Development and validation of the self-stigma scale in people with diabetes.
Kawoun Seo, Youngshin Song
PMID 34482664WHAT IT FOUND
A 16-item Korean diabetes self-stigma scale measured four aspects in 399 adults with type 2 diabetes, but results were mixed, so use cautiously.
Key findings
01The final Diabetes Self-Stigma Scale had 16 items and four factors: comparative inability, social withdrawal, self-devaluation, and apprehensive feeling.
02The scale was analysed in 399 adults with type 2 diabetes and had a Cronbach's alpha of 0.89, a value the authors treated as very high.
03Confirmatory analysis found CFI and RMR suitable, but GFI, AGFI, and RMSEA inadequate.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants were recruited by convenience sampling from outpatient endocrine departments at two university hospitals and two health centres, and the authors note sampling from a single region. 31 of 430 collected responses were excluded, leaving 399 analysed. The study was limited to adults with type 2 diabetes in Korea, so it does not show that the scale works for other diabetes types or other cultures. Confirmatory analysis found CFI and RMR suitable, but GFI, AGFI, and RMSEA inadequate, so the four-factor structure was not fully supported. The paper validates a measurement tool; it does not test whether using the scale improves diabetes self-management or health outcomes.
Declared interests
The authors declared no conflict of interest. Funding was named as the National Research Foundation of Korea.
The easy way to misread this
Do not treat the DSSS as proven to improve diabetes care. It is a 16-item measure developed in Korean adults with type 2 diabetes, and some model checks were not adequate, so it does not show that using it changes patient outcomes.