Psychometric Testing of an Indonesian-Version Diabetes Self-Management Instrument.
Henik Tri Rahayu, Ching-Min Chen
PMID 33031129WHAT IT FOUND
An Indonesian translation of a diabetes self-management questionnaire is reliable for assessing how patients manage their condition.
It covers five key areas, from diet to medication adherence, allowing clinicians to identify specific gaps in patient self-care and tailor education accordingly.
Key findings
01The Indonesian version of the Diabetes Self-Management Instrument (IDN-DSMI) demonstrated high internal consistency with a Cronbach's alpha of .96.
02The instrument assesses five domains: self-integration, self-regulation, interaction with health professionals, self-monitoring blood glucose, and adherence to recommended therapy.
03The tool is intended to help healthcare providers identify problems in diabetes self-management practices to design appropriate support.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was conducted only in public health centers in one city in Indonesia, so results may not apply to other regions or healthcare systems. Participants had lower education levels (only 29.3% had university degrees), which may affect how the tool performs in more educated populations. The statistical fit of the factor structure was not ideal, leading to the retention of items that did not load strongly, potentially reducing the precision of individual domain scores.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not assume this tool is ready for use outside of Indonesia or without local validation. The psychometric properties were tested in a specific cultural and healthcare context, and the factor structure required compromises that may not hold in other populations.