_xml | – sequence: 1 givenname: Guoqiang surname: Hou fullname: Hou, Guoqiang organization: Changzhi Maternal and Child Care Hospital, Changzhi 046000, Shanxi, China – sequence: 2 givenname: Ziwei surname: Fang fullname: Fang, Ziwei organization: Graduate School, Changzhi Medical College, Changzhi 046000, Shanxi, China – sequence: 3 givenname: Wenjun surname: Cao fullname: Cao, Wenjun email: wjcao16@czmc.edu.cn organization: Department of Preventive Medicine, Changzhi Medical College, Changzhi 046000, Shanxi, China – sequence: 4 givenname: Yan surname: Shi fullname: Shi, Yan organization: Department of Preventive Medicine, Changzhi Medical College, Changzhi 046000, Shanxi, China – sequence: 5 givenname: Xinrong surname: Xu fullname: Xu, Xinrong organization: Department of Preventive Medicine, Changzhi Medical College, Changzhi 046000, Shanxi, China – sequence: 6 givenname: Mei surname: Han fullname: Han, Mei organization: Department of Preventive Medicine, Changzhi Medical College, Changzhi 046000, Shanxi, China – sequence: 7 givenname: Jiaxin surname: Dong fullname: Dong, Jiaxin organization: Department of Preventive Medicine, Changzhi Medical College, Changzhi 046000, Shanxi, China |
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| Cites_doi | 10.1097/00005082-200307000-00005 10.31557/APJCP.2020.21.2.449 10.1111/j.1751-7176.2008.07572.x 10.1016/j.diabres.2010.12.002 10.1001/jama.2014.18574 10.1111/j.1751-7117.2000.tb00211.x 10.1007/BF00844941 10.1371/journal.pone.0190390 10.4103/0976-9668.136186 10.2337/dc15-1117 10.1177/016327879601900205 10.2337/dc15-2781 10.1080/10705519909540118 10.1002/nur.20147 10.2196/jmir.9969 10.1371/journal.pmed.1002098 10.1111/ijpp.12558 10.1111/j.1365-2648.2010.05353.x 10.33314/jnhrc.v17i3.1786 10.1080/03007995.2016.1189408 10.1111/j.1447-0594.2011.00819.x 10.1111/nuf.12176 10.1097/jnr.0b013e318254eb47 10.1111/j.1365-2702.2010.03566.x 10.1016/S0020-7489(02)00110-4 10.1046/j.1365-2648.1999.01098.x 10.1007/BF02291575 10.1371/journal.pone.0187139 10.1016/S1007-0214(08)70045-2 10.1080/1091367X.2014.952370 |
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| Title | Development and validation of a diabetes mellitus treatment adherence scale |
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