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J Caring Sci. 2016;5(2):145-152.
doi: 10.15171/jcs.2016.015
PMID: 27354978
PMCID: PMC4923838
  Abstract View: 655
  PDF Download: 505

Original Research

Development and Preliminary Validation of Diabetes Adjustment Assessment Scale (DAAS): a New Measure of Adjustment with Type 2 Diabetes 

Hossein Ebrahimi 1, Hossein Karimi Moonaghi 2, Mohammad Asghari Jafarabadi 3, Hossein Namdar Areshtanab 1 * , Leila Jouybari 4

1 Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
2 Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
3 Road Traffic Injuries Prevention and Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4 Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
5 Department of Pediatric and Family Health Nursing, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran

Abstract

Introduction: Several adjustment scales are available for Diabetes, but, unfortunately most of them focused on the limited dimensions of diabetes and are not specific for type 2 diabetes. The aim of this study was to develop a multidimensional scale for Diabetes type 2 Adjustment Assessment and to test preliminary validity, reliability and clinical utility of the scale for this population. Methods: In this methodological design study, the Diabetes Adjustment Assessment Scale was developed and the psychometric properties of this scale was assessed in patients with Type 2 diabetes. This study included internal consistency, content validity and exploratory factor analysis. Results: 1000 patients with type 2 diabetes completed the 45-item Diabetes Adjustment Scale. After eliminating two item, the 43-item measure demonstrated good internal consistency (Cronbach’s α= 0.75). Factor analysis identified eight factors including; reshape (11 questions), seek to acceptance of illness (7 questions), normal life with the disease (6 questions), initial self-management (2 questions), comparing (4 questions), initial imaging of illness (4 questions), return to resources(3 questions), and advanced self- management (6 questions). Conclusion: Considering that validity and reliability indexes of the scale are reported in an appropriate level, it can be used as a valid and reliable tool in measuring level of adjustment with type2 diabetes.
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Submitted: 31 May 2016
Accepted: 31 May 2016
First published online: 31 May 2016
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