Development and psychometric evaluation of the life management skills scale for children with type 1 diabetes
Journal of Pediatric Nursing, cilt.85, ss.397-403, 2025 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 85
- Basım Tarihi: 2025
- Doi Numarası: 10.1016/j.pedn.2025.09.002
- Dergi Adı: Journal of Pediatric Nursing
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, MEDLINE
- Sayfa Sayıları: ss.397-403
- Anahtar Kelimeler: Children, Coping, Diabetes, Life skills, Psychometrics, Scale, Self-management
- Çukurova Üniversitesi Adresli: Hayır
Özet
Objective: This study aimed to develop and psychometrically evaluate the Life Management Skills Scale (LMSS-T1D), designed to assess coping and self-management skills in children with Type 1 Diabetes Mellitus (T1DM). Methods: A methodological and correlational study was conducted between May and December 2024 with 367 children aged 10–18 years. Content validity was assessed by expert review (CVI: 0.80–1.00). Construct validity was tested via exploratory and confirmatory factor analyses. Internal consistency was measured with Cronbach's alpha; test-retest reliability was assessed using Pearson correlation. Results: The scale revealed a two-factor structure “Diabetes Coping Skills” and “Diabetes Management Knowledge” explaining 70.9 % of the total variance. Factor loadings ranged from 0.832 to 0.963. Confirmatory factor analysis indicated a good model fit (χ2/df = 1.683, RMSEA = 0.069, CFI = 0.968). Cronbach's alpha was 0.980 for the total scale; 0.971 for the “Diabetes Coping Skills” subscale and 0.984 for the “Diabetes Management Knowledge” subscale. Item-total correlations were significant (r = 0.823–0.904). Test-retest reliability was high (r = 0.979–0.988), and no significant differences were found between applications (p > 0.05). Conclusion: The LMSS-T1D is a valid and reliable instrument for evaluating life management skills in children with T1DM. It offers a structured framework for assessing coping and self-management capabilities and may support individualized interventions. Implications for practice: The scale may assist healthcare providers in identifying strengths and weaknesses in pediatric diabetes management, guiding personalized care plans.