Development and psychometric testing of the online Adolescent Diabetes Needs Assessment Tool (ADNAT)

Allbwn ymchwil: Cyfraniad at gyfnodolynErthygladolygiad gan gymheiriaid

Fersiynau electronig

Dangosydd eitem ddigidol (DOI)

  • Helen Cooper
    University of ChesterAlder Hey Children's NHS Foundation Trust, Liverpool
  • Joy Spencer
    Alder Hey Children's NHS Foundation Trust, Liverpool
  • Gilian A. Lancaster
    Lancaster University
  • Andrew Titman
    Lancaster University
  • Mark Johnson
    Bolton University
  • Sara Wheeler
    University of Chester
  • Rebekah Lwin
    Alder Hey Children's NHS Foundation Trust, LiverpoolUniversity of Chester
Aim. To report on the development and psychometric testing of the Adolescent
Diabetes Needs Assessment Tool.
Background. The UK has the fifth largest paediatric diabetes population in the
world, but one of the poorest levels of diabetes control, highlighting the need for intervention development.
Design. Mixed methods following recommendations for questionnaire design and validation.
Methods. A total of 171 young people (12–18 years) participated between 2008–
2011. Methods included item selection using secondary framework analysis, item review, pre-testing, piloting and online transfer. Statistical tests assessed reliability using item-total correlations, interitem consistency and test–retest reliability; and validity using blood glucose (HbA1c) levels and the Self-Management of type 1 Diabetes in Adolescence questionnaire.
Results. The Adolescent Diabetes Needs Assessment Tool consists of 117
questions divided between six domains of educational and psychosocial support
needs. It combines reflective questioning with needs assessment to raise selfawareness to support adolescent decision-making in relation to diabetes self-care. Thirty-six of the questions provide self-care and psychosocial health assessment scores. Face and content validity of the scoring items were all positively evaluated in terms of appropriateness and readability and tests for validity found significant correlations with Self-Management of type 1 Diabetes in Adolescence and weak correlation with HbA1c, which compared favourably with Self-Management of type 1 Diabetes in Adolescence, the only comparable (USA) tool. Item response analysis validated the use of simple additive scores.
Conclusions. The Adolescent Diabetes Needs Assessment Tool combines reflective learning with needs assessment to support patient-centred clinical consultations.
Iaith wreiddiolSaesneg
Tudalennau (o-i)454-468
CyfnodolynJournal of Advanced Nursing
Cyfrol70
Rhif y cyfnodolyn2
Dynodwyr Gwrthrych Digidol (DOIs)
StatwsCyhoeddwyd - 1 Chwef 2014
Cyhoeddwyd yn allanolIe
Gweld graff cysylltiadau