Volume 29, Issue 9 (12-2022)
RJMS 2022, 29(9): 372-383 |
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Khajepoor M, Mojtabaei M. Validity and Reliability of a Persian Version of the Acceptance and Action Diabetes Questionnaire in patients with type 2 diabetes. RJMS 2022; 29 (9) :372-383
URL: http://rjms.iums.ac.ir/article-1-8694-en.html
URL: http://rjms.iums.ac.ir/article-1-8694-en.html
Associate Professor, Department of psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran. , minamojtabaie@chmail.ir
Abstract: (507 Views)
Background & Aims: Today, diabetes as one of the non-communicable diseases has affected a wide range of people and healthcare systems worldwide. The prevalence of diabetes in adults aged 20 to 70 years has increased dramatically over the past 3 to 5 decades, which is contrary to the global goal of halting the incidence and prevalence of diabetes by 2025. Along with the growing trend of this disease due to lifestyle changes and other related determinants, it is predicted that 643 million people will suffer from diabetes in the world by 2030 and 783 million people by 2045. Diabetes is classified into type 1 diabetes and type 2 diabetes based on the pathogenesis of the disease. The main cause of type 1 diabetes is the lack of insulin action due to the destruction and loss of pancreatic β islet cells, which cause the synthesis and secretion of insulin. Therefore, "insulin therapy" has become the main method of treatment. On the other hand, type 2 diabetes is caused by the combination of several genetic factors that include a potential predisposition to decreased insulin secretion and resistance to insulin, aging, and behavioral and psychosocial factors such as overeating (especially high-fat consumption in the diet). , lack of exercise, obesity, and stress, and currently it has been reported that type 2 diabetes is increasing at a faster rate due to the aging of the population, lifestyle changes, and improvement in health and treatment conditions. Clinical literature has shown that since most patients do not consider the short-term and long-term complications of the disease, they may have difficulty accepting lifestyle changes and face depression, anxiety, and concomitant psychiatric problems. The process of treating diabetes is often long and challenging. Diabetes-related outcomes are highly dependent on daily self-care activities. In other words, type 2 diabetes is a disease related to lifestyle, and self-care activities are considered among the necessary options for treatment. Proper self-care in diabetes requires that the condition and effort to treat it be sufficiently involved in daily life. Therefore, the extent to which the patient "integrates the physical and psychological burden caused by diabetes and its psychosocial impact into his life" is known as acceptance of diabetes. For this purpose, according to recent studies, acceptance-based interventions in the treatment of people with diabetes and other chronic conditions are significant. Studies have shown that although psychological treatments, including cognitive behavioral therapy, reduce psychological distress and improve blood glucose levels, these treatments do not have a long-term effect. In psychological treatments, including CBT, patients are taught to control unpleasant thoughts and feelings. However, diabetes treatment requires lifelong adherence, and therefore, ongoing management of diabetes-related unpleasant thoughts and emotions may not be a realistic strategy. Recently, Acceptance and Commitment Therapy (ACT) has been recognized as an effective approach to treating psychological disorders and managing chronic diseases. In therapy based on acceptance and commitment, acceptance is emphasized instead of controlling unpleasant thoughts and emotions. This approach involves being aware of unpleasant thoughts and feelings without trying to change their frequency and form. Considering the growing prevalence of type 2 diabetes and the lack of a comprehensive and practical tool in the society of patients with type 2 diabetes in order to carry out effective interventions, it is obvious and necessary to pay attention to it, so that it can be used to identify people who They need medical services, think of effective measures. In this way, in order to identify and investigate a reliable and valid assessment tool for interventions and studies based on acceptance and psychological flexibility in patients with type 2 diabetes, in the present study, the validity and reliability of the acceptance and action questionnaire in diabetes was investigated.
Methods: This study was a descriptive and validating study and was conducted in order to investigate the psychometric properties of the Diabetes Acceptance and Practice Questionnaire in patients with type 2 diabetes in Tehran in 1400. Simultaneous validity evaluation was done through chronic stress, quality of life and acceptance and action questionnaires. Reliability was determined using Pearson's correlation index and internal correlation coefficient was calculated by Cronbach's alpha. Structural equation model and confirmatory factor analysis were used to evaluate construct validity using SPSS v.26 software.
Results: Cronbach's alpha coefficient was 0.91 and the test-retest coefficient showed a significant positive relationship. In the concurrent validity, the correlation between acceptance and practice of diabetes questionnaire second version (AAQ-II) and quality of life was found to have a significant negative relationship and a positive relationship with chronic stress. The results of the confirmatory factor analysis showed the appropriate intensity of the questions with the desired structure.
Conclusion: The results showed that the Persian version of the Diabetes Acceptance and Action Tool in patients with type 2 diabetes has good validity and reliability. Therefore, in future research, this tool can be used by specialists and health researchers to evaluate the attitude of patients with diabetes towards the disease and its related problems. This study had some limitations, including the availability of samples, which weakens the generalizability of the findings. It is also necessary to use a larger number of samples in accordance with the objectives of the study in future studies in order to be able to speak with more certainty about this and increase the credibility of this study.
Type of Study: Research |
Subject:
Internal Medicine
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