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The development and psychometrical evaluation of a set of instruments to evaluate the effectiveness of diabetes patient education

Veerle Duprez UGent, Marleen De Pover, Marc De Spiegelaere and Dimitri Beeckman UGent (2013) JOURNAL OF CLINICAL NURSING. 23(3-4). p.429-439
abstract
Aims and objectives: To develop a set of psychometrically sound instruments to assess knowledge, self-management and self-efficacy of diabetic patients. Furthermore, a survey to evaluate the satisfaction about diabetes education for patients was developed and tested. Background: Treatment and secondary prevention of diabetes require a complex combination of care components. Patients' education has been accepted to improve diabetes knowledge, self-management and self-efficacy. Psychometrically sound instruments are needed to measure these patient-centred outcomes. Design: Psychometric instrument validation. Methods: The first phase included a systematic literature review to develop the instruments. Content validity was evaluated using a two-round Delphi procedure involving diabetes experts. The content validity of the instruments was excellent. In a second phase, a convenience sample of 188 diabetic patients in two hospitals in one specific care region in Belgium participated in the psychometric evaluation. The criterion-related validity and internal consistency reliability were evaluated. Results: The study produced a 21-item knowledge instrument, reflecting knowledge about glycemic control' and medico-social management aspects'. The self-management instrument included 32 statements, reflecting treatment and compliance' and general lifestyle'. The self-efficacy instrument included 30 items, reflecting nutrition', treatment' and regimen'. The patient satisfaction survey included 36 items, reflecting satisfaction about the relationship among the diabetes specialist, the diabetes educator, podiatrist and dietician. Conclusions: An instrument set with sound psychometric characteristics was developed to assess knowledge, self-management and self-efficacy of diabetic patients. Future studies should focus on the association between the instrument outcomes and clinical patient outcomes. Relevance to clinical practice: The current instrument can support the design of educational interventions and training programmes and reduce inconsistencies in the information that patients receive. Furthermore, the instruments can be used for benchmarking the quality of diabetic patient education.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
diabetes, nursing, education, instrument development, CARE, psychometrics
journal title
JOURNAL OF CLINICAL NURSING
J. Clin. Nurs.
volume
23
issue
3-4
pages
429 - 439
Web of Science type
Article
Web of Science id
000331202600014
JCR category
NURSING
JCR impact factor
1.233 (2013)
JCR rank
32/107 (2013)
JCR quartile
2 (2013)
ISSN
0962-1067
DOI
10.1111/jocn.12044
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2972878
handle
http://hdl.handle.net/1854/LU-2972878
date created
2012-08-18 16:38:51
date last changed
2014-11-20 14:24:05
@article{2972878,
  abstract     = {Aims and objectives: To develop a set of psychometrically sound instruments to assess knowledge, self-management and self-efficacy of diabetic patients. Furthermore, a survey to evaluate the satisfaction about diabetes education for patients was developed and tested. 
Background: Treatment and secondary prevention of diabetes require a complex combination of care components. Patients' education has been accepted to improve diabetes knowledge, self-management and self-efficacy. Psychometrically sound instruments are needed to measure these patient-centred outcomes. 
Design: Psychometric instrument validation. 
Methods: The first phase included a systematic literature review to develop the instruments. Content validity was evaluated using a two-round Delphi procedure involving diabetes experts. The content validity of the instruments was excellent. In a second phase, a convenience sample of 188 diabetic patients in two hospitals in one specific care region in Belgium participated in the psychometric evaluation. The criterion-related validity and internal consistency reliability were evaluated. 
Results: The study produced a 21-item knowledge instrument, reflecting knowledge about glycemic control' and medico-social management aspects'. The self-management instrument included 32 statements, reflecting treatment and compliance' and general lifestyle'. The self-efficacy instrument included 30 items, reflecting nutrition', treatment' and regimen'. The patient satisfaction survey included 36 items, reflecting satisfaction about the relationship among the diabetes specialist, the diabetes educator, podiatrist and dietician. 
Conclusions: An instrument set with sound psychometric characteristics was developed to assess knowledge, self-management and self-efficacy of diabetic patients. Future studies should focus on the association between the instrument outcomes and clinical patient outcomes. 
Relevance to clinical practice: The current instrument can support the design of educational interventions and training programmes and reduce inconsistencies in the information that patients receive. Furthermore, the instruments can be used for benchmarking the quality of diabetic patient education.},
  author       = {Duprez, Veerle and De Pover, Marleen and De Spiegelaere, Marc and Beeckman, Dimitri},
  issn         = {0962-1067},
  journal      = {JOURNAL OF CLINICAL NURSING},
  keyword      = {diabetes,nursing,education,instrument development,CARE,psychometrics},
  language     = {eng},
  number       = {3-4},
  pages        = {429--439},
  title        = {The development and psychometrical evaluation of a set of instruments to evaluate the effectiveness of diabetes patient education},
  url          = {http://dx.doi.org/10.1111/jocn.12044},
  volume       = {23},
  year         = {2013},
}

Chicago
Duprez, Veerle, Marleen De Pover, Marc De Spiegelaere, and Dimitri Beeckman. 2013. “The Development and Psychometrical Evaluation of a Set of Instruments to Evaluate the Effectiveness of Diabetes Patient Education.” Journal of Clinical Nursing 23 (3-4): 429–439.
APA
Duprez, Veerle, De Pover, M., De Spiegelaere, M., & Beeckman, D. (2013). The development and psychometrical evaluation of a set of instruments to evaluate the effectiveness of diabetes patient education. JOURNAL OF CLINICAL NURSING, 23(3-4), 429–439.
Vancouver
1.
Duprez V, De Pover M, De Spiegelaere M, Beeckman D. The development and psychometrical evaluation of a set of instruments to evaluate the effectiveness of diabetes patient education. JOURNAL OF CLINICAL NURSING. 2013;23(3-4):429–39.
MLA
Duprez, Veerle, Marleen De Pover, Marc De Spiegelaere, et al. “The Development and Psychometrical Evaluation of a Set of Instruments to Evaluate the Effectiveness of Diabetes Patient Education.” JOURNAL OF CLINICAL NURSING 23.3-4 (2013): 429–439. Print.