Language
English
Publication Date
6-1-2025
Journal
Diabetes Research and Clinical Practice
DOI
10.1016/j.diabres.2025.112218
PMID
40316029
Abstract
Aims: The Self-Care Inventory is a widely used measure to assess diabetes self-management behaviors. We sought to adapt and streamline the measure to reflect advances in diabetes management, including increased use of continuous glucose monitor and automated insulin delivery systems.
Methods: Through an expert-driven, iterative process, the updated Self-Care Inventory (SCI-U) was created by modifying items to reflect modern diabetes management and reducing the measure to 8 items. The measure was administered to 369 adolescents with type 1 diabetes in 4 regions of the United States, at baseline of two separate intervention trials (mean age = 15.5 ± 1.5, 56 % female, 59 % non-Hispanic White) with measures of diabetes self-management and health-related quality of life. Data on adolescents' device usage and glycemic outcomes were also collected.
Results: The SCI-U demonstrated good reliability (α = 0.68 for the adolescent self-report version and 0.75 for the caregiver proxy version) and construct validity; it was significantly associated with other measures of diabetes self-management (Diabetes Self-Management Questionnaire, percentage of time continuous glucose monitor was active), and criterion validity with diabetes-related quality of life, HbA1c, and time in range.
Conclusions: The updated, shortened SCI-U is a reliable, valid measure for assessment of diabetes self-management behaviors in adolescents with type 1 diabetes.
Keywords
Humans, Diabetes Mellitus, Type 1, Adolescent, Female, Male, Self Care, Quality of Life, Self-Management, Reproducibility of Results, Blood Glucose Self-Monitoring, Surveys and Questionnaires, Continuous Glucose Monitoring (CGM), Measurement, Questionnaire Validation, Self-Care Behavior, Technology and Diabetes, Type 1 Diabetes
Published Open-Access
yes
Recommended Citation
Jaser, Sarah S; Hamdan, Tamim A; Hilliard, Marisa E; et al., "Sci – U: Validation of an Updated Self-Care Inventory for Contemporary Diabetes Management in Adolescents With Type 1 Diabetes" (2025). Faculty and Staff Publications. 5919.
https://digitalcommons.library.tmc.edu/baylor_docs/5919