Measure of strength of commitment to successful diabetes self-management among Blacks: Reliability and validity Article

cited authors

  • Zoumenou, VM; Himburg, S; Magnus, M; Johnson, P; Lobar, S; Adoueni, V


  • The objectives of this study were to develop a measurement tool to assess perceived positive attitudes/behaviors to successful dietary, and weight control management and to assess correlations between scales and participants' outcomes. Persons with Type 2 diabetes, aged 20 years and older were surveyed in a qualitative pilot study (N=50) to derive items for the development of the tool, and in a cross-sectional quantitative design, (180 Black-Americans in Miami, 180 Black-Africans in Abidjan) for the development and validation process. Test-retest reliability, factor analysis, Cronbach's coefficient alphas, and Pearson correlation were used. Six scales were found: "Dietary Attitudes"; "Food and Life Conditions"; "Dedication to Diabetic Diet"; "Weight Control Attitudes"; "Dedication to Weight Control Attitudes"; and "Dedication to Social Support for Weight Control". Cronbach's alphas between 0.71 and 0.85 for all scales indicate a good internal consistency and reliability. Body Mass Index was significantly correlated with strength of commitment to comply with diet, and with weight control regimen (r= -0.22 p<0.01; r=-0.20 p<0.01) while Fasting Blood Glucose was significantly correlated with only weight control regimen (r= -0.11 p<0.05). Completion of this survey required approximately 30 minutes. © EuroJournals Publishing, Inc. 2009.

publication date

  • January 1, 2009

start page

  • 176

end page

  • 188


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