caa a22 4500 477085288 CHVBK 20180405111502.0 cr unu---uuuuu 170330e19960401xx s 000 0 eng 10.1007/BF00434746 doi (NATIONALLICENCE)springer-10.1007/BF00434746 The Diabetes Health Profile (DHP): A New instrument for assessing the psychosocial profile of insulin requiring patients — Development and psychometric evaluation [Elektronische Daten] [K. Meadows, N. Steen, E. McColl, M. Eccles, C. Shiels, J. Hewison, A. Hutchinson] The aim of the studies was to evaluate the psychometric properties and construct validity of the Diabetes Health Profile (DHP-1). Content for the DHP-1 was derived following in-depth interviews with 25 insulin dependent and insulin requiring patients, a review of the literature and discussions with health care professionals. Initial analysis of the factor structure of the DHP-1 was carried out on the responses of 239 insulin dependent and insulin requiring patients, with a mean age of 40.85 years (SD=13.0), resulting in a 43 item three factor solution. The 43 item version of the DHP-1 was completed by 2,239 insulin dependent/requiring patients (mean age = 39.8, SD=10) years. Fifty-one per cent were men. A forced three factor Principal Factoring Analysis with varimax rotation was carried out. Eleven items were excluded with item factor cross loadings >0.30 or item factor loadings <0.30. PAF analysis of the 32 items resulted in a three factor solution accounting for 33% of the total explained variance. The three factors were interpreted as Psychological Distress, Barriers to Activity and Disnhibited Eating. Factor congruence between subsamples were: Psychological distress (0.93), Barriers to Activity (0.93) and Disinhibited Eating (0.99). Coefficients of congruence between men and women were 0.94, 0.92 and 0.99 for Psychological Distress, Barriers to Activity and Disinhibited Eating respectively. Internal consistency of the three factors (Cronbach's α) were: Psychological Distress (0.86), Barriers to Activity (0.82), and Disinhibited Eating (0.77). Construct-convergent validity was investigated on a sample of 233 insulin dependent and insulin requiring patients (mean age = 51.46 years). Psychological Distress and Barriers to Activity subscales correlated with the Hospital Depression and Anxiety Scale = 0.50 to 0.62, p<0.01 and subscales of the SF-36 (range: r=−0.17 to -0.62, p<0.01). These findings lend support to the construct validity and reliability of the DHP-1 and that it is suitable for further development. Rapid Science Publishers, 1996 Ambulatory care nationallicence diabetes nationallicence psychological nationallicence dysfunctioning nationallicence reliability nationallicence validity nationallicence Meadows K. Department of Public Health Medicine, University of Hull, Hull, UK aut Steen N. Centre for Health Services Research, University of Newcastle, Newcastle, UK aut McColl E. Centre for Health Services Research, University of Newcastle, Newcastle, UK aut Eccles M. Centre for Health Services Research, University of Newcastle, Newcastle, UK aut Shiels C. Department of Public Health Medicine, University of Hull, Hull, UK aut Hewison J. Department of Psychology, University of Leeds, Leeds, UK aut Hutchinson A. Department of Public Health Medicine, University of Hull, Hull, UK aut Quality of Life Research Kluwer Academic Publishers 5/2(1996-04-01), 242-254 0962-9343 5:2<242 1996 5 11136 https://doi.org/10.1007/BF00434746 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00434746 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Meadows K. Department of Public Health Medicine, University of Hull, Hull, UK aut NATIONALLICENCE 700 1- Steen N. Centre for Health Services Research, University of Newcastle, Newcastle, UK aut NATIONALLICENCE 700 1- McColl E. Centre for Health Services Research, University of Newcastle, Newcastle, UK aut NATIONALLICENCE 700 1- Eccles M. Centre for Health Services Research, University of Newcastle, Newcastle, UK aut NATIONALLICENCE 700 1- Shiels C. Department of Public Health Medicine, University of Hull, Hull, UK aut NATIONALLICENCE 700 1- Hewison J. Department of Psychology, University of Leeds, Leeds, UK aut NATIONALLICENCE 700 1- Hutchinson A. Department of Public Health Medicine, University of Hull, Hull, UK aut NATIONALLICENCE 773 0- Quality of Life Research Kluwer Academic Publishers 5/2(1996-04-01), 242-254 0962-9343 5:2<242 1996 5 11136 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer