Assessing patient-reported outcomes for automated insulin delivery systems: the psychometric properties of the INSPIRE measures.


Journal

Diabetic medicine : a journal of the British Diabetic Association
ISSN: 1464-5491
Titre abrégé: Diabet Med
Pays: England
ID NLM: 8500858

Informations de publication

Date de publication:
05 2019
Historique:
accepted: 12 02 2019
pubmed: 15 2 2019
medline: 6 2 2020
entrez: 15 2 2019
Statut: ppublish

Résumé

Participants in clinical trials assessing automated insulin delivery systems report perceived benefits and burdens that reflect their experiences and may predict their likelihood of uptake and continued use of this novel technology. Despite the importance of understanding their perspectives, there are no available validated and reliable measures assessing the psychosocial aspects of automated insulin delivery systems. The present study assesses the initial psychometric properties of the INSPIRE measures, which were developed for youth and adults with Type 1 diabetes, as well as parents and partners. Data from 292 youth, 159 adults, 150 parents of youth and 149 partners of individuals recruited from the Type 1 Diabetes Exchange Registry were analysed. Participants completed INSPIRE questionnaires and measures of quality of life, fear of hypoglycaemia, diabetes distress, glucose monitoring satisfaction. Exploratory factor analysis assessed factor structures. Associations between INSPIRE scores and other measures, HbA Youth, adult, parent and partner measures assess positive expectancies of automated insulin delivery systems. Measures range from 17 to 22 items and are reliable (α = 0.95-0.97). Youth, adult and parent measures are unidimensional; the partner measure has a two-factor structure (perceptions of impact on partners versus the person with diabetes). Measures showed concurrent and discriminant validity. INSPIRE measures assessing the positive expectancies of automated insulin delivery systems for youth, adults, parents and partners have meaningful factor structures and are internally consistent. The developmentally sensitive INSPIRE measures offer added value as clinical trials test newer systems, systems become commercially available and clinicians initiate using these systems.

Identifiants

pubmed: 30761592
doi: 10.1111/dme.13930
pmc: PMC6593869
doi:

Substances chimiques

Blood Glucose 0
Insulin 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

644-652

Subventions

Organisme : NIDDK NIH HHS
ID : P30 DK036836
Pays : United States

Informations de copyright

© 2019 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.

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Auteurs

J Weissberg-Benchell (J)

Department of Psychiatry and Behavioral Sciences, Ann and Robert H., Lurie Children's Hospital of Chicago, Northwestern University, Feinberg School of Medicine, Chicago, IL.

J B Shapiro (JB)

Department of Psychology, Loyola University, Chicago, IL.

K Hood (K)

Departments of Pediatrics, Psychiatry& Behavioral Sciences, Stanford University School of Medicine, Stanford, CA.

L M Laffel (LM)

Joslin Diabetes Center, Harvard Medical School, Boston, MA.

D Naranjo (D)

Departments of Pediatrics, Psychiatry& Behavioral Sciences, Stanford University School of Medicine, Stanford, CA.

K Miller (K)

Jaeb Center for Health Research, Tampa, Florida, USA.

K Barnard (K)

Bournemouth University, Bournemouth, UK.

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