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Validation of measures of satisfaction with and impact of continuous and conventional glucose monitoring.

机译:验证对连续和常规血糖监测的满意度和影响的措施。

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BACKGROUND: The evaluation of patient-reported outcomes (e.g. impact, satisfaction) is important in trials of continuous glucose monitoring (CGM). We evaluated psychometric properties of the CGM Satisfaction Scale (CGM-SAT) and the Glucose Monitoring Survey (GMS). METHODS: CGM-SAT is a 44-item scale on which patients (n=224) or parents (n=102) rated their experience with CGM over the prior 6 months. GMS is a 22-item scale on which patients (n=447) or parents (n=221) rated the blood glucose monitoring system they were using (home glucose meter with or without CGM) at baseline and 6 months. RESULTS: The alpha coefficient for the CGM-SAT was > or = 0.94 for all respondents and for the GMS was > or = 0.84 for all respondents at baseline and 6 months. Parent-youth agreement was 0.52 for the CGM-SAT at 6 months and 0.24 and 0.20 for the GMS at baseline and 6 months for the Standard Care Group, respectively. Test-retest reliability of the GMS at 6 months for controls was r=0.76 for adult patients, 0.63 for pediatric patients, and 0.43 for parents. Factor analysis isolated measurement factors for the CGM-SAT labeled Benefits of CGM and Hassles of CGM, accounting for 33% and 9% of score variance, respectively. For the GMS, two factors emerged: Glucose Control and Social Complications, accounting for 28% and 9% of variance, respectively. Significant correlations of CGM-SAT with frequency of CGM use between 6 months and baseline and GMS with frequency of conventional daily self-monitoring of blood glucose at baseline support their convergent validity. CONCLUSIONS: The CGM-SAT and GMS are reliable and valid measures of patient-reported CGM outcomes.
机译:背景:在连续血糖监测(CGM)的试验中,评估患者报告的结局(例如影响,满意度)很重要。我们评估了CGM满意度量表(CGM-SAT)和血糖监测调查(GMS)的心理测量特性。方法:CGM-SAT是一项44个项目的量表,患者(n = 224)或父母(n = 102)在过去6个月中对他们的CGM经验进行了评分。 GMS是22个项目的量表,在基线和6个月时,患者(n = 447)或父母(n = 221)对他们使用的血糖监测系统(带或不带CGM的家用血糖仪)进行了评分。结果:在基线和六个月时,所有受访者的CGM-SAT的α系数均>或= 0.94,而所有受访者的GMS的α系数均>或= 0.84。基线时和标准护理组的6个月时,CGM-SAT的父母与青年协议分别为0.52和GMS的分别为0.24和0.20。对于成年人,GMS在6个月时的重测信度为r = 0.76,儿童为0.63,父母为0.43。因子分析分离了CGM-SAT标记为CGM的好处和CGM的麻烦的测量因子,分别占得分差异的33%和9%。对于GMS,出​​现了两个因素:血糖控制和社会并发症,分别占变异的28%和9%。 CGM-SAT与6个月至基线之间的CGM使用频率之间的显着相关性以及GMS与基线时常规日常血糖自我监测的频率之间的相关性支持了它们的收敛效度。结论:CGM-SAT和GMS是对患者报告的CGM结果进行可靠而有效的测量。

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