Ronnie Aronson1, Ruth E Brown2, Dishay Jiandani3, Ashleigh Walker4, Naomi Orzech5, Lawrence Mbuagbaw6. 1. LMC Diabetes & Endocrinology, 1929 Bayview Ave., Toronto, ON M4G 3E8, Canada. Electronic address: ronnie.aronson@lmc.ca. 2. LMC Diabetes & Endocrinology, 1929 Bayview Ave., Toronto, ON M4G 3E8, Canada. Electronic address: ruth.brown@lmc.ca. 3. LMC Diabetes & Endocrinology, 1929 Bayview Ave., Toronto, ON M4G 3E8, Canada. Electronic address: dishay.jiandani@lmc.ca. 4. LMC Diabetes & Endocrinology, 1929 Bayview Ave., Toronto, ON M4G 3E8, Canada. Electronic address: ashleigh.walker@lmc.ca. 5. LMC Diabetes & Endocrinology, 1929 Bayview Ave., Toronto, ON M4G 3E8, Canada. Electronic address: naomi.orzech@lmc.ca. 6. Department of Clinical Epidemiology and Biostatistics, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4K1, Canada; Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare-Hamilton, 100 West 5th Street, Hamilton, ON L9C 0E3, Canada; Centre for the Development of Best Practices in Health, Yaoundé Central Hospital, Yaoundé, Cameroon. Electronic address: mbuagblc@mcmaster.ca.
Abstract
AIMS: The LMC Skills, Confidence & Preparedness Index (SCPI) is an electronic tool designed to meet ISOQOL standards and (a) assess three dimensions: knowledge, confidence and preparedness; (b) provide a clinically meaningful measure; (c) provide immediate feedback to the healthcare provider. Internal consistency and external validity have been previously reported in a refractory diabetes cohort. This larger evaluation, broader in glycemic control, sought to assess clinical relevance to glycemia. METHODS: Participants with type 1 and type 2 diabetes were recruited from LMC Diabetes and Endocrinology specialist clinics, from April to October 2016. Participants completed the SCPI using a tablet. Demographic and laboratory data were extracted from the LMC Diabetes Patient Registry. RESULTS: In total, 529 patients met inclusion criteria and were included in psychometric analyses; 518 patients with established diabetes (>6 months) were assessed for SCPI - glycemia correlations. SCPI scores were found to have a high degree of validity, internal consistency, and test-retest reliability. Most importantly, the tool showed good external validity in its relation to glycemic control, both in tertile analysis, demonstrating a threshold effect consistent with a 'moderate' degree of poor control; and in overall correlation with HbA1c for the total SCPI score and two subscales (Skills and Confidence). CONCLUSIONS: The SCPI tool is a quick (25 items), easy to use measure of three domains - knowledge, confidence and preparedness. The instant scoring and specific feedback, as well as the relationship to glycemic control should provide significant value in the patient assessment in the diabetes clinic.
AIMS: The LMC Skills, Confidence & Preparedness Index (SCPI) is an electronic tool designed to meet ISOQOL standards and (a) assess three dimensions: knowledge, confidence and preparedness; (b) provide a clinically meaningful measure; (c) provide immediate feedback to the healthcare provider. Internal consistency and external validity have been previously reported in a refractory diabetes cohort. This larger evaluation, broader in glycemic control, sought to assess clinical relevance to glycemia. METHODS:Participants with type 1 and type 2 diabetes were recruited from LMC Diabetes and Endocrinology specialist clinics, from April to October 2016. Participants completed the SCPI using a tablet. Demographic and laboratory data were extracted from the LMC DiabetesPatient Registry. RESULTS: In total, 529 patients met inclusion criteria and were included in psychometric analyses; 518 patients with established diabetes (>6 months) were assessed for SCPI - glycemia correlations. SCPI scores were found to have a high degree of validity, internal consistency, and test-retest reliability. Most importantly, the tool showed good external validity in its relation to glycemic control, both in tertile analysis, demonstrating a threshold effect consistent with a 'moderate' degree of poor control; and in overall correlation with HbA1c for the total SCPI score and two subscales (Skills and Confidence). CONCLUSIONS: The SCPI tool is a quick (25 items), easy to use measure of three domains - knowledge, confidence and preparedness. The instant scoring and specific feedback, as well as the relationship to glycemic control should provide significant value in the patient assessment in the diabetes clinic.
Authors: Marcus Heise; Astrid Fink; Jens Baumert; Christin Heidemann; Yong Du; Thomas Frese; Solveig Carmienke Journal: PLoS One Date: 2021-03-19 Impact factor: 3.240
Authors: Mary D Adu; Usman H Malabu; Aduli E O Malau-Aduli; Aaron Drovandi; Bunmi S Malau-Aduli Journal: Int J Environ Res Public Health Date: 2020-04-09 Impact factor: 3.390