Psychometric evaluation of the short version of the Personal Diabetes Questionnaire to assess dietary behaviors and exercise in patients with type 2 diabetes
Patients with diabetes and of lower socioeconomic status have difficulty adhering to dietary recommendations. Practical and effective tools assessing self-management behaviors are needed to help evaluate interventions tailored to the needs of individual patients or population groups. This study exam...
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| Veröffentlicht in: | Eating behaviors : an international journal 2017-08, Vol.26, p.182-188 |
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| creator | Akohoue, Sylvie A. Wallston, Kenneth A. Schlundt, David G. Rothman, Russell L. |
| description | Patients with diabetes and of lower socioeconomic status have difficulty adhering to dietary recommendations. Practical and effective tools assessing self-management behaviors are needed to help evaluate interventions tailored to the needs of individual patients or population groups. This study examined the psychometric properties of a short 11-item version of the Personal Diabetes Questionnaire scale (PDQ-11) using data from the Public-Private Partnership to Improve Diabetes Education trial.
Patients (n=411) with type 2 diabetes from ten safety net primary care clinics in the Mid-Cumberland Region of Tennessee completed the PDQ-11, the Summary of Diabetes Self-Care Activities (SDSCA), the Perceived Diabetes Self-Management Scale (PDSMS), and the Adherence to Refills and Medications Scale (ARMS). Statistical analyses were conducted to explore the subscale structure of the PDQ-11, and the internal consistency and validity of its subscales.
Exploratory factor analysis of the PDQ-11 revealed four components (Cronbach's α=0.50 to 0.81): Eating Behavior Problems; Use of Information for Dietary Decision Making; Calorie Restriction; and Activity and Exercise. Eating Behavior Problems and Use of Information for Dietary Decision Making had the strongest associations with the diet subscales of the SDSCA and were also correlated with the PDSMS and the ARMS scores (all ps |
| doi_str_mv | 10.1016/j.eatbeh.2017.04.002 |
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Patients (n=411) with type 2 diabetes from ten safety net primary care clinics in the Mid-Cumberland Region of Tennessee completed the PDQ-11, the Summary of Diabetes Self-Care Activities (SDSCA), the Perceived Diabetes Self-Management Scale (PDSMS), and the Adherence to Refills and Medications Scale (ARMS). Statistical analyses were conducted to explore the subscale structure of the PDQ-11, and the internal consistency and validity of its subscales.
Exploratory factor analysis of the PDQ-11 revealed four components (Cronbach's α=0.50 to 0.81): Eating Behavior Problems; Use of Information for Dietary Decision Making; Calorie Restriction; and Activity and Exercise. Eating Behavior Problems and Use of Information for Dietary Decision Making had the strongest associations with the diet subscales of the SDSCA and were also correlated with the PDSMS and the ARMS scores (all ps<0.001). Different PDQ-11 subscales were correlated with BMI (Calorie Restriction Activity and Exercise) and blood pressure (Eating Behavior Problems).
The PDQ-11 is a useful measure of dietary behaviors in patients with type 2 diabetes; its use may help providers tailor individual nutrition intervention strategies to patients.
•The structure, internal consistency and validity of subscales of a short diabetes scale (PDQ-11) was evaluated.•Different subscales of PDQ-11 were predictors of body mass index, hemoglobin A1c and blood pressure.•PDQ-11 is a useful measure and may be used as a screening tool for diet and exercise, in primary care practices.</description><identifier>ISSN: 1471-0153</identifier><identifier>EISSN: 1873-7358</identifier><identifier>DOI: 10.1016/j.eatbeh.2017.04.002</identifier><identifier>PMID: 28456108</identifier><language>eng</language><publisher>United States: Elsevier Ltd</publisher><subject>Adult ; Aged ; Assessment ; behavior problems ; blood pressure ; body mass index ; Caloric Restriction ; Cross-Sectional Studies ; decision making ; Diabetes management ; Diabetes Mellitus, Type 2 - psychology ; Diabetes Mellitus, Type 2 - therapy ; Diet - psychology ; dietary recommendations ; Eating behaviors ; eating habits ; education ; exercise ; Exercise - psychology ; factor analysis ; Factor Analysis, Statistical ; Female ; Humans ; low calorie diet ; Male ; Middle Aged ; noninsulin-dependent diabetes mellitus ; nutritional intervention ; patients ; Poverty ; Psychometrics ; public-private partnerships ; questionnaires ; Reliability ; Reproducibility of Results ; Self Care - psychology ; socioeconomic status ; Surveys and Questionnaires ; Tennessee ; Validity</subject><ispartof>Eating behaviors : an international journal, 2017-08, Vol.26, p.182-188</ispartof><rights>2017 Elsevier Ltd</rights><rights>Copyright © 2017 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c496t-aee5a9f52c582c27d6b36b6d825df9953833237a00bba59c82c78c7d3f3016ac3</citedby><cites>FETCH-LOGICAL-c496t-aee5a9f52c582c27d6b36b6d825df9953833237a00bba59c82c78c7d3f3016ac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1471015316303154$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28456108$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akohoue, Sylvie A.</creatorcontrib><creatorcontrib>Wallston, Kenneth A.</creatorcontrib><creatorcontrib>Schlundt, David G.</creatorcontrib><creatorcontrib>Rothman, Russell L.</creatorcontrib><title>Psychometric evaluation of the short version of the Personal Diabetes Questionnaire to assess dietary behaviors and exercise in patients with type 2 diabetes</title><title>Eating behaviors : an international journal</title><addtitle>Eat Behav</addtitle><description>Patients with diabetes and of lower socioeconomic status have difficulty adhering to dietary recommendations. Practical and effective tools assessing self-management behaviors are needed to help evaluate interventions tailored to the needs of individual patients or population groups. This study examined the psychometric properties of a short 11-item version of the Personal Diabetes Questionnaire scale (PDQ-11) using data from the Public-Private Partnership to Improve Diabetes Education trial.
Patients (n=411) with type 2 diabetes from ten safety net primary care clinics in the Mid-Cumberland Region of Tennessee completed the PDQ-11, the Summary of Diabetes Self-Care Activities (SDSCA), the Perceived Diabetes Self-Management Scale (PDSMS), and the Adherence to Refills and Medications Scale (ARMS). Statistical analyses were conducted to explore the subscale structure of the PDQ-11, and the internal consistency and validity of its subscales.
Exploratory factor analysis of the PDQ-11 revealed four components (Cronbach's α=0.50 to 0.81): Eating Behavior Problems; Use of Information for Dietary Decision Making; Calorie Restriction; and Activity and Exercise. Eating Behavior Problems and Use of Information for Dietary Decision Making had the strongest associations with the diet subscales of the SDSCA and were also correlated with the PDSMS and the ARMS scores (all ps<0.001). Different PDQ-11 subscales were correlated with BMI (Calorie Restriction Activity and Exercise) and blood pressure (Eating Behavior Problems).
The PDQ-11 is a useful measure of dietary behaviors in patients with type 2 diabetes; its use may help providers tailor individual nutrition intervention strategies to patients.
•The structure, internal consistency and validity of subscales of a short diabetes scale (PDQ-11) was evaluated.•Different subscales of PDQ-11 were predictors of body mass index, hemoglobin A1c and blood pressure.•PDQ-11 is a useful measure and may be used as a screening tool for diet and exercise, in primary care practices.</description><subject>Adult</subject><subject>Aged</subject><subject>Assessment</subject><subject>behavior problems</subject><subject>blood pressure</subject><subject>body mass index</subject><subject>Caloric Restriction</subject><subject>Cross-Sectional Studies</subject><subject>decision making</subject><subject>Diabetes management</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Diet - psychology</subject><subject>dietary recommendations</subject><subject>Eating behaviors</subject><subject>eating habits</subject><subject>education</subject><subject>exercise</subject><subject>Exercise - psychology</subject><subject>factor analysis</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Humans</subject><subject>low calorie diet</subject><subject>Male</subject><subject>Middle Aged</subject><subject>noninsulin-dependent diabetes mellitus</subject><subject>nutritional intervention</subject><subject>patients</subject><subject>Poverty</subject><subject>Psychometrics</subject><subject>public-private partnerships</subject><subject>questionnaires</subject><subject>Reliability</subject><subject>Reproducibility of Results</subject><subject>Self Care - psychology</subject><subject>socioeconomic status</subject><subject>Surveys and Questionnaires</subject><subject>Tennessee</subject><subject>Validity</subject><issn>1471-0153</issn><issn>1873-7358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUk1v1DAQtRCIloV_gJCPXBL8EX_kgoQKFKRKFAnOluNMiFfZeLG9gf0x_Nc62lLKBU62x_PevJl5CD2npKaEylfbGmzuYKwZoaomTU0Ie4DOqVa8Ulzoh-XeKFoRKvgZepLSlhRY24rH6IzpRkhK9Dn6dZ2Obgw7yNE7DIudDjb7MOMw4DwCTmOIGS8Q073gdXmG2U74rbcdZEj48wHSCputj4BzwDYlSAn3HrKNR1x02sWHmLCdeww_ITqfAPsZ70s5mHPCP3wecT7uAbMCO_E-RY8GOyV4dntu0Nf3775cfKiuPl1-vHhzVbmmlbmyAMK2g2BOaOaY6mXHZSd7zUQ_lI655pxxZQnpOitaV5KUdqrnAy8jsY5v0OsT7_7Q7aB3RVC0k9lHvyvqTbDe_P0z-9F8C4sRiopGqkLw8pYghu_rLMzOJwfTZGcIh2QY5VQLxZj8byrVLW-lXEVvUHNKdTGkFGG4U0SJWU1gtuZkArOawJDGFBMU2Iv73dyBfm_9T7tQZrp4iCa5sgQHfdmey6YP_t8VbgDLscly</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Akohoue, Sylvie A.</creator><creator>Wallston, Kenneth A.</creator><creator>Schlundt, David G.</creator><creator>Rothman, Russell L.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope></search><sort><creationdate>20170801</creationdate><title>Psychometric evaluation of the short version of the Personal Diabetes Questionnaire to assess dietary behaviors and exercise in patients with type 2 diabetes</title><author>Akohoue, Sylvie A. ; Wallston, Kenneth A. ; Schlundt, David G. ; Rothman, Russell L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c496t-aee5a9f52c582c27d6b36b6d825df9953833237a00bba59c82c78c7d3f3016ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Assessment</topic><topic>behavior problems</topic><topic>blood pressure</topic><topic>body mass index</topic><topic>Caloric Restriction</topic><topic>Cross-Sectional Studies</topic><topic>decision making</topic><topic>Diabetes management</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Diet - psychology</topic><topic>dietary recommendations</topic><topic>Eating behaviors</topic><topic>eating habits</topic><topic>education</topic><topic>exercise</topic><topic>Exercise - psychology</topic><topic>factor analysis</topic><topic>Factor Analysis, Statistical</topic><topic>Female</topic><topic>Humans</topic><topic>low calorie diet</topic><topic>Male</topic><topic>Middle Aged</topic><topic>noninsulin-dependent diabetes mellitus</topic><topic>nutritional intervention</topic><topic>patients</topic><topic>Poverty</topic><topic>Psychometrics</topic><topic>public-private partnerships</topic><topic>questionnaires</topic><topic>Reliability</topic><topic>Reproducibility of Results</topic><topic>Self Care - psychology</topic><topic>socioeconomic status</topic><topic>Surveys and Questionnaires</topic><topic>Tennessee</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akohoue, Sylvie A.</creatorcontrib><creatorcontrib>Wallston, Kenneth A.</creatorcontrib><creatorcontrib>Schlundt, David G.</creatorcontrib><creatorcontrib>Rothman, Russell L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Eating behaviors : an international journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akohoue, Sylvie A.</au><au>Wallston, Kenneth A.</au><au>Schlundt, David G.</au><au>Rothman, Russell L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychometric evaluation of the short version of the Personal Diabetes Questionnaire to assess dietary behaviors and exercise in patients with type 2 diabetes</atitle><jtitle>Eating behaviors : an international journal</jtitle><addtitle>Eat Behav</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>26</volume><spage>182</spage><epage>188</epage><pages>182-188</pages><issn>1471-0153</issn><eissn>1873-7358</eissn><abstract>Patients with diabetes and of lower socioeconomic status have difficulty adhering to dietary recommendations. Practical and effective tools assessing self-management behaviors are needed to help evaluate interventions tailored to the needs of individual patients or population groups. This study examined the psychometric properties of a short 11-item version of the Personal Diabetes Questionnaire scale (PDQ-11) using data from the Public-Private Partnership to Improve Diabetes Education trial.
Patients (n=411) with type 2 diabetes from ten safety net primary care clinics in the Mid-Cumberland Region of Tennessee completed the PDQ-11, the Summary of Diabetes Self-Care Activities (SDSCA), the Perceived Diabetes Self-Management Scale (PDSMS), and the Adherence to Refills and Medications Scale (ARMS). Statistical analyses were conducted to explore the subscale structure of the PDQ-11, and the internal consistency and validity of its subscales.
Exploratory factor analysis of the PDQ-11 revealed four components (Cronbach's α=0.50 to 0.81): Eating Behavior Problems; Use of Information for Dietary Decision Making; Calorie Restriction; and Activity and Exercise. Eating Behavior Problems and Use of Information for Dietary Decision Making had the strongest associations with the diet subscales of the SDSCA and were also correlated with the PDSMS and the ARMS scores (all ps<0.001). Different PDQ-11 subscales were correlated with BMI (Calorie Restriction Activity and Exercise) and blood pressure (Eating Behavior Problems).
The PDQ-11 is a useful measure of dietary behaviors in patients with type 2 diabetes; its use may help providers tailor individual nutrition intervention strategies to patients.
•The structure, internal consistency and validity of subscales of a short diabetes scale (PDQ-11) was evaluated.•Different subscales of PDQ-11 were predictors of body mass index, hemoglobin A1c and blood pressure.•PDQ-11 is a useful measure and may be used as a screening tool for diet and exercise, in primary care practices.</abstract><cop>United States</cop><pub>Elsevier Ltd</pub><pmid>28456108</pmid><doi>10.1016/j.eatbeh.2017.04.002</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Eating behaviors : an international journal, 2017-08, Vol.26, p.182-188 |
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| subjects | Adult Aged Assessment behavior problems blood pressure body mass index Caloric Restriction Cross-Sectional Studies decision making Diabetes management Diabetes Mellitus, Type 2 - psychology Diabetes Mellitus, Type 2 - therapy Diet - psychology dietary recommendations Eating behaviors eating habits education exercise Exercise - psychology factor analysis Factor Analysis, Statistical Female Humans low calorie diet Male Middle Aged noninsulin-dependent diabetes mellitus nutritional intervention patients Poverty Psychometrics public-private partnerships questionnaires Reliability Reproducibility of Results Self Care - psychology socioeconomic status Surveys and Questionnaires Tennessee Validity |
| title | Psychometric evaluation of the short version of the Personal Diabetes Questionnaire to assess dietary behaviors and exercise in patients with type 2 diabetes |
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