Abstract
The objective of this research was to develop and validate the Diabetes Family Adherence Measure (D-FAM), a comprehensive and up-to-date tool designed for the assessment of adherence-related parenting behaviors for youth with type 1 diabetes (T1D). Further, this article outlines an empirical approach for scale design. First, experts reviewed a battery of potential items to create a preliminary version of the D-FAM. Subsequently, 165 youth with T1D and their families completed an initial administration. A parsimonious measure resulted, consisting of 19 items with 4 additional validity items. Factor analysis identified supportive, coercive, control, and monitoring subscales. D-FAM factors were generally associated with both adherence and health status (HbA1c [glycosolated hemoglobin]), as well as with extant scales of family functioning. Strong internal consistency, test-retest reliability, and construct-convergent reliability were obtained. This initial evaluation of the D-FAM suggests utility for efficient evaluation of family functioning related to adherence and glycemic control for research and clinical purposes.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 15-33 |
| Number of pages | 19 |
| Journal | Children's Health Care |
| Volume | 39 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2010 |
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ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Clinical Psychology
- Developmental and Educational Psychology
Cite this
Development of the diabetes family adherence measure (D-FAM). / Lewin, Adam B.; Geffken, Gary R.; Williams, Laura B.; Duke, Danny; Storch, Eric A.; Silverstein, Janet H.
In: Children's Health Care, Vol. 39, No. 1, 01.2010, p. 15-33.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Development of the diabetes family adherence measure (D-FAM)
AU - Lewin, Adam B.
AU - Geffken, Gary R.
AU - Williams, Laura B.
AU - Duke, Danny
AU - Storch, Eric A.
AU - Silverstein, Janet H.
PY - 2010/1
Y1 - 2010/1
N2 - The objective of this research was to develop and validate the Diabetes Family Adherence Measure (D-FAM), a comprehensive and up-to-date tool designed for the assessment of adherence-related parenting behaviors for youth with type 1 diabetes (T1D). Further, this article outlines an empirical approach for scale design. First, experts reviewed a battery of potential items to create a preliminary version of the D-FAM. Subsequently, 165 youth with T1D and their families completed an initial administration. A parsimonious measure resulted, consisting of 19 items with 4 additional validity items. Factor analysis identified supportive, coercive, control, and monitoring subscales. D-FAM factors were generally associated with both adherence and health status (HbA1c [glycosolated hemoglobin]), as well as with extant scales of family functioning. Strong internal consistency, test-retest reliability, and construct-convergent reliability were obtained. This initial evaluation of the D-FAM suggests utility for efficient evaluation of family functioning related to adherence and glycemic control for research and clinical purposes.
AB - The objective of this research was to develop and validate the Diabetes Family Adherence Measure (D-FAM), a comprehensive and up-to-date tool designed for the assessment of adherence-related parenting behaviors for youth with type 1 diabetes (T1D). Further, this article outlines an empirical approach for scale design. First, experts reviewed a battery of potential items to create a preliminary version of the D-FAM. Subsequently, 165 youth with T1D and their families completed an initial administration. A parsimonious measure resulted, consisting of 19 items with 4 additional validity items. Factor analysis identified supportive, coercive, control, and monitoring subscales. D-FAM factors were generally associated with both adherence and health status (HbA1c [glycosolated hemoglobin]), as well as with extant scales of family functioning. Strong internal consistency, test-retest reliability, and construct-convergent reliability were obtained. This initial evaluation of the D-FAM suggests utility for efficient evaluation of family functioning related to adherence and glycemic control for research and clinical purposes.
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U2 - 10.1080/02739610903455111
DO - 10.1080/02739610903455111
M3 - Article
AN - SCOPUS:77951203380
VL - 39
SP - 15
EP - 33
JO - Children's Health Care
JF - Children's Health Care
SN - 0273-9615
IS - 1
ER -