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Journal of Pediatric Psychology Advance Access published online on February 23, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsi036
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Journal of Pediatric Psychology © Society of Pediatric Psychology 2005; all rights reserved.
Received December 2, 2003
Revised June 1, 2004
Accepted July 14, 2004

Article

Parent and Adolescent Versions of the Diabetes-Specific Parental Support for Adolescents’ Autonomy Scale: Development and Initial Testing

Kathleen M. Hanna PhD, RN1*, Linda A. DiMeglio MD2, and J. Dennis Fortenberry MD, MS3

1 Family Health Department, Indiana University School of Nursing
2 Department of Pediatrics-Section of Pediatric Endocrinology and Diabetology, Indiana University School of Medicine, and
3 Department of Pediatrics-Adolescent Medicine Section, Indiana University School of Medicine

* To whom correspondence should be addressed.
Kathleen M. Hanna, E-mail: kathanna{at}iupui.edu


  Abstract

Objective To develop and initially test the psychometric properties of parent and adolescent versions of the Diabetes-Specific Parental Support for Adolescents’ Autonomy Scale. Methods Data-based scale items were developed, analyzed for content validity, and then piloted with 43 adolescents with type 1 diabetes and their parents. Psychometric properties of the scales were then determined with 100 adolescents with type 1 diabetes and their parents. Results Content validity indices of .80 or greater were obtained for 26 items. Item analysis in the pilot and large-sample groups resulted in 22 items being deleted. Principal Components Analysis of the remaining four items indicated one factor in both parent and adolescent versions, accounting for 50-62% of variance and with Cronbach alpha coefficients of .67-.80. Conclusions This newly developed parsimonious scale, initially tested to be reliable, and valid, will facilitate research on parental support for adolescents’ development of diabetes management autonomy.

Keywords: diabetes; adolescents; autonomy; parental support.
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