Diabetes Distress in Emerging Adults: Refining the Problem Areas in Diabetes-Emerging Adult Version using Rasch Analysis.

Journal of applied measurement Pub Date : 2020-01-01
Katherine Wentzel, Judith A Vessey, Lori Laffel, Larry Ludlow
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Abstract

The emotional burden of living with Type 1 diabetes (T1D) is experienced differently in each life stage. Thus the measurement of diabetes distress (DD) warrants tailoring to particular developmental stages, specifically emerging adulthood (ages 18-30). The new measure entitled the Problem Areas in Diabetes- Emerging Adult version (PAID-EA) is intended to be a developmentally-embedded measure of DD for use in clinical and research settings. The goal of the present study was to use Rasch psychometric analysis to reduce and refine the PAID-EA. Emerging adults with T1D (n = 194) completed the 30-item online survey. Evaluation of response category functioning, measurement precision, redundancy, unidimensionality and targeting guided item reduction through iterative revisions. The reduced and refined PAID-EA consists of 25 items and shows promising utility for clinicians and researchers.

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糖尿病困扰在新兴成人:提炼糖尿病的问题领域-新兴成人版本使用皮疹分析。
1型糖尿病患者(T1D)的情感负担在每个生命阶段都有不同的经历。因此,糖尿病痛苦(DD)的测量需要根据特定的发育阶段,特别是成年初期(18-30岁)进行调整。名为“糖尿病问题领域-新兴成人版”(PAID-EA)的新测量方法旨在成为临床和研究环境中使用的DD发展嵌入式测量方法。本研究的目的是使用Rasch心理测量分析来减少和完善付费ea。新发成年T1D患者(n = 194)完成了30项在线调查。通过迭代修正评价反应类别功能、测量精度、冗余度、单维性和目标导向项目缩减。简化和改进的付费ea包括25个项目,对临床医生和研究人员显示出有希望的效用。
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