Type 1 diabetes

Comparison of information provided on diabetes distress when using PAID-20, PAID-11 or PAID-5. A registry-based study applying Item Response Theory (IRT) analyses among 10,190 adults with type 1 diabetes in Norway

Diabetes Res Clin PractPublished Registry-based psychometric study

Authors' conclusion

The PAID-20 captures most information on the latent diabetes distress trait; however, the PAID-11 provides comparable information and captures the most serious problem areas. The PAID-5 provided limited information and covers limited aspects of distress. Overall, the PAID-11 may be a good choice for assessing diabetes distress in both research and clinical practice.

Study context

Population
Individuals with T1D in Norway, nationwide registry data
Participants
10,190 individuals
Exposure
PAID-20 vs PAID-11 vs PAID-5
Outcome
Information provided on the latent diabetes distress trait (test information curves)
Methodological detailsnationwide registry, Item Response Theory analyses
  • Nationwide registry
  • Item Response Theory analyses

Main finding

As reported in the abstract

Range of latent distress trait at test information level ≥ 10 (SD under/above mean)

PAID-20

−1.30 to 3.32

SD

PAID-11

−1.17 to 2.76

SD

PAID-5

−0.59 to 2.27

SD

Observational data: associations, not effects.

Further findings

Item-level information

PAID-20 items with flat information curves and limited contribution to the latent trait
6
Of the 12 items most frequently reported as serious problem areas, number included in PAID-11
11

Original publication

Comparison of information provided on diabetes distress when using PAID-20, PAID-11 or PAID-5. A registry-based study applying IRT analyses among 10,190 adults with type 1 diabetes in Norway. Diabetes Res Clin Pract. Published 20 May 2025. doi:10.1016/j.diabres.2025.112267

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