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) |
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Pages (from-to) | 15-33 |
Number of pages | 19 |
Journal | Children's Health Care |
Volume | 39 |
Issue number | 1 |
DOIs | |
State | Published - Jan 1 2010 |
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Developmental and Educational Psychology
- Clinical Psychology