Psychometric properties of questionnaires measuring associations between behavioral factors and diabetes care for youth with type 2 diabetes

Pediatr Diabetes. 2007 Feb;8(1):21-7. doi: 10.1111/j.1399-5448.2006.00222.x.


Background: Because of the recency of the large numbers of youth diagnosed with type 2 diabetes (T2D), measures of adherence behavior and family response to diabetes have not been developed or tested.

Objective: The objective of this study is to identify whether questionnaires on personal and family behaviors regarding the care of diabetes previously used with youth with type 1 diabetes (T1D) are reliable and related to metabolic control among youth with T2D.

Design/methods: During a regularly scheduled visit, youth with T2D and a parent/guardian were invited to participate in the study. Youth and a parent completed questionnaires and one 24-h dietary recall at the visit. During the following 2 wk, each youth completed two telephone dietary recalls and physical activity questionnaires.

Results: Child-reported scales measuring parental reminding, positive family behavior, self-care behaviors, and self-efficacy and maternal report of child self-care behaviors and maternal self-efficacy were found to have adequate internal consistency. Only parental reminding was related to metabolic control. Those youth reporting higher parental reminding were in poorer metabolic control.

Conclusions: These scales appear to be reliable with youth with T2D in south Texas.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Validation Study

MeSH terms

  • Adolescent
  • Child
  • Diabetes Mellitus, Type 2 / psychology*
  • Family Health
  • Female
  • Health Behavior*
  • Humans
  • Male
  • Maternal Behavior / psychology
  • Psychometrics
  • Self Care / psychology
  • Surveys and Questionnaires