Diabetes technology

Updated Psychosocial Surveys With Continuous Glucose Monitoring Items for Youth With Type 1 Diabetes and Their Caregivers

J Diabetes Sci TechnolPublished Psychometric validation study

Authors' conclusion

The updated DFC, DFR, and GMC surveys maintain good psychometric properties. The addition of CGM items expands the relevance of these surveys for youth with type 1 diabetes who are using CGM and other diabetes technologies.

Study context

Population
Youth with T1D who recently started continuous glucose monitoring (CGM), and their parents; 49% adolescent girls, aged 13.3 ± 2.7 years, mean HbA1c 7.9 ± 0.9%, 87% on pump therapyyouth
Participants
114 participants
Outcome
Psychometric properties of the DFC, DFR and GMC surveys updated with CGM items

Performance

As reported in the abstract

Internal consistency of updated surveys (Cronbach α)
DFC youth α
.91
DFC parent α
.81
DFR youth α
.88
DFR parent α
.93
GMC youth α
.88
GMC parent α
.86

Further findings

Higher youth and parent DFC and GMC scores: correlations

More youth and parent depressive symptoms
r = 0.28-0.60, P ≤ .003
More diabetes burden
r = 0.31-0.71, P ≤ .0009
More state anxiety
r = 0.24 to r = 0.46, P ≤ .01
Lower youth quality of life
r = −0.29 to −0.50, P ≤ .002

Higher youth and parent DFR scores: correlations

Younger youth age, youth DFR
r = −0.76, P < .0001
Younger youth age, parent DFR
r = −0.81, P < .0001
More frequent blood glucose monitoring, youth DFR
r = 0.27, P = .003
More frequent blood glucose monitoring, parent DFR
r = 0.35, P = .0002

Original publication

Updated Psychosocial Surveys With Continuous Glucose Monitoring Items for Youth With Type 1 Diabetes and Their Caregivers. J Diabetes Sci Technol. Published 13 March 2023. doi:10.1177/19322968231159411

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