TY - JOUR

T1 - Development and psychometric testing of the online Adolescent Diabetes Needs Assessment Tool (ADNAT)

AU - Cooper, Helen

AU - Spencer, Joy

AU - Lancaster, Gilian A.

AU - Titman, Andrew

AU - Johnson, Mark

AU - Wheeler, Sara

AU - Lwin, Rebekah

PY - 2014/2/1

Y1 - 2014/2/1

N2 - Aim. To report on the development and psychometric testing of the AdolescentDiabetes Needs Assessment Tool.Background. The UK has the fifth largest paediatric diabetes population in theworld, 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 117questions divided between six domains of educational and psychosocial supportneeds. 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.

AB - Aim. To report on the development and psychometric testing of the AdolescentDiabetes Needs Assessment Tool.Background. The UK has the fifth largest paediatric diabetes population in theworld, 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 117questions divided between six domains of educational and psychosocial supportneeds. 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.

U2 - 10.1111/jan.12235

DO - 10.1111/jan.12235

M3 - Article

VL - 70

SP - 454

EP - 468

JO - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

SN - 1365-2648

IS - 2

ER -