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Translation, Revision,and Validation of the Diabetes Distress Scale for Indonesian Type2 Diabetic Outpatients with Various Types ofComplications

Arifin, Bustanul and Perwitasari, Dyah Aryani and Atthobari, Jarir and Cao, Qi and Krabbe, Paul F. M and Postma, Maarten J. (2017) Translation, Revision,and Validation of the Diabetes Distress Scale for Indonesian Type2 Diabetic Outpatients with Various Types ofComplications. Value In Health Regional Issues (12C). pp. 63-73. ISSN 2212-1099, e-ISSN: 2212-1102

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Abstract

Objectives : To translate, revise, and validate the Diabetes Distress Scale (DDS) instrument for Indonesian type 2 diabetes mellitus (T2DM) outpatients with various complications. Methods : Participants were recruited form four hospitals and two primary health care centers. The study was performed with forward and backward translations, an adaptation testing with a small subset of participants, and validation analysis. Factor analysis with maximum likelihood estimation and promax rotation was then used to investigate the instrument structure. Internal consistency among the items was estimated using Cronbach α for each domain of the DDS. Results : In total, 324 participants (246 from the hospitals and from the primary health care centers) were involved in this study . To improve participant comprehension of the exact meaning of questions, examples of daily activites for patients with T2DM (e.g., diet, exercise, and adherence to therapy) were added to some questions after the translation and revision procedures. The factor analysis revealed a correlation among the four factors ranging from 0.40 to 0.67. The factor loadings of selected items from the four factors ranged from 0.41 to 0.98. The order of the four factors in the factor analysis was as follows: interpersonal distress. The internal consistency for the four domains ranged from 0.78 to 0.83. The instrument resulting from this study was labeled “DDS17 Bahasa Indonesia.” Conclusions : The DDS17 Bahasa Indonesia provides an initial psychometric validation study, factor structure, and internal consistency for assessing the distress of Indonesian T2DM outpatients. Use of this instrument in future research and clinical trials is recommended for the Indonesian context. Keywords : Diabetes Distress Scale, Indonesian type 2 diabetes, psychometric properties, validation.

Item Type: Article
Subjects: R Medicine > RS Pharmacy and materia medica
Divisions: Faculty of Pharmacy (Fakultas Farmasi) > Pharmacy Doc
Depositing User: dyah aryani
Date Deposited: 30 Aug 2017 02:46
Last Modified: 30 Aug 2017 02:46
URI: http://eprints.uad.ac.id/id/eprint/7235

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