Type 1 diabetes

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 TechnolPublished Scale development and validation study

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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