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Psychometric properties of the Swedish Diabetes Empowerment Scale
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences. (Vårdforskning medicin)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences. (Vårdforskning medicin)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences. (Vårdforskning medicin)
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2007 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, no 2, 247-252 p.Article in journal (Refereed) Published
Abstract [en]

This study was conducted to determine the psychometric properties of the Swedish version of the Diabetes Empowerment Scale (Swe-DES-23). Research design and methods:  A convenience sample of 195 patients with type 1 and type 2 diabetes completed the Swe-DES-23 questionnaire. To establish discriminant validity, Swe-DES subscales were compared with the Semantic Differential in Diabetes scale (SDD) and a general health scale (EVGFP). Construct validity was tested using factor analyses. To determine unidimensionality of the subscales, inter-item correlations were calculated. Internal consistency was tested by the use of the Crohnbach-α coefficient. Results:  The factor analysis resulted in four factors (empowerment subscales) with eigenvalues >1.0, explaining 60% of the variance. The four empowerment subscales: goal achievement, self-awareness, stress management and readiness to change showed Crohnbach-α values ranging from 0.68 to 0.91. Patients with good self-reported health and low burden of diabetes scored significantly higher on almost all empowerment subscales. Only weak correlations were found between metabolic control and the empowerment subscales. Conclusions:  The SWE-DES-23 scale had acceptable validity and reliability and, thus, could be a suitable tool in evaluating empowerment-based education programmes. Further testing is needed to shorten the questionnaire.

Place, publisher, year, edition, pages
2007. Vol. 21, no 2, 247-252 p.
Keyword [en]
diabetes, empowerment, Diabetes Empowerment Scale, psychometric properties
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-93912DOI: 10.1111/j.1471-6712.2007.00463.xISI: 000247470100014OAI: oai:DiVA.org:uu-93912DiVA: diva2:167551
Available from: 2005-12-29 Created: 2005-12-29 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Diabetes-Related Blindness: Studies of Self-Management, Power, Empowerment and Health
Open this publication in new window or tab >>Diabetes-Related Blindness: Studies of Self-Management, Power, Empowerment and Health
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Individuals with diabetes and blindness meet problems in daily life that are related to both conditions. The aim was to study diabetes self-management, burden of diabetes, power, sense of coherence (SOC) and health among individuals with diabetes-related blindness. The aim was further to determine psychometric properties of a diabetes empowerment scale (DES) and to use it in the evaluation of an empowerment programme. The participants were 39 blind diabetic and non-diabetic individuals and 21 diabetic individuals with threat of blindness. A convenience sample of 195 diabetic patients completed DES and 9 blind diabetic individuals participated in the empowerment programme. Two reference groups from the Swed-qual population studies were also included. Data were collected by questionnaires, interviews and by scrutinizing medical records. Quantitative data were analyzed with parametric and non-parametric methods and qualitative data with content analysis. Blind diabetic individuals expressed more problems with self-management than did those with threat of blindness. In some health domains, blind diabetic individuals perceived significantly poorer health than did non-diabetic blind individuals. There were though individual differences in how blind individuals perceived their health as well as how burdensome they experienced their self-management. Individuals with power and strong SOC felt less burden and perceived better health when compared to those with weak SOC or non-power. The diabetes empowerment scale showed acceptable validity and reliability and was used, along with qualitative interviews, to evaluate the effect of the empowerment programme. Evaluation of the programme showed that the participants had improved knowledge and awareness of self-management. The programme seems suitable for blind individuals and creates an inspiring learning climate enhancing empowerment. It is concluded that blind individuals have problems in their diabetes self-management and perceive poor health but the experience of power is a factor of importance for health and an empowerment education programme may enhance power.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2006. 57 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 97
Keyword
Diabetes nursing, Diabetes mellitus, Blindness, Power, Empowerment, Health, Diabetesvård
National Category
Endocrinology and Diabetes
Identifiers
urn:nbn:se:uu:diva-6262 (URN)91-554-6434-3 (ISBN)
Public defence
2006-01-20, Aulan, Sjuksköterskeutbildningen, Döbelnsgatan 2, Uppsala, 13:15
Opponent
Supervisors
Available from: 2005-12-29 Created: 2005-12-29Bibliographically approved

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Leksell, JanethSmide, BibbiWikblad, Karin

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