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Adaptation and psychometric validation of Diabetes Health Profile (DHP-18) in patients with type 2 diabetes in Quito, Ecuador : a cross-sectional study
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Benazizi, Ikram; Bernal-Soriano, Mari Carmen; Pardo Cladellas, Yolanda; Ribera, Aida; Peralta-Chiriboga, Andrés; Ferrer, Montserrat; Alonso-Jaquete, Alfonso; Alonso, Jordi; Lumbreras, Blanca; Parker, Lucy Anne. - 2021
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Abstract:
The Diabetes Health Profile (DHP-18), structured in three dimensions (psychological distress (PD), barriers to activity (BA) and disinhibited eating (DE)), assesses the psychological and behavioural burden of living with type 2 diabetes. The objectives were to adapt the DHP-18 linguistically and culturally for use with patients with type 2 DM in Ecuador, and to evaluate its psychometric properties. Participants were recruited using purposive sampling through patient clubs at primary health centres in Quito, Ecuador. The DHP-18 validation consisted in the linguistic validation made by two Ecuadorian doctors and eight patient interviews. And in the psychometric validation, where participants provided clinical and sociodemographic data and responded to the SF-12v2 health survey and the linguistically and culturally adapted version of the DHP-18. The original measurement model was evaluated with confirmatory factor analysis (CFA). Reliability was assessed through internal consistency using Cronbach's alpha and test-retest reproducibility by administering DHP-18 in a random subgroup of the participants two weeks after (n = 75) using intraclass correlation coefficient (ICC). Convergent validity was assessed by establishing previous hypotheses of the expected correlations with the SF12v2 using Spearman's coefficient. Firstly, the DHP-18 was linguistically and culturally adapted. Secondly, in the psychometric validation, we included 146 participants, 58.2% female, the mean age was 56.8 and 31% had diabetes complications. The CFA indicated a good fit to the original three factor model (χ2 (132) = 162.738, p < 0.001; CFI = 0.990; TLI = 0.989; SRMR = 0.086 and RMSEA = 0.040. The BA dimension showed the lowest standardized factorial loads (λ) (ranging from 0.21 to 0.77), while λ ranged from 0.57 to 0.89 and from 0.46 to 0.73, for the PD and DE dimensions respectively. Cronbach's alphas were 0.81, 0.63 and 0.74 and ICCs 0.70, 0.57 and 0.62 for PD, BA and DE, respectively. Regarding convergent validity, we observed weaker correlations than expected between DHP-18 dimensions and SF-12v2 dimensions (r > −0.40 in two of three hypotheses). The original three factor model showed good fit to the data. Although reliability parameters were adequate for PD and DE dimensions, the BA presented lower internal consistency and future analysis should verify the applicability and cultural equivalence of some of the items of this dimension to Ecuador.
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Keyword:
Diabetes Health Profile-18; Diabetes mellitus; Ecuador; Quality of life; Reliability; Validity
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URL: https://ddd.uab.cat/record/248853
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Percepção musical e qualidade de vida em adultos usuários de implante coclear ; Musical perception and quality of life in adults using cochlear implants
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Marques, Valéria de Campos. - : Biblioteca Digital de Teses e Dissertações da USP, 2021. : Universidade de São Paulo, 2021. : Faculdade de Medicina, 2021
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How Do Doctors Perceive and Use Patient Quality of Life? Findings from Focus Group Interviews with Hospital Doctors and General Practitioners
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In: Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation ; https://hal.archives-ouvertes.fr/hal-03159454 ; Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 2020, ⟨10.1007/s11136-020-02451-3⟩ (2020)
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Measuring quality of life in the speaker with dysarthria: reliability and validity of the european portuguese version of the QoL-DyS
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Validation of the WHOQOL-Bref instrument in Brazilian sign language (Libras)
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The effects of a combined neurolinguistic intervention for primary progressive aphasia ; Eficácia de uma abordagem integrada de intervenção neurolinguística na afasia progressiva primária
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Qualidade de vida em pacientes tratados por câncer de língua pré e pós fonoterapia : um ensaio clínico randomizado
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The Quality of Life for Deaf and Hard of Hearing Adults in Saudi Arabia
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In: Doctoral Dissertations (2020)
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How awareness, motivations, constraints, and organizational facilitators influence participation in campus recreation
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Effect of Rehabilitation on Long-term Outcomes After Stroke: Results From a Population-based Study
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The Mental Health Impact of Aphasia: Risk Factors and Moderating Factors
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MURTAGH, AOIFE MARIE. - : Trinity College Dublin. School of Psychology. Discipline of Psychology, 2019
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La ‘variabilità linguistica’ del costrutto di Qualità della Vita. Uno studio sugli atteggiamenti degli operatori del servizio di orientamento
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Medicina Centrada na Pessoa - Validação Concorrente com Qualidade de Vida ; Patient-Centered Medicine - Concurrent validation with Quality of Life
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Measuring quality of life in the speaker with dysarthria : Reliability and validity of the european Portuguese version of the qol-dys
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Cross-cultural adaptation and psychometric evaluation of the early childhood oral health impact scale (ECOHIS) in chilean population
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Labor conditions and the meanings of nursing work in Barcelona
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Benefícios do implante auditivo de tronco cerebral em adultos e crianças ; Benefits of auditory brainstem implant in adults and children
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Fernandes, Nayara Freitas. - : Biblioteca Digital de Teses e Dissertações da USP, 2018. : Universidade de São Paulo, 2018. : Faculdade de Medicina, 2018
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Qualidade de vida de crianças com implante coclear ; Quality of life of children with cochlear implants
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Silva, Joice de Moura. - : Biblioteca Digital de Teses e Dissertações da USP, 2018. : Universidade de São Paulo, 2018. : Faculdade de Odontologia de Bauru, 2018
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Tradução, adaptação cultural e validação da Impact on Family Scale para o português brasileiro ; Translation, cultural adaptation and validation of the Impact on Family Scale for Brazilian Portuguese
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Cintra, Flávia Maria Ravagnani Neves. - : Biblioteca Digital de Teses e Dissertações da USP, 2018. : Universidade de São Paulo, 2018. : Hospital de Reabilitação de Anomalias Craniofaciais, 2018
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