Share This Article:

Psychometric Properties of the Swedish Version of the Fear of Complications Questionnaire

Abstract Full-Text HTML Download Download as PDF (Size:300KB) PP. 69-76
DOI: 10.4236/ojemd.2014.44008    2,684 Downloads   4,093 Views   Citations

ABSTRACT

Objectives: To translate and evaluate the psychometric properties of the Swedish version of the Fear of Complications Questionnaire. Design: Cross-sectional study design and scale development. Settings: Totally, 469 adults (response rate 63.5%) with Type 1 diabetes completed the questionnaires. Participants were recruited from two university hospitals in Sweden. Participants: Eligible patients were those who met the following inclusion criteria: diagnosed with Type 1 diabetes, diabetes duration of at least 1 year and aged at least 18 years. Methods: The Fear of Complications Questionnaire was translated using the forward-backward translation method. Factor analyses of the questionnaire were performed in two steps using both exploratory and confirmatory factor analysis. Convergent validity was examined using the Hospital Anxiety and Depression Scale and the Fear of Hypoglycaemia Fear Survey. Internal consistency was estimated using Cronbach’s alpha. Results: Exploratory factor analysis supported a two-factor solution. One factor contained three items having to do with fear of kidney-related complications and one factor included the rest of items concerning fear of other diabetes-related complications, as well as fear of complications in general. Internal consistency was high Cronbach’s alpha 0.96. The findings also gave support for convergent validity, with significant positive correlations between measures (r = 0.51 to 0.54). Conclusion: The clinical relevance of the identified two-factor model with a structure of one dominant subdomain may be considered. We suggest, however a one-factor model covering all the items as a relevant basis to assess fear of complications among people with Type 1 diabetes.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Olsen, M. , Anderbro, T. , Amsberg, S. , Leksell, J. , Moberg, E. , Lisspers, J. , Gudbjörnsdottir, S. and Johansson, U. (2014) Psychometric Properties of the Swedish Version of the Fear of Complications Questionnaire. Open Journal of Endocrine and Metabolic Diseases, 4, 69-76. doi: 10.4236/ojemd.2014.44008.

References

[1] Haywood, K., Marshall, S. and Fitzpatrick, R. (2006) Patient Participation in the Consultation Process: A Structured Review of Intervention Strategies. Patient Education and Counseling, 63, 12-23.
http://dx.doi.org/10.1016/j.pec.2005.10.005
[2] Snoek, F.J. (2000) Barriers to Good Glycaemic Control: The Patient’s Perspective. International Journal of Obesity, 24, S12-S20.
http://dx.doi.org/10.1038/sj.ijo.0801421
[3] Morrison, F., Shubina, M. and Turchin, A. (2012) Lifestyle Counseling in Routine Care and Long-Term Glucose, Blood Pressure, and Cholesterol Control in Patients with Diabetes. Diabetes Care, 35, 334-341.
http://dx.doi.org/10.2337/dc11-1635
[4] Paterson, B.L., Thorne, S. and Dewis, M. (2007) Adapting to and Managing Diabetes. Journal of Nursing Scholarship, 30, 57-62. http://dx.doi.org/10.1111/j.1547-5069.1998.tb01237.x
[5] Taylor, E.P., Crawford, J.R. and Gold, A.E. (2005) Design and Development of a Scale Measuring Fear of Complications in Type 1 Diabetes. Diabetes-Metabolism Research and Reviews, 21, 264-270.
http://dx.doi.org/10.1002/dmrr.524
[6] DDCT (1997) Hypoglycemia in the Diabetes Control and Complications Trial. The Diabetes Control and Complications Trial Research Group. Diabetes, 46, 271-286. http://dx.doi.org/10.2337/diab.46.2.271
[7] Swedish Council on Technology Assessment in Health Care (SBU) (2009) Intensive Glucose-Lowering Therapy in Diabetes (Summary and Conclusions) Systematic Review. Report No: 196.
http://www.sbu.se/upload/Publikationer/Content1/1/Intensive_glucose_summary.pdf
[8] Irvine, A.A., Cox, D. and Gonder-Frederick, L. (1992) Fear of Hypoglycemia-Relationship to Physical and Psychological Symptoms in Patients with Insulin-Dependent Diabetes-Mellitus. Health Psychology, 11, 135-138.
http://dx.doi.org/10.1037//0278-6133.11.2.135
[9] Wild, D., von Maltzahn, R., Brohan, E., Christensen, T., Clauson, P. and Gonder-Frederick, L. (2007) A Critical Review of the Literature on Fear of Hypoglycemia in Diabetes: Implications for Diabetes Management and Patient Education. Patient Education and Counseling, 68, 10-15.
http://dx.doi.org/10.1016/j.pec.2007.05.003
[10] Shiu, A.T. and Wong, R.Y. (2002) Fears and Worries Associated with Hypoglycaemia and Diabetes Complications: Perceptions and Experience of Hong Kong Chinese Clients. Journal of Advanced Nursing, 39, 155-163.
http://dx.doi.org/10.1046/j.1365-2648.2002.02255.x
[11] Akinci, F., Yildirim, A., Gozu, H., Sargin, H., Orbay, E. and Sargin, M. (2008) Assessment of Health-Related Quality of Life (HRQoL) of Patients with Type 2 Diabetes in Turkey. Diabetes Research and Clinical Practice, 79, 117-123.
http://dx.doi.org/10.1016/j.diabres.2007.07.003
[12] Solli, O., Stavem, K. and Kristiansen, I.S. (2010) Health-Related Quality of Life in Diabetes: The Associations of Complications with EQ-5D Scores. Health and Quality of Life Outcomes, 8, 18.
http://dx.doi.org/10.1186/1477-7525-8-18
[13] Peyrot, M., Rubin, R.R., Lauritzen, T., Snoek, F.J., Matthews, D.R. and Skovlund S.E. (2005) Psychosocial Problems and Barriers to Improved Diabetes Management: Results of the Cross-National Diabetes Attitudes, Wishes and Needs (DAWN) Study. Diabetic Medicine. 22, 1379-1385.
http://dx.doi.org/10.1111/j.1464-5491.2005.01644.x
[14] Saatci, E., Tahmiscioglu, G., Bozdemir, N., Akpinar, E., Ozcan, S. and Kurdak, H. (2010) The Well-Being and Treatment Satisfaction of Diabetic Patients in Primary Care. Health and Quality of Life Outcomes, 8, 67.
http://dx.doi.org/10.1186/1477-7525-8-67
[15] Sulaiman, N., Hamdan, A., Tamim, H., Mahmood, D.A. and Young, D. (2010) The Prevalence and Correlates of Depression and Anxiety in a Sample of Diabetic Patients in Sharjah, United Arab Emirates. BMC Family Practice, 11, 80.
http://dx.doi.org/10.1186/1471-2296-11-80
[16] Wu, S.F.V., Huang, Y.C., Liang, S.Y., Wang, T.J., Lee, M.C. and Tung, H.H. (2011) Relationships among Depression, Anxiety, Self-Care Behaviour and diabetes Education Difficulties in Patients with Type-2 Diabetes: A Cross-Sectional Questionnaire Survey. International Journal of Nursing Studies, 48, 1376-1383.
http://dx.doi.org/10.1016/j.ijnurstu.2011.04.008
[17] Anderbro, T. (2012) Behavior Change Intervention and Fear of Hypoglycemia in Type 1 Diabetes. Doctoral thesis, Karolinska Institutet., Stockholm.
http://publications.ki.se/xmlui/bitstream/handle/10616/41244/Thesis_Therese_Anderbro.pdf?sequence=1
[18] Heuer, L. and Lausch, C. (2006) Living with diabetes: Perceptions of Hispanic migrant farmworkers. Journal of Community Health Nursing, 23, 49-64.
http://dx.doi.org/10.1207/s15327655jchn2301_5
[19] Huang, E.S., Brown, S.E., Ewigman, B.G., Foley, E.C. and Meltzer, D.O. (2007) Patient Perceptions of Quality of Life with Diabetes-Related Complications and Treatments. Diabetes Care, 30, 2478-2483.
http://dx.doi.org/10.2337/dc07-0499
[20] Huis In‘T Veld, E.M., Makine, C., Nouwen, A., Karsidag, C., Kadioglu, P., Karsidag, K. and Pouwer, F. (2011) Validation of the Turkish Version of the Problem Areas in Diabetes Scale. Cardiovascular Psychiatry Neurology, 2011, Article ID: 315068.
http://dx.doi.org/10.1155/2011/315068
[21] Papadopoulos, A.A., Kontodimopoulos, N., Frydas, A., Ikonomakis, E. and Niakas, D. (2007) Predictors of Health-Related Quality of Life in Type II Diabetic Patients in Greece. BMC Public Health, 7, 186.
http://dx.doi.org/10.1186/1471-2458-7-186
[22] International Diabetes Federation (2012) Global Guideline for Type 2 Diabetes: Clinical Guidelines Task Force.
http://www.idf.org/sites/default/files/IDF-Guideline-for-Type-2-Diabetes.pdf
[23] The National Board of Health and Welfare (Socialstyrelsen) (2010) National Guidelines for Diabetes Care—Support for Governance and Management. The National Board of Health and Welfare, p. 128.
http://www.socialstyrelsen.se/publikationer2010/2010-2-2
[24] American Diabetes Association (2012) Standards of Medical Care in Diabetes—2012. Diabetes Care, 35, 11-63.
http://dx.doi.org/10.2337/dc12-s011
[25] Zigmond, A.S. and Snaith, R.P. (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavia, 67, 361-370. http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.x
[26] Lisspers, J., Nygren, A. and Soderman, E. (1997) Hospital Anxiety and Depression Scale (HAD): Some Psychometric Data for a Swedish Sample. Acta Psychiatrica Scandinavia, 96, 281-286.
http://dx.doi.org/10.1111/j.1600-0447.1997.tb10164.x
[27] Cox, D.J., Irvine, A., Gonder-Frederick, L., Nowacek, G. and Butterfield, J. (1987) Fear of Hypoglycemia: Quantification, Validation, and Utilization. Diabetes Care, 10, 617-621.
http://dx.doi.org/10.2337/diacare.10.5.617
[28] Gonder-Frederick, L.A., Schmidt, K.M., Vajda, K.A., Greear, M.L., Singh, H., Shepard, J.A. and Cox, D.J. (2011) Psychometric Properties of the Hypoglycemia Fear Survey-II for Adults with Type 1 Diabetes. Diabetes Care, 34, 801-806.
http://dx.doi.org/10.2337/dc10-1343
[29] Anderbro, T., Amsberg, S., Wredling, R., Lins, P.E., Adamson, U., Lisspers, J. and Johansson, U.B. (2008) Psychometric Evaluation of the Swedish Version of the Hypoglycaemia Fear Survey. Patient Education and Counseling, 73, 127-131.
http://dx.doi.org/10.1016/j.pec.2008.03.022
[30] Streiner, D. and Norman, G. (2008) Health Measurement Scales—A Practical Guide to Their Development and Use. 4th Edition, Oxford University Press Inc., New York.
[31] Cudeck, R.Y. and Browne, M.W. (1983) Cross-Validation of Covariance Structures. Multivariate Behavioral Research, 18, 47-167.
[32] Hu, L.T. and Bentler, P.M. (1999) Cutoff Criteria for Fit Indexes in Covariance Structure Analysis: Conventional Criteria Versus New Alternatives. Structural Equation Modeling-A Multidisciplinary Journal, 6, 1-55.
http://dx.doi.org/10.1080/10705519909540118
[33] Nunnally, J.C. and Bernstein, I.H. (1994) Psychometric Theory. 3rd Edition, McGraw-Hill, New York.
[34] Velicer, W.F. and Jackson, D.N. (1990) Component Analysis versus Common Factor Analysis: Some Further Observations. Multivariate Behavioral Research, 25, 97-114.
http://dx.doi.org/10.1207/s15327906mbr2501_12

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.