Development and psychometric evaluation of self-management scale for pregnant woman with gestational diabetes mellitus in China.
Guofang Kuang, Xin Meng, Yiqian Wang and 2 others
PMID 35224873WHAT IT FOUND
A 35-item questionnaire may help nurses and midwives rate how well pregnant Chinese women with gestational diabetes manage blood glucose, pregnancy care, and support resources.
It shows acceptable measurement quality, not that it improves outcomes.
Key findings
01A final scale for pregnant women with GDM has 35 items in four dimensions: self-management awareness, pregnancy management, blood glucose management, and resource utilization.
02The overall scale had Cronbach's α 0.95, split-half reliability 0.79, and 2-week test-retest reliability 0.91.
03The scale content validity index was 0.94, and four extracted factors explained 57.68% of variance with item loadings above 0.40.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The scale was tested in one hospital in China, and 83.15% of participants lived in urban areas, so it may not fit rural women or other settings. Most participants had college or above education (87.08%), so lower education or literacy may change how they answer. Experts were mainly from large hospitals in developed cities, so item selection may not reflect rural care. No criterion-related validity was tested because the authors found no high-quality comparison scale. The study measured questionnaire properties only; it did not test an intervention or clinical outcomes. 190 questionnaires were distributed and 178 were recovered, so some women did not complete the survey.
The easy way to misread this
Do not conclude that this scale improves gestational diabetes outcomes. It was developed and checked as a questionnaire in pregnant women, not tested as an intervention against blood glucose or maternal-infant outcomes.