The summary of diabetes self-care activities measure: results from 7 studies and a revised scale.
Open accessAbstract
OBJECTIVE: To review reliability, validity, and normative data from 7 different studies, involving a total of 1,988 people with diabetes, and provide a revised version of the Summary of Diabetes Self-Care Activities (SDSCA) measure. RESEARCH DESIGN AND METHODS: The SDSCA measure is a brief self-report questionnaire of diabetes self-management that includes items assessing the following aspects of the diabetes regimen: general diet, specific diet, exercise, blood-glucose testing, foot care, and smoking. Normative data (means and SD), inter-item and test-retest reliability, correlations between the SDSCA subscales and a range of criterion measures, and sensitivity to change scores are presented for the 7 different studies (5 randomized interventions and 2 observational studies). RESULTS: Participants were typically older patients, having type 2 diabetes for a number of years, with a slight preponderance of women. The average inter-item correlations within scales were high (mean = 0.47), with the exception of specific diet; test-retest correlations were moderate (mean = 0.40). Correlations with other measures of diet and exercise generally supported the validity of the SDSCA subscales (mean = 0.23). CONCLUSIONS: There are numerous benefits from standardization of measures across studies. The SDSCA questionnaire is a brief yet reliable and valid self-report measure of diabetes self-management that is useful both for research and practice. The revised version and its scoring are presented, and the inclusion of this measure in studies of diabetes self-management is recommended when appropriate.
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Diabetes self-care behaviors were measured using 11 items from Summary of Diabetes Self-Care Activities (SDSCA).
“Diabetes self-care behaviors were measured using 11 items from Summary of Diabetes Self-Care Activities (SDSCA). 34”
From Feasibility and acceptability of a positive psychological intervention for patients with type 2 diabetes (2016) · cites this paper as [34]
The specific diet subscale was examined at the item level because of poor inter-item correlations.
“The specific diet subscale, which includes fruit and vegetable consumption, high-fat food consumption and spacing of carbohydrates, was examined at the item level because of poor inter-item correlations [6].”
From Differentiating symptoms of depression from diabetes-specific distress: relationships with self-care in type 2 diabetes (2008) · cites this paper as [6]
The Diabetes Distress Scale is a 17-item questionnaire with alpha = 0.93, and a mean-item score ≥3 was used as the distress cut-point.
“DD was assessed by the Diabetes Distress Scale (DDS),10, 11 a 17-item questionnaire (alpha = 0.93), with a mean-item score of ≥ 3 (moderate distress, 1–5 response scale) used as the distress cut-point 12.”
From Predicting diabetes distress in patients with Type 2 diabetes: a longitudinal study (2009) · cites this paper as [12]
Diet and exercise were measured by the Summary of Diabetes Self-Care Activities, which has demonstrated reliability and sensitivity to change over time.
“Diet and exercise were measured by the Summary of Diabetes Self-Care Activities, which has demonstrated reliability and sensitivity to change over time (16).”
From Diabetes distress but not clinical depression or depressive symptoms is associated with glycemic control in both cross-sectional and longitudinal analyses (2010) · cites this paper as [16]
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- Authors
- Toobert, D. J., Hampson, S. E., & Glasgow, R. E.
- Affiliations
- Oregon Research Institute (US)
- ORCID
- Glasgow, R E
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2000-07-01
- Volume
- 23
- Issue
- 7
- Pages
- 943-950
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2125070970
- Cited by
- 2,561
- References
- 43
- Citations by year
- 2026: 101 · 2025: 140 · 2024: 158 · 2023: 165 · 2022: 182 · 2021: 159 · 2020: 165 · 2019: 132 · 2018: 143 · 2017: 133 · 2016: 155 · 2015: 144 · 2014: 141 · 2013: 127 · 2012: 97
- FWCI
- 4.84
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- public-domain
- Locations
- Diabetes Care (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Funders
- Robert Wood Johnson Foundation
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 35524, DK20579)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Education › Health Education and Validation
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes self-care, diabetes self-management, Summary of Diabetes Self-Care Activities, scale validation, reliability statistics, reference values, type 2 diabetes, diet, physical activity, blood glucose monitoring, foot care, smoking, sensitivity to change, questionnaire revision
- MeSH terms
- Aged, Diabetes Mellitus, Type 2, Diet, Diabetic, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Self Care, Smoking, Blood Glucose Self-Monitoring, Reproducibility of Results, Exercise, Diabetic Foot
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