RNOtherInternational journal of nursing sciences2022

The Chinese version of the revised Diabetes Distress Scale for adults with type 2 diabetes: Translation and validation study.

Yu-Yun Zhang, Wei Li, Yu Sheng

PMID 35509697

WHAT IT FOUND

A Chinese 17-item diabetes distress questionnaire appeared usable for adults with type 2 diabetes.

It covered the same distress areas as the original and was understood by patients, but it does not prove any treatment works.

Key findings

01400 adults with type 2 diabetes were analyzed, and 33.3% had moderate to high diabetes distress by the Chinese scale.

02The scale kept the original four distress areas, but the eighth item grouped with physician distress instead of regimen distress.

03The total score had a reliability coefficient of 0.88, and all item-total correlations passed the acceptable cut-off point of 0.40.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

Participants were chosen from available patients at three high-level hospitals in Beijing, so the results may not apply to patients in other hospitals or regions of China. The study measured everything at one time, so it did not test whether the scale detects change over time or predicts outcomes. The researchers did not compare the Chinese scale with another established measure to check agreement with other tests. The eighth item grouped differently from the original scale, and the authors advised keeping the original structure so results can be compared across cultures. The sample was not random, and the authors noted that a random sample could improve generalizability.

Declared interests

No external funding was used. The authors declared no specific grant from public, commercial, or not-for-profit sectors.

The easy way to misread this

Do not read this as proof that diabetes distress screening improves patient care. The study tested a questionnaire in 400 adults with type 2 diabetes and did not test an intervention or outcome.

Read it on PubMed →