Translation and Psychometric Evaluation of the Diabetes Self-Management Questionnaire in Hebrew (H-DSMQ) for Adults With Type 2 Diabetes in Israel.
Orit Segev-Jacubovski, Meirav Rosenfeld, Deena Warshawsky Rozen and 1 others
PMID 41273156WHAT IT FOUND
A Hebrew diabetes self-management questionnaire for adults with type 2 diabetes found higher self-care scores matched lower HbA1c, but the healthcare-use part was inconsistent.
Use it as a patient-reported screen, not proof of cause.
Key findings
01The total score was reasonably consistent (0.74), but the healthcare-use part was poor (0.46).
02People with HbA1c below 7.0% scored higher than people with HbA1c above 7.1% on glucose monitoring, nutrition management and healthcare use; physical activity did not differ.
03Better glucose-monitoring and healthcare-use scores were associated with lower HbA1c.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for RNs
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What it does not show
The sample was a convenience sample recruited online, so the results may not apply to all adults with type 2 diabetes in Israel. HbA1c, weight and height were self-reported, so they may be less accurate than values from medical records. The healthcare-use subscale did not hold together well, so that domain should not be used as a stand-alone measure. The study measured associations at one time point, so it cannot show that self-management caused lower HbA1c or BMI. It excluded people with type 1 diabetes, cancer or pregnancy, and had few participants with high HbA1c, so it says little about those groups.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read the H-DSMQ scores as proof that better self-management caused lower HbA1c or BMI. The study was cross-sectional, used self-reported values, and one subscale did not hold together well.