Psychometric properties of the Chinese version of the diabetes empowerment scale

Psychol Health Med. 2006 May;11(2):198-208. doi: 10.1080/13548500500286845.


Metabolic control is central to positive clinical outcome in patients with diabetes. Empowerment has been linked to metabolic control in this clinical group. The current study sought to determine key psychometric properties of the Chinese version of the Diabetes Empowerment Scale (C-DES) and to explore the relationship of the C-DES sub-scales to metabolic control in 189 patients with a diagnosis of diabetes. Confirmatory factor analysis established that the five sub-scales of the C-DES offered a highly satisfactory fit to the data. Furthermore, C-DES sub-scales were found to have generally acceptable internal consistency and divergent reliability. However, convergent reliability of C-DES sub-scales could not be established against metabolic control. It is concluded that future research needs to address ambiguities in the relationship between empowerment and metabolic control in order to afford patients an evidenced-based treatment package to assure optimal metabolic control.

Publication types

  • Validation Study

MeSH terms

  • Asians*
  • Cross-Sectional Studies
  • Diabetes Mellitus / ethnology*
  • Diabetes Mellitus / therapy*
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Compliance / statistics & numerical data*
  • Psychometrics / statistics & numerical data
  • Surveys and Questionnaires*