MengMeng Huang, YunJian Wu, XianXiu Wen, WenZhong Song
Health literacy and fatigue, anxiety, depression, and somatic symptoms in patients with differentiated thyroid carcinoma from West China: A cross-sectional study
Health science reports
aims study develop new instrument measuring selfmanagement hierarchical structure diabetes selfmanagement scale dsms patients type 2 diabetes evaluate psychometric properties dsms instrument developed three phases 1 conceptualization item generation 2 content validity pilot testing 3 field testing psychometric properties convenience sample 473 participants recruited three university hospitals one regional health center south korea exploratory confirmatory factor analyses yielded two secondorder component models explaining common variance among six firstorder factors principal axis factoring varimax rotation accounted 6088 variance confirmatory factor analysis hierarchical structure revealed following fit indices 2df 1373 standardized rootmeansquare residual 050 goodnessoffit index 935 incremental fit index 975 comparative fit index 974 rootmeansquare error approximation 039 cronbach values internal consistency exceeded criterion 70 intraclass correlation coefficients testretest reliability exceeded 70 except takingmedication subscale components dsms moderately correlated comparator measures selfefficacy health literacy administered convergent validity dsms new instrument measuring complex nature selfmanagement patients type 2 diabetes comprising 17 items scored fivepoint likert scale dsms exhibits satisfactory psychometric properties five reliability validity metrics suitable instrument apply research clinical practices