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Assessing patient-reported outcomes for automated insulin delivery systems: the psychometric properties of the INSPIRE measures.
Weissberg-Benchell, J; Shapiro, J B; Hood, K; Laffel, L M; Naranjo, D; Miller, K; Barnard, K.
Afiliación
  • Weissberg-Benchell J; Department of Psychiatry and Behavioral Sciences, Ann and Robert H., Lurie Children's Hospital of Chicago, Northwestern University, Feinberg School of Medicine, Chicago, IL.
  • Shapiro JB; Department of Psychology, Loyola University, Chicago, IL.
  • Hood K; Departments of Pediatrics, Psychiatry& Behavioral Sciences, Stanford University School of Medicine, Stanford, CA.
  • Laffel LM; Joslin Diabetes Center, Harvard Medical School, Boston, MA.
  • Naranjo D; Departments of Pediatrics, Psychiatry& Behavioral Sciences, Stanford University School of Medicine, Stanford, CA.
  • Miller K; Jaeb Center for Health Research, Tampa, Florida, USA.
  • Barnard K; Bournemouth University, Bournemouth, UK.
Diabet Med ; 36(5): 644-652, 2019 05.
Article en En | MEDLINE | ID: mdl-30761592
AIM: Participants in clinical trials assessing automated insulin delivery systems report perceived benefits and burdens that reflect their experiences and may predict their likelihood of uptake and continued use of this novel technology. Despite the importance of understanding their perspectives, there are no available validated and reliable measures assessing the psychosocial aspects of automated insulin delivery systems. The present study assesses the initial psychometric properties of the INSPIRE measures, which were developed for youth and adults with Type 1 diabetes, as well as parents and partners. METHODS: Data from 292 youth, 159 adults, 150 parents of youth and 149 partners of individuals recruited from the Type 1 Diabetes Exchange Registry were analysed. Participants completed INSPIRE questionnaires and measures of quality of life, fear of hypoglycaemia, diabetes distress, glucose monitoring satisfaction. Exploratory factor analysis assessed factor structures. Associations between INSPIRE scores and other measures, HbA1c , and technology use assessed concurrent and discriminant validity. RESULTS: Youth, adult, parent and partner measures assess positive expectancies of automated insulin delivery systems. Measures range from 17 to 22 items and are reliable (α = 0.95-0.97). Youth, adult and parent measures are unidimensional; the partner measure has a two-factor structure (perceptions of impact on partners versus the person with diabetes). Measures showed concurrent and discriminant validity. CONCLUSIONS: INSPIRE measures assessing the positive expectancies of automated insulin delivery systems for youth, adults, parents and partners have meaningful factor structures and are internally consistent. The developmentally sensitive INSPIRE measures offer added value as clinical trials test newer systems, systems become commercially available and clinicians initiate using these systems.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Psicometría / Sistemas de Infusión de Insulina / Encuestas y Cuestionarios / Diabetes Mellitus Tipo 1 / Medición de Resultados Informados por el Paciente / Insulina Tipo de estudio: Prognostic_studies Aspecto: Patient_preference Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Diabet Med Asunto de la revista: ENDOCRINOLOGIA Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Psicometría / Sistemas de Infusión de Insulina / Encuestas y Cuestionarios / Diabetes Mellitus Tipo 1 / Medición de Resultados Informados por el Paciente / Insulina Tipo de estudio: Prognostic_studies Aspecto: Patient_preference Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Diabet Med Asunto de la revista: ENDOCRINOLOGIA Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido