The Blood Glucose Monitoring Communication Questionnaire
- 1 November 2004
- journal article
- research article
- Published by American Diabetes Association in Diabetes Care
- Vol. 27 (11), 2610-2615
- https://doi.org/10.2337/diacare.27.11.2610
Abstract
OBJECTIVE—The aim of this study was to present the psychometric properties of a new tool for evaluating affective response to blood glucose monitoring (BGM) in youths with type 1 diabetes and their parents. RESEARCH DESIGN AND METHODS—Study participants included 153 youths with type 1 diabetes and their parents. Each youth and parent completed the Blood Glucose Monitoring Communication (BGMC) questionnaire, Diabetes Family Conflict Scale, and Pediatric Quality of Life Inventory. Statistical analyses evaluated the psychometric properties of the BGMC questionnaires and their association with glycemic outcomes. RESULTS—Youth and parent BGMC questionnaires had acceptable internal consistency (youth, α = 0.77; parent, α = 0.82) and 1-year test-retest reliability (youth, r = 0.60; parent, r = 0.80). Higher BGMC questionnaire scores (indicating more negative affect) showed a strong association with higher levels of diabetes-specific family conflict (youth, r = 0.33; parent, r = 0.44) and poorer health-related psychosocial quality of life (youth, r = −0.50; parent, r = −0.42). Higher BGMC questionnaire scores were also associated with poorer glycemic control (youth, r = 0.28; parent, r = 0.20), even when the effects of diabetes-specific family conflict and psychosocial quality of life were controlled. Youths with BGMC questionnaire scores in the upper quartile had A1c values 1 percentage point higher (9.1%) than youths with scores in the lowest quartile (8.0%). CONCLUSIONS—The BGMC questionnaires have strong psychometric properties and are convenient measures of affect specific to BGM. Further, BGM affect is associated with glycemic outcomes and may provide a unique contribution to factors associated with glycemic control in youths.Keywords
This publication has 20 references indexed in Scilit:
- Standards of Medical Care in DiabetesDiabetes Care, 2004
- Family Conflict and Diabetes Management in Youth: Clinical Lessons From Child Development and Diabetes ResearchDiabetes Spectrum, 2004
- Leptin and the Perioperative Neuroendocrinological Stress ResponseJournal of Clinical Endocrinology & Metabolism, 1999
- Parental involvement in diabetes management tasks: Relationships to blood glucose monitoring adherence and metabolic control in young adolescents with insulin-dependent diabetes mellitusThe Journal of Pediatrics, 1997
- Major Depressive Disorder in Youths With IDDM: A controlled prospective study of course and outcomeDiabetes Care, 1997
- Psychosocial Status of Children With Diabetes in the First 2 Years After DiagnosisDiabetes Care, 1995
- Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus: Diabetes Control and Complications TrialThe Journal of Pediatrics, 1994
- Adherence Among Children and Adolescents With Insulin-Dependent Diabetes Mellitus Over a Four-Year Longitudinal Foliow-Up: I. The Influence of Patient Coping and AdjustmentJournal of Pediatric Psychology, 1990
- Community Diabetes Care in the 1980sDiabetes Care, 1988
- Family Characteristics of Diabetic Adolescents: Relationship to Metabolic ControlDiabetes Care, 1981