How Might We Tell if Advances in Diabetes Care and Technology Are Helping People to Feel Less Constrained? Introducing the Diabetes Constraints Scale
Authors' conclusion
The DCS is a reliable and valid method to determine the degree to which adults with diabetes feel constrained or limited by the disease. It may serve as a useful tool for assessing how new interventions can help individuals feel freer in the face of the demands of diabetes.
Study context
- Population
- Adults with T2D or T1D; items developed from qualitative interviews (20 adults with T2D, 8 with T1D)two studies
- Participants
- 458 vs 574
- Comparison
- T2D vs T1D
- T2Dn = 458
- T1Dn = 574
- Outcome
- Reliability and validity of the 6-item DCS
Methodological detailsexploratory factor analyses, items developed from qualitative interviews
- Exploratory factor analyses
- Items developed from qualitative interviews
Performance
As reported in the abstract
- Internal reliability (Cronbach's alpha), both studies
- >.80
- Significant associations in expected direction between Diabetes Constraints Scale (DCS) and overall well-being, diabetes-specific quality of life (QOL) and diabetes distress, both studies
- all P < .001
Further findings
DCS and missed insulin boluses and frequency of severe hypoglycaemic episodes (positive associations)
- T1D, both outcomes
- P < 0.001
- T2D, both outcomes
- P < 0.005
DCS and HbA1c
- Positive association in T1D only
- P < 0.001
Original publication
How Might We Tell if Advances in Diabetes Care and Technology Are Helping People to Feel Less Constrained? Introducing the Diabetes Constraints Scale. J Diabetes Sci Technol. Published 26 December 2024. doi:10. 1177/ 19322968241308269
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