TY - JOUR
T1 - The Diabetes Strengths and Resilience Measure for Adolescents with Type 1 Diabetes (DSTAR-Teen)
T2 - Validation of a New, Brief Self-Report Measure
AU - Hilliard, Marisa E.
AU - Iturralde, Esti
AU - Weissberg-Benchell, Jill
AU - Hood, Korey K.
N1 - Funding Information:
This work was supported by the National Institutes of Diabetes and Digestive and Kidney Diseases (R01 DK 901470). Dr Hilliard is also supported by K12 DK 097696 (PI: B Anderson).
Publisher Copyright:
© The Author 2017. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved.
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Objective Despite the challenges of managing type 1 diabetes, many adolescents achieve optimal outcomes. A validated measure of diabetes-specific strengths is needed to measure adaptive behaviors and attitudes associated with overcoming challenges and achieving "resilient" outcomes. Methods Baseline data from 260 adolescents (age 14-18 years, M = 15.7 ± 1.1, 60% female, 33% Non-Caucasian, M A1c = 9.1 ± 1.9%) and caregivers in a behavioral intervention trial were analyzed to evaluate psychometric properties of the 12-item self-report Diabetes Strengths and Resilience measure for adolescents (DSTAR-Teen). Reliability and validity were examined in relation to measures of related constructs, regimen adherence, and glycemic outcomes, and confirmatory factor analysis was conducted. Results Reliability was good (internal consistency: α =.89; item-total correlations: r range =.55-.78). Significant correlations demonstrated construct and criterion validity. A two-factor structure reflecting intrapersonal and interpersonal processes fit the data better than a one-factor solution. Conclusions The DSTAR-Teen has strong psychometric properties, captures adaptive aspects of adolescents' diabetes management (i.e., "strengths"), and is related to clinical outcomes.
AB - Objective Despite the challenges of managing type 1 diabetes, many adolescents achieve optimal outcomes. A validated measure of diabetes-specific strengths is needed to measure adaptive behaviors and attitudes associated with overcoming challenges and achieving "resilient" outcomes. Methods Baseline data from 260 adolescents (age 14-18 years, M = 15.7 ± 1.1, 60% female, 33% Non-Caucasian, M A1c = 9.1 ± 1.9%) and caregivers in a behavioral intervention trial were analyzed to evaluate psychometric properties of the 12-item self-report Diabetes Strengths and Resilience measure for adolescents (DSTAR-Teen). Reliability and validity were examined in relation to measures of related constructs, regimen adherence, and glycemic outcomes, and confirmatory factor analysis was conducted. Results Reliability was good (internal consistency: α =.89; item-total correlations: r range =.55-.78). Significant correlations demonstrated construct and criterion validity. A two-factor structure reflecting intrapersonal and interpersonal processes fit the data better than a one-factor solution. Conclusions The DSTAR-Teen has strong psychometric properties, captures adaptive aspects of adolescents' diabetes management (i.e., "strengths"), and is related to clinical outcomes.
KW - adolescent
KW - behavioral research
KW - diabetes mellitus
KW - outcome and process assessment (health care)
KW - psychological
KW - resilience
KW - type 1
UR - http://www.scopus.com/inward/record.url?scp=85030782484&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85030782484&partnerID=8YFLogxK
U2 - 10.1093/jpepsy/jsx086
DO - 10.1093/jpepsy/jsx086
M3 - Article
C2 - 28549160
AN - SCOPUS:85030782484
SN - 0146-8693
VL - 42
SP - 995
EP - 1005
JO - Journal of Pediatric Psychology
JF - Journal of Pediatric Psychology
IS - 9
ER -
