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 C.
AU - Storch, Eric A.
AU - Silverstein, Janet H.
N1 - Funding Information:
This research was funded by a grant awarded to Dr. Lewin from the Children’s Miracle Network, a NARSAD Young Investigator Award, and a fellowship from the Joseph Drown Foundation & the Friends of the Semel Institute.
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 -