Cent Eur J Nurs Midw 2021, 12(2):325-332 | DOI: 10.15452/cejnm.2021.12.0007

The Thai version of diabetes self-management scale instrument, and assessment of its psychometric properties: a multi-center study

Monthida Sangruangake1, Solikhah Solikhah2
1 Faculty of Nursing, Khon Kaen University, Khon Kaen, Thailand
2 Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia

Aim: The objective of this study was to translate and evaluate the psychometric properties of the Thai version of the Diabetes Self-Management Scale (T-DSMS).

Design: A cross-sectional study.

Methods: This study was performed in two phases: 1) a forward-backwards translation of the existing version of the Diabetes Self-Management Scale (DSMS); and 2) evaluation of its psychometric properties using confirmatory factor analysis. Between February to June 2016, a total of 700 type 2 diabetes mellitus (T2DM) patients were recruited from outpatient diabetes clinics of both community and university hospitals in Khon Kaen and Bangkok province Thailand, using a self-administered questionnaire.

Results: The results, based on confirmatory factor analysis using Unweighted Least Squares, confirmed the construct validity of the T-DSMS (CFI = 0.985; RMSEA = 0.258; TLI = 0.981; SRMR = 0.040). The T-DSMS contains 13 items across four domains: Diet, Blood, Exercise, and Foot care.

Conclusion: We translated and appropriately validated the DSMS in Thai T2DM patients. The T-DSMS was shown to have good psychometric properties, including content validity and criterion validity. The T-DSMS is an adequate instrument with which to assess diabetes self-management in Thai T2DM patients, and can provide valuable insights into the epidemiology of diabetes self-management, and enable evaluation of prevention programs for diabetes self-management in T2DM patients.

Keywords: criterion validity, diabetes mellitus type 2, diabetes self-management, Diabetes Self-Management Scale psychometric properties

Received: July 23, 2020; Revised: December 20, 2020; Accepted: March 3, 2021; Prepublished online: April 7, 2021; Published: June 4, 2021  Show citation

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Sangruangake M, Solikhah S. The Thai version of diabetes self-management scale instrument, and assessment of its psychometric properties: a multi-center study. Central European Journal of Nursing and Midwifery. 2021;12(2):325-332. doi: 10.15452/cejnm.2021.12.0007.
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