Development of the diabetes family adherence measure (D-FAM)

Adam B. Lewin, Gary R. Geffken, Laura B. Williams, Danny Duke, Eric A. Storch, Janet H. Silverstein

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)15-33
Number of pages19
JournalChildren's Health Care
Volume39
Issue number1
DOIs
StatePublished - Jan 2010

Fingerprint

Type 1 Diabetes Mellitus
Parenting
Research
Reproducibility of Results
Health Status
Statistical Factor Analysis
Hemoglobins

ASJC Scopus subject areas

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

Cite this

Lewin, A. B., Geffken, G. R., Williams, L. B., Duke, D., Storch, E. A., & Silverstein, J. H. (2010). Development of the diabetes family adherence measure (D-FAM). Children's Health Care, 39(1), 15-33. https://doi.org/10.1080/02739610903455111

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 journalArticle

Lewin, AB, Geffken, GR, Williams, LB, Duke, D, Storch, EA & Silverstein, JH 2010, 'Development of the diabetes family adherence measure (D-FAM)', Children's Health Care, vol. 39, no. 1, pp. 15-33. https://doi.org/10.1080/02739610903455111
Lewin AB, Geffken GR, Williams LB, Duke D, Storch EA, Silverstein JH. Development of the diabetes family adherence measure (D-FAM). Children's Health Care. 2010 Jan;39(1):15-33. https://doi.org/10.1080/02739610903455111
Lewin, Adam B. ; Geffken, Gary R. ; Williams, Laura B. ; Duke, Danny ; Storch, Eric A. ; Silverstein, Janet H. / Development of the diabetes family adherence measure (D-FAM). In: Children's Health Care. 2010 ; Vol. 39, No. 1. pp. 15-33.
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