Marisa E Hilliard1, Esti Iturralde2, Jill Weissberg-Benchell3, Korey K Hood2. 1. Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital. 2. Department of Pediatrics, Stanford University School of Medicine. 3. Department of Psychiatry and Behavioral Sciences, Ann & Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine.
Abstract
Objective: Despite the challenges of managing type 1 diabetes, many adolescents achieve optimal outcomes. A validated measure of diabetes-specific strengths is needed to measure adaptive behaviors and attitudes associated with overcoming challenges and achieving "resilient" outcomes. Methods: Baseline data from 260 adolescents (age 14-18 years, M = 15.7 ± 1.1, 60% female, 33% Non-Caucasian, M A1c = 9.1 ± 1.9%) and caregivers in a behavioral intervention trial were analyzed to evaluate psychometric properties of the 12-item self-report Diabetes Strengths and Resilience measure for adolescents (DSTAR-Teen). Reliability and validity were examined in relation to measures of related constructs, regimen adherence, and glycemic outcomes, and confirmatory factor analysis was conducted. Results: Reliability was good (internal consistency: α = .89; item-total correlations: r range = .55-.78). Significant correlations demonstrated construct and criterion validity. A two-factor structure reflecting intrapersonal and interpersonal processes fit the data better than a one-factor solution. Conclusions: The DSTAR-Teen has strong psychometric properties, captures adaptive aspects of adolescents' diabetes management (i.e., "strengths"), and is related to clinical outcomes.
Objective: Despite the challenges of managing type 1 diabetes, many adolescents achieve optimal outcomes. A validated measure of diabetes-specific strengths is needed to measure adaptive behaviors and attitudes associated with overcoming challenges and achieving "resilient" outcomes. Methods: Baseline data from 260 adolescents (age 14-18 years, M = 15.7 ± 1.1, 60% female, 33% Non-Caucasian, M A1c = 9.1 ± 1.9%) and caregivers in a behavioral intervention trial were analyzed to evaluate psychometric properties of the 12-item self-report Diabetes Strengths and Resilience measure for adolescents (DSTAR-Teen). Reliability and validity were examined in relation to measures of related constructs, regimen adherence, and glycemic outcomes, and confirmatory factor analysis was conducted. Results: Reliability was good (internal consistency: α = .89; item-total correlations: r range = .55-.78). Significant correlations demonstrated construct and criterion validity. A two-factor structure reflecting intrapersonal and interpersonal processes fit the data better than a one-factor solution. Conclusions: The DSTAR-Teen has strong psychometric properties, captures adaptive aspects of adolescents' diabetes management (i.e., "strengths"), and is related to clinical outcomes.
Authors: Kellee M Miller; Nicole C Foster; Roy W Beck; Richard M Bergenstal; Stephanie N DuBose; Linda A DiMeglio; David M Maahs; William V Tamborlane Journal: Diabetes Care Date: 2015-06 Impact factor: 19.112
Authors: Korey K Hood; Daniel P Beavers; Joyce Yi-Frazier; Ronny Bell; Dana Dabelea; Robert E Mckeown; Jean M Lawrence Journal: J Adolesc Health Date: 2014-05-10 Impact factor: 5.012
Authors: Tim Wysocki; Tonja R Nansel; Grayson N Holmbeck; Rusan Chen; Lori Laffel; Barbara J Anderson; Jill Weissberg-Benchell Journal: J Pediatr Psychol Date: 2008-12-26
Authors: Joseph R Rausch; Korey K Hood; Alan Delamater; Jennifer Shroff Pendley; Jennifer M Rohan; Grafton Reeves; Lawrence Dolan; Dennis Drotar Journal: Diabetes Care Date: 2012-04-03 Impact factor: 19.112
Authors: Meredyth A Evans; Lindsey E G Weil; Jenna B Shapiro; Lindsay M Anderson; Anthony T Vesco; Karen Rychlik; Marisa E Hilliard; Jeanne Antisdel; Jill Weissberg-Benchell Journal: J Pediatr Psychol Date: 2019-07-01
Authors: Marisa E Hilliard; Maartje De Wit; Rachel M Wasserman; Ashley M Butler; Meredyth Evans; Jill Weissberg-Benchell; Barbara J Anderson Journal: Pediatr Diabetes Date: 2017-09-22 Impact factor: 4.866
Authors: Marisa E Hilliard; Viena T Cao; Sahar S Eshtehardi; Charles G Minard; Rana Saber; Debbe Thompson; Lefkothea P Karaviti; Barbara J Anderson Journal: Diabetes Technol Ther Date: 2020-05-22 Impact factor: 6.118
Authors: Marisa E Hilliard; Sahar S Eshtehardi; Charles G Minard; Suzanne Wheat; Sheila Gunn; Cynthia Sanders; Robyn Klenk; Barbara J Anderson Journal: J Pediatr Psychol Date: 2019-01-01
Authors: Jenna B Shapiro; Anthony T Vesco; Lindsey E G Weil; Meredyth A Evans; Korey K Hood; Jill Weissberg-Benchell Journal: J Pediatr Psychol Date: 2018-06-01
Authors: Marisa E Hilliard; Sahar S Eshtehardi; Charles G Minard; Rana Saber; Debbe Thompson; Lefkothea P Karaviti; Yuliana Rojas; Barbara J Anderson Journal: JMIR Res Protoc Date: 2018-03-13