T2DM 患者胰岛素治疗评估量表 (ITAS) 心理计量学验证中使用的测试;文献系统性回顾。

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Journal of Patient-Reported Outcomes Pub Date : 2024-10-25 DOI:10.1186/s41687-024-00792-y
Saba Rasheed, Anees Ur Rehman, Zermina Tasleem, Marryam Azeem, Muhammad Fawad Rasool, Arifa Mehreen, Saleh Karamah Al-Tamimi
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引用次数: 0

摘要

背景:心理胰岛素抵抗(PIR)和对胰岛素治疗的负面看法是 T2DM 管理中值得注意的挑战,它们阻碍了胰岛素治疗的及时启动。为了克服这些障碍,需要一种可靠的工具来评估患者对胰岛素治疗的看法。我们的研究旨在进行一次全面的系统性回顾,以评估用于 T2DM 患者 ITAS 心理计量学验证的不同验证测试的有效性和可靠性:我们使用 PubMed、Google Scholar、EMBASE、Cochrane Library 和 Science Direct 进行了文献检索。只检索了那些评估内容效度、结构效度、并发效度、判别效度、内部一致性可靠性(Cronbach' α)和项目-总相关性的研究:共有 14 项研究说明了 ITAS 在 T2DM 患者中的有效性和可靠性。S-CVI 的内容效度为 0.97,I-CVI 为 0.8-1.00。因子载荷的结构效度大于阈值 0.3。ITAS 与 PAID、WHO-5 和 SPI 的并发效度为 0.35(P 结论:ITAS 与 PAID、WHO-5 和 SPI 的并发效度为 0.35:研究结果证实了在对 T2DM 患者进行 ITAS 心理计量学验证时所使用的各种验证测试的稳健性。ITAS 是一种经过充分验证的可靠工具,可用于确定患者的观点、PIR 以及随时间推移患者认知的变化,并可用于克服 T2DM 患者及时开始胰岛素治疗的障碍。
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Tests employed in the psychometric validation of the Insulin Treatment Appraisal Scale (ITAS) in T2DM patients; a systematic review of the literature.

Background: Psychological Insulin Resistance (PIR) and negative perceptions regarding insulin treatment are noteworthy challenges in T2DM management, which hinder the timely initiation of insulin treatment. To get past these obstacles a reliable tool is required to evaluate patients' perspectives on insulin administration. Our study aims to conduct a comprehensive systematic review to evaluate the validity and reliability of different validation tests used in the psychometric validation of the ITAS in T2DM patients.

Methods: A literature search was carried out, using PubMed, Google Scholar, EMBASE, Cochrane Library and Science Direct. Only those studies assessing content validity, construct validity, concurrent validity, discriminant validity, internal consistency reliability (Cronbach' α), and items-total correlation were retrieved.

Results: A total of 14 studies illustrated the validity and reliability of ITAS in T2DM patients. Content validity results of S-CVI was 0.97, and I-CVI was 0.8-1.00. Construct validity with factor loading was greater than the threshold value of 0.3. The concurrent validity of ITAS vs. PAID, WHO-5, and SPI was 0.35 (P < 0.05), -0.14 (P < 0.05), and 0.80 (P < 0.001) respectively. The mean difference between insulin and non-insulin group was significant (P < 0.001) showing reliable discriminant validity. Reported results of Cronbach's α for the main scale (0.79-0.89), subscale-1 (0.72-0.9), and subscale-2 (0.61-0.89) showed "good to excellent" internal consistency reliability of ITAS. Item-total correlation results for the main scale, subscale-1, and subscale-2 were (0.40-0.82), (0.31-0.74) and (0.34-0.58) respectively. Test-retest reliability of ITAS was 0.571-0.87.

Conclusions: Study findings confirm the robustness of various validation tests utilized in the psychometric validation of ITAS in T2DM patients. ITAS is a well-validated and reliable tool for determining the perspectives, PIR, and changes in patients' perception over time and it can be used to overcome hurdles in the timely initiation of insulin treatment in T2DM patients.

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来源期刊
Journal of Patient-Reported Outcomes
Journal of Patient-Reported Outcomes Health Professions-Health Information Management
CiteScore
3.80
自引率
7.40%
发文量
120
审稿时长
20 weeks
期刊最新文献
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