Perceived Benefits and Barriers Regarding CSII Treatment: Development and Psychometric Evaluation of the Insulin Pump Attitudes Questionnaire (IPA-Questionnaire)
| العنوان: | Perceived Benefits and Barriers Regarding CSII Treatment: Development and Psychometric Evaluation of the Insulin Pump Attitudes Questionnaire (IPA-Questionnaire) |
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| المؤلفون: | Timm Roos, Dominic Ehrmann, Thomas Haak, Norbert Hermanns, Andreas Schmitt, Melanie Schipfer, Bernhard Kulzer, Dominik Bergis |
| المصدر: | Experimental and Clinical Endocrinology & Diabetes. 129:566-573 |
| بيانات النشر: | Georg Thieme Verlag KG, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, 0301 basic medicine, Insulin pump, Health Knowledge, Attitudes, Practice, medicine.medical_specialty, Psychometrics, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, 030209 endocrinology & metabolism, 03 medical and health sciences, Insulin Infusion Systems, 0302 clinical medicine, Endocrinology, Infusion therapy, Cronbach's alpha, Surveys and Questionnaires, Diabetes Mellitus, Internal Medicine, Criterion validity, Humans, Hypoglycemic Agents, Insulin, Medicine, Aged, Psychometry, business.industry, Reproducibility of Results, Infusion Pumps, Implantable, General Medicine, Middle Aged, Patient Acceptance of Health Care, Confirmatory factor analysis, Exploratory factor analysis, 030104 developmental biology, Physical therapy, Female, business |
| الوصف: | Background Continuous subcutaneous insulin infusion is the most advanced and demanding form of insulin therapy. Various positive and negative expectations, attitudes and experiences can occur, influencing adherence to and efficacy of continuous subcutaneous insulin infusion therapy. A new questionnaire was developed to systematically assess perceived benefits, perceived barriers and handling of continuous subcutaneous insulin infusion therapy. Methods The Insulin Pump Attitude Questionnaire was tested in two samples (n=265/452) comprising pump users and non-pump users. Reliability was assessed using Cronbach’s Alpha estimation. Exploratory and confirmatory factor analyses were conducted to establish the factorial structure. Correlations with other questionnaires as well as group differences between pump users and non-pump users were used to assess validity. Results Exploratory factor analysis revealed 26 items comprising six subscales: “Glycaemic Control”, “Flexibility”, “Impaired Body Image”, “Technology Dependency”, “Ease Of Use” and “Functionality”. Confirmatory factor analysis confirmed this factor structure. The IPA sum score correlated significantly with diabetes distress (r=−0.30), self-efficacy (r=0.22), diabetes empowerment (r=0.36), psychological well-being (r=0.16) and treatment dissatisfaction (r=−0.24), supporting criterion validity with small to medium effect sizes. Furthermore, the IPA was able to differentiate between pump users and non-pump users with higher scores for pump users regarding “Glycaemic Control”, “Flexibility”, “Ease of use” and “Functionality” and lower scores for pump users regarding “Impaired Body Image” and “Technology Dependency”. Conclusions The Insulin Pump Attitude Questionnaire is a reliable and valid new instrument to assess attitudes towards continuous subcutaneous insulin infusion. With six scales, the Insulin Pump Attitude Questionnaire provides a comprehensive analysis of possible benefits, barriers, and handling problems of continuous subcutaneous insulin infusion therapy. In clinical practice, the Insulin Pump Attitude Questionnaire might be used to address the different attitudes in pump users but also in people considering continuous subcutaneous insulin infusion therapy. |
| تدمد: | 1439-3646 0947-7349 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fd0d5e8fb5038c23dff414dd5d24a264Test https://doi.org/10.1055/a-0899-4980Test |
| رقم الانضمام: | edsair.doi.dedup.....fd0d5e8fb5038c23dff414dd5d24a264 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14393646 09477349 |
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