Psychometric Properties of the Parent and Child Problem Areas in Diabetes Measures

Meredyth A. Evans*, Lindsey E.G. Weil, Jenna B. Shapiro, Lindsay M. Anderson, Anthony T. Vesco, Karen Rychlik, Marisa E. Hilliard, Jeanne Antisdel, Jill Weissberg-Benchell

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Objective: Children with type 1 diabetes and their parents face daily self-care demands, leading to diabetes-specific emotional distress. A standardized measure of diabetes distress can guide clinical care and prevent negative outcomes. Methods: This study evaluated the psychometric properties of child-and parent-report measures of the Problem Areas in Diabetes Scale, adapted for children ages 8-12 (PAID-C) and their parents (P-PAID-C). Participants were from 42 diabetes camps in the United States. Children (N = 804; mean age = 10.3 ± 1.1) and parents (N = 968) completed measures of diabetes distress, diabetes-related strengths, and self-care skills. Half of the sample was used for exploratory factor analyses (EFA) with direct oblimin rotation and the other half for confirmatory factor analyses (CFAs). Results: For the PAID-C, EFA and CFAs supported an 11-item two-factor measure, Cronbach's α =. 91, accounting for 54.6% of the variance. For the P-PAID-C, analyses resulted in a 16-item measure, Cronbach's α =. 92, accounting for 51.9% of the variance. PAID-C and P-PAID-C scores were positively correlated with HbA1c (rchild =. 08, p =. 04; rparent =. 18, p <. 001), and negatively correlated with diabetes-related strengths (rchild =-.38, p <. 001, rparent =-.29, p <. 001) and parent report of child self-care skills (rparent =-.13, p <. 001; rchild =-0.07, p = ns). Conclusions: Initial psychometrics suggest that the PAID-C and P-PAID-C reliably and validly capture diabetes-specific emotional distress for children and their parents. Associations with glycemic control, self-care, and diabetes strengths demonstrate criterion validity. Both measures have potential applications for routine, clinic-based assessments of diabetes distress and may guide clinical decision-making.

Original languageEnglish (US)
Article numberjsz018
Pages (from-to)703-713
Number of pages11
JournalJournal of pediatric psychology
Issue number6
StatePublished - Jul 1 2019


  • child
  • diabetes mellitus
  • emotional stress
  • surveys and questionnaires
  • type 1

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Pediatrics, Perinatology, and Child Health


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